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Recent developments and sustainability of alternative fuels: A review

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Vijay Kumar , Bharat Singh , Manish Saraswat; Recent developments and sustainability of alternative fuels: A review. AIP Conf. Proc. 27 July 2023; 2721 (1): 070040. https://doi.org/10.1063/5.0155043

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In recent years, advances in alternative renewable energy sources have driven a shift away from nonrenewable fossil fuel usage in favor of a cleaner environ ment. However, existing environmental issues must be properly addressed and resolved in order to protect energy, water, and other natural resources for the future. This article discusses current advances in alternative energy sources, with an emphasis on energy and environmental sustainability. Concerns over the depletion of fossil fuels have prompted researchers to look for renewable fuels with efficiency equiva lent to those of conventional fuels. In this article the possibilities and prospects for alternative fuels to be utilized in different applications. The qualities of alternative fuels, as well as the efficiency, are thoroughly explored. Oil produced by the vegetable present a highly promising prospect for the utilization of fossil fuels as alternatives. In standard diesel engines, using biodiesel reduces the amount of unburned hydrocarbons, carbon monoxide, particulate matter, and nitrogen oxides. Different alternative fuels have been compared to traditional fuels, and it is obvious that using mixed fuels may significantly reduce the consumption of these fuels. Because many alternative fuels have qualities similar to conventional fuels, the technology required to deal with them are well understood. Hydrogen is an outlier, with ignition properties that are vastly different from those of ordinary fuels. As a result, there are significant challenges in using hydrogen as alternative fuel. Alternative pathways to traditional fuel alternatives are also discussed. The topic of emulsified oils, as well as the application of oxygenates, was eventually discussed. This review’s highlighted research works may be utilized as a road map for achieving sustainable development and energy efficiency. In comparison of alternative fuels, alcoholic fuels blend with gasoline have low emission. In ethanol, methanol & butanol, butanol have good physical & chemical properties, which is very good for blending with gasoline.

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• Published: 18 March 2012

Do alternative energy sources displace fossil fuels?

• Richard York 1  

Nature Climate Change volume  2 ,  pages 441–443 ( 2012 ) Cite this article

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A fundamental, generally implicit, assumption of the Intergovernmental Panel on Climate Change reports and many energy analysts is that each unit of energy supplied by non-fossil-fuel sources takes the place of a unit of energy supplied by fossil-fuel sources 1 , 2 , 3 , 4 . However, owing to the complexity of economic systems and human behaviour, it is often the case that changes aimed at reducing one type of resource consumption, either through improvements in efficiency of use or by developing substitutes, do not lead to the intended outcome when net effects are considered 5 , 6 , 7 , 8 , 9 . Here, I show that the average pattern across most nations of the world over the past fifty years is one where each unit of total national energy use from non-fossil-fuel sources displaced less than one-quarter of a unit of fossil-fuel energy use and, focusing specifically on electricity, each unit of electricity generated by non-fossil-fuel sources displaced less than one-tenth of a unit of fossil-fuel-generated electricity. These results challenge conventional thinking in that they indicate that suppressing the use of fossil fuel will require changes other than simply technical ones such as expanding non-fossil-fuel energy production.

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Energy systems in scenarios at net-zero CO 2 emissions

Estimation of useful-stage energy returns on investment for fossil fuels and implications for renewable energy systems

Reframing incentives for climate policy action

IPCC Climate Change 2007: Mitigation of Climate Change (eds Metz, B., Davidson, O. R., Bosch, P. R., Dave, R & Meyer, L. A.) (Cambridge Univ. Press, 2007).

IPCC IPCC Special Report on Renewable Energy Sources and Climate Change Mitigation (Cambridge Univ. Press, 2011).

Hoag, H. Low-carbon electricity for 2030. Nature Clim. Change 1 , 233–235 (2011).

Article   Google Scholar  

Nuclear fallout. Nature Clim. Change   1 , 69 (2011).

Sellen, A. J. & Harper, R. H. R. The Myth of the Paperless Office (MIT Press, 2002).

Google Scholar  

Polimeni, J. M., Mayumi, K., Giampietro, M. & Alcott, B. The Jevons Paradox and the Myth of Resource Efficiency Improvements (Earthscan, 2008).

Druckman, A., Chitnis, M., Sorrell, S. & Jackson, T. Missing carbon reductions? Exploring rebound and backfire effects in UK households. Energ. Policy 39 , 3572–3581 (2011).

Hubacek, K. & Guan, D. The net effect of green lifestyles. Nature Clim. Change 1 , 250–251 (2011).

York, R. Ecological paradoxes: William Stanley Jevons and the paperless office. Human Ecol. Rev. 13 , 143–147 (2006).

York, R. Structural influences on energy production in South and East Asia, 1971–2002. Sociol. Forum 22 , 532–554 (2007).

Stone, R. Mayhem on the Mekong. Science 333 , 814–818 (2011).

Article   CAS   Google Scholar  

Smil, V. Energy at the Crossroads: Global Perspectives and Uncertainties (MIT Press, 2003).

Book   Google Scholar  

Williams, J. H. et al. The technology path to deep greenhouse gas emissions cuts by 2050: The pivotal role of electricity. Science 335 , 53–59 (2012).

World Bank World Development Indicators.  Available at http://data.worldbank.org/data-catalog/world-development-indicators . Accessed 20 July (2011).

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I thank T. Koford for helpful comments.

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York, R. Do alternative energy sources displace fossil fuels?. Nature Clim Change 2 , 441–443 (2012). https://doi.org/10.1038/nclimate1451

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Received : 30 August 2011

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Published : 18 March 2012

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DOI : https://doi.org/10.1038/nclimate1451

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Investigating pem fuel cells as an alternative power source for electric uavs: modeling, optimization, and performance analysis.

1. Introduction

1.1. unmanned aerial vehicle, 1.2. battery-based propulsion, 1.3. fuel cells, 1.4. literature overview, 1.5. novelty of this paper, 2.1. proton exchange membrane fuel cell, 2.2. reduced order model, 2.3. investigated uav, 3. model simulation, 3.1. simulation preparations, 3.2. scale-up, 3.3. feasibility study, 4. propulsion system, fuel cell integration, 5. discussion, 6. conclusions, author contributions, data availability statement, acknowledgments, conflicts of interest.

• No STANAG 4671 ; 1st ed, Unmanned Aerial Vehicle Systems Airworthiness Requirements (USAR). NATO: Brussels, Belgium, 2017.
• González-Jorge, H.; Martínez-Sánchez, J.; Bueno, M.; Arias, P. Unmanned Aerial Systems for Civil Applications: A Review. Drones 2017 , 1 , 2. [ Google Scholar ] [ CrossRef ]
• Shakhatreh, H.; Sawalmeh, A.H.; Al-Fuqaha, A.; Dou, Z.; Almaita, E.; Khalil, I.; Othman, N.S.; Khreishah, A.; Guizani, M. Unmanned Aerial Vehicles (UAVs): A Survey on Civil Applications and Key Research Challenges. IEEE Access 2019 , 7 , 48572–48634. [ Google Scholar ] [ CrossRef ]
• Vachtsevanos, G.J.; Valavanis, K.P. Military and Civilian Unmanned Aircraft. In Handbook of Unmanned Aerial Vehicles ; Springer: Dordrecht, The Netherlands, 2015; pp. 93–103. [ Google Scholar ]
• Cwojdziński, L.; Adamski, M. Power units and power supply systems in UAV. Aviation 2014 , 18 , 1–8. [ Google Scholar ] [ CrossRef ]
• Abdilla, A.; Richards, A.; Burrow, S. Endurance Optimisation of Battery-Powered Rotorcraft. Lect. Notes Comput. Sci. 2015 , 9287 , 1–12. [ Google Scholar ] [ CrossRef ]
• Hwang, M.H.; Cha, H.R.; Jung, S.Y. Practical Endurance Estimation for Minimizing Energy Consumption of Multirotor Unmanned Aerial Vehicles. Energies 2018 , 11 , 2221. [ Google Scholar ] [ CrossRef ]
• Xu, X.; Zeng, Y.; Guan, Y.L.; Zhang, R. Overcoming endurance issue: UAV-Enabled communications with proactive caching. IEEE J. Sel. Areas Commun. 2018 , 36 , 1231–1244. [ Google Scholar ] [ CrossRef ]
• González-Espasandín, Ó.; Leo, T.J.; Navarro-Arévalo, E. Fuel Cells: A Real Option for Unmanned Aerial Vehicles Propulsion. Sci. World J. 2014 , 2014 , 497642. [ Google Scholar ] [ CrossRef ]
• Goriparti, S.; Miele, E.; De Angelis, F.; Di Fabrizio, E.; Proietti Zaccaria, R.; Capiglia, C. Review on recent progress of nanostructured anode materials for Li-ion batteries. J. Power Sources 2014 , 257 , 421–443. [ Google Scholar ] [ CrossRef ]
• Hannan, M.A.; Hoque, M.M.; Hussain, A.; Yusof, Y.; Ker, P.J. State-of-the-Art and Energy Management System of Lithium-Ion Batteries in Electric Vehicle Applications: Issues and Recommendations. IEEE Access 2018 , 6 , 19362–19378. [ Google Scholar ] [ CrossRef ]
• Elton, J. Cairns in Encyclopedia of Energy ; Elsevier: Amsterdam, The Netherlands, 2004; Chapter: Batteries, Overview; pp. 117–126. [ Google Scholar ]
• Yoshino, A. Development of the Lithium-Ion Battery and Recent Technological Trends. In Lithium-Lon Batteries ; Elsevier: Amsterdam, The Netherlands, 2014; pp. 1–20. [ Google Scholar ]
• Zhang, R.; Li, X.; Sun, C.; Yang, S.; Tian, Y.; Tian, J. State of Charge and Temperature Joint Estimation Based on Ultrasonic Reflection Waves for Lithium-Ion Battery Applications. Batter 2023 , 9 , 335. [ Google Scholar ] [ CrossRef ]
• Haile, S.M. The Golden Jubilee Issue—Selected topics in Materials Science and Engineering: Past, Present and Future. In Fuel Cell Materials and Components ; Suresh, S., Ed.; Elsevier: Amsterdam, The Netherlands, 2003; Volume 51, pp. 5981–6000. [ Google Scholar ] [ CrossRef ]
• Chen, H.; Cong, T.N.; Yang, W.; Tan, C.; Li, Y.; Ding, Y. Progress in electrical energy storage system: A critical review. Prog. Nat. Sci. 2009 , 19 , 291–312. [ Google Scholar ] [ CrossRef ]
• Pan, Z.F.; An, L.; Wen, C.Y. Recent advances in fuel cells based propulsion systems for unmanned aerial vehicles. Appl. Energy 2019 , 240 , 473–485. [ Google Scholar ] [ CrossRef ]
• Wang, B.; Zhao, D.; Li, W.; Wang, Z.; Huang, Y.; You, Y.; Becker, S. Current technologies and challenges of applying fuel cell hybrid propulsion systems in unmanned aerial vehicles. Prog. Aerosp. Sci. 2020 , 116 , 100620. [ Google Scholar ] [ CrossRef ]
• Santos, D.F.M.; Ferreira, R.B.; Falcão, D.S.; Pinto, A.M.F.R. Evaluation of a fuel cell system designed for unmanned aerial vehicles. Energy 2022 , 253 , 124099. [ Google Scholar ] [ CrossRef ]
• Ozbek, E.; Yalin, G.; Karaoglan, M.U.; Ekici, S.; Colpan, C.O.; Karakoc, T.H. Architecture design and performance analysis of a hybrid hydrogen fuel cell system for unmanned aerial vehicle. Int. J. Hydrogen Energy 2021 , 46 , 16453–16464. [ Google Scholar ] [ CrossRef ]
• Depcik, C.; Cassady, T.; Collicott, B.; Burugupally, S.P.; Li, X.; Alam, S.S.; Arandia, J.R.; Hobeck, J. Comparison of lithium ion Batteries, hydrogen fueled combustion Engines, and a hydrogen fuel cell in powering a small Unmanned Aerial Vehicle. Energy Convers. Manag. 2020 , 207 , 112514. [ Google Scholar ] [ CrossRef ]
• Perez-Trujillo, J.P.; Elizalde-Blancas, F.; Della Pietra, M.; McPhail, S.J. A numerical and experimental comparison of a single reversible molten carbonate cell operating in fuel cell mode and electrolysis mode. Appl. Energy 2018 , 226 , 1037–1055. [ Google Scholar ] [ CrossRef ]
• Watanabe, T. Development of Molten Carbonate Fuel Cells in Japan and at CRIEPI—Application of Li/Na electrolyte. Fuel Cells 2001 , 1 , 97–103. [ Google Scholar ] [ CrossRef ]
• Yuh, C.Y.; Selman, J.R. The Polarization of Molten Carbonate Fuel Cell Electrodes: I. Analysis of Steady-State Polarization Data. J. Electrochem. Soc. 1991 , 138 , 3642–3648. [ Google Scholar ] [ CrossRef ]
• Bosio, B.; Costamagna, P.; Parodi, F. Modeling and experimentation of molten carbonate fuel cell reactors in a scale-up process. Chem. Eng. Sci. 1999 , 54 , 2907–2916. [ Google Scholar ] [ CrossRef ]
• Bosio, B.; Di Giulio, N.; Nam, S.W.; Moreno, A. An effective semi-empiric model for MCFC kinetics: Theoretical development and experimental parameters identification. Int. J. Hydrogen Energy 2014 , 39 , 12273–12284. [ Google Scholar ] [ CrossRef ]
• Milewski, J.; Świrski, K.; Santarelli, M.; Leone, P. Advanced Methods of Solid Oxide Fuel Cell Modeling ; Springer: London, UK, 2011; ISBN 978-0-85729-261-2. [ Google Scholar ]
• Ellis, M.W.; Von Spakovsky, M.R.; Nelson, D.J. Fuel cell systems: Efficient, flexible energy conversion for the 21st century. Proc. IEEE 2001 , 89 , 1808–1818. [ Google Scholar ] [ CrossRef ]
• Vielstich, W.; Lamm, A.; Gasteiger, H.A.; Yokokawa, H. (Eds.) Handbook of Fuel Cells ; John Wiley & Sons, Ltd.: Chichester, UK, 2010; ISBN 9780470741511. [ Google Scholar ]
• Yandrasits, M.; Hamrock, S. Poly(Perfluorosulfonic Acid) Membranes. In Polymer Science: A Comprehensive Reference ; Elsevier: Amsterdam, The Netherlands, 2012; pp. 601–619. [ Google Scholar ]
• Mei, J.; Meng, X.; Tang, X.; Li, H.; Hasanien, H.; Alharbi, M.; Dong, Z.; Shen, J.; Sun, C.; Fan, F.; et al. An Accurate Parameter Estimation Method of the Voltage Model for Proton Exchange Membrane Fuel Cells. Energies 2024 , 17 , 2917. [ Google Scholar ] [ CrossRef ]
• Hoogers, G. Fuel Cell Technology Handbook ; CRC Press: Boca Raton, FL, USA, 2003. [ Google Scholar ]
• Yi, J.S.; Nguyen, T.V. An Along-the-Channel Model for Proton Exchange Membrane Fuel Cells. J. Electrochem. Soc. 1998 , 145 , 1149–1159. [ Google Scholar ] [ CrossRef ]
• Mazumder, S.; Cole, J.V. Rigorous 3D Mathematical Modeling of PEM Fuel Cells. J. Electrochem. Soc. 2003 , 150 , A1503. [ Google Scholar ] [ CrossRef ]
• Fuller, T.F.; Newman, J. Water and Thermal Management in Solid-Polymer-Electrolyte Fuel Cells. J. Electrochem. Soc. 1993 , 140 , 1218–1225. [ Google Scholar ] [ CrossRef ]
• Springer, T.E.; Zawodzinski, T.A.; Gottesfeld, S. Polymer Electrolyte Fuel Cell Model. J. Electrochem. Soc. 1991 , 138 , 2334–2342. [ Google Scholar ] [ CrossRef ]
• Hu, X.; Jiang, W.; Ying, X.; Eslami, M. The application of a new design of bat optimizer for energy efficiency enhancement in PEMFCs based on fractional order theory. Sustain. Energy Technol. Assess. 2023 , 55 , 102904. [ Google Scholar ] [ CrossRef ]
• Rezaie, M.; Karamnejadi azar, K.; Kardan sani, A.; Akbari, E.; Ghadimi, N.; Razmjooy, N.; Ghadamyari, M. Model parameters estimation of the proton exchange membrane fuel cell by a Modified Golden Jackal Optimization. Sustain. Energy Technol. Assess. 2022 , 53 , 102657. [ Google Scholar ] [ CrossRef ]
• Tang, X.; Yang, M.; Shi, L.; Hou, Z.; Xu, S.; Sun, C. Adaptive state-of-health temperature sensitivity characteristics for durability improvement of PEM fuel cells. Chem. Eng. J. 2024 , 491 , 151951. [ Google Scholar ] [ CrossRef ]
• Yang, Y.-T.; Tsai, K.-T.; Chen, C.-K. The Effects of the PEM Fuel Cell Performance with the Waved Flow Channels. J. Appl. Math. 2013 , 2013 , 862645. [ Google Scholar ] [ CrossRef ]
• Makridis, S.S. Hydrogen storage and compression. In Methane and Hydrogen for Energy Storage ; Institution of Engineering and Technology: London, UK, 2016; pp. 1–28. [ Google Scholar ]
• Swider-Lyons, K.; Stroman, R.; Page, G.; Schuette, M.; Mackrell, J.; Rodgers, J. Hydrogen Fule Cell Propulsion for Long Endurance Small UVAs. In Proceedings of the AIAA Centennial of Naval Aviation Forum “100 Years of Achievement and Progress”, Reston, VA, USA, 21–22 September 2011; American Institute of Aeronautics and Astronautics: Reston, VA, USA, 2011. [ Google Scholar ]
• Rivard, E.; Trudeau, M.; Zaghib, K. Hydrogen Storage for Mobility: A Review. Materials 2019 , 12 , 1973. [ Google Scholar ] [ CrossRef ]

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Shuhayeu, P.; Martsinchyk, A.; Martsinchyk, K.; Milewski, J. Investigating PEM Fuel Cells as an Alternative Power Source for Electric UAVs: Modeling, Optimization, and Performance Analysis. Energies 2024 , 17 , 4427. https://doi.org/10.3390/en17174427

Shuhayeu P, Martsinchyk A, Martsinchyk K, Milewski J. Investigating PEM Fuel Cells as an Alternative Power Source for Electric UAVs: Modeling, Optimization, and Performance Analysis. Energies . 2024; 17(17):4427. https://doi.org/10.3390/en17174427

Shuhayeu, Pavel, Aliaksandr Martsinchyk, Katsiaryna Martsinchyk, and Jaroslaw Milewski. 2024. "Investigating PEM Fuel Cells as an Alternative Power Source for Electric UAVs: Modeling, Optimization, and Performance Analysis" Energies 17, no. 17: 4427. https://doi.org/10.3390/en17174427

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Refuse trucks in Oyster Bay, Long Island, filling up at a natural gas station. These trucks were part of a project supported by the Vehicle Technologies Office through Clean Cities.

Alternative fuels increase the number of options available to drivers, which reduces price volatility, supports domestic industries, and increases environmental sustainability. The Vehicle Technologies Office (VTO) supports research and development (R&D) to improve how vehicles can use these fuels in the future, as well as activities to increase their availability today. The DOE’s Alternative Fuels Data Center provides basic information on alternative fuels, including  Biodiesel ,  Ethanol ,  Natural Gas ,  Propane , and  Hydrogen . It also provides information on  stations that sell alternative fuels  and  tax credits and other incentives for using alternative fuels . 

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VTO’s research considers how to better use fuels in today’s engines as well as how to combine alternative fuel blends with advanced combustion engines to reduce emissions and improve efficiency through the DOE national laboratories’ Co-Optimization of Fuels and Engines project.   

VTO supports activities to:

• Research biofuels and their effects on combustion : Determine the impact of biofuels’ properties on engines’ efficiency, performance, and emissions. Activities include examining ways to increase alternative fuel vehicles’ fuel economy, investigating the potential effects of upcoming blends, and improving the quality of current and future biofuel blends. 
• Research natural gas : Support the development of natural gas engines and renewable natural gas projects.
• Help regulated fleets use alternative fuels : Collaborate with fleets (mainly state and utility fleets) covered under the Energy Policy Act of 1992. Our sister office, the Federal Energy Management Program, works with federal fleets .
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• Deploy alternative fuels : Work with nearly 100 local coalitions across the country to help fleets choose which alternative fuels will best meet their needs as well as prepare communities for increasing numbers of alternative fuel vehicles. 
• Provide tools through the Alternative Fuels Data Center : The Laws and Incentive database , which includes information on state and federal tax credits; the Alternative Fueling Station Locator , which lists more 21,000 public and private stations across all alternative fuels; and the Alternative Fuel and Advanced Vehicle Search to look up light-, medium-, and heavy-duty alternative fuel vehicles.

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• The Environmental Protection Agency to provide data for certain rulemakings

Activities to increase the use of alternative fuel vehicles are carried out with a variety of partners:

• The  National Clean Fleets Partnership works to reduce petroleum use in large commercial fleets
• The  Clean Cities-National Parks Initiative works to reduce petroleum use and greenhouse gas emissions in transportation at the National Parks 

The research activities in alternative fuels fall under the Fuel and Lubricant Technologies subprogram and are described in the Fuel & Lubricant Technologies Annual Report .

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A comprehensive review of energy harvesting technologies for sustainable electric vehicles

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• Published: 06 September 2024

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• Abhidnya Sunil Mhatre 1 &
• Prashant Shukla   ORCID: orcid.org/0000-0003-2271-818X 1  

This review paper provides a comprehensive examination of energy harvesting technologies tailored for electric vehicles (EVs). Against the backdrop of the automotive industry’s rapid evolution towards electrification and sustainability, the paper explores a diverse range of techniques. The analysis encompasses the strengths, weaknesses, applicability in various scenarios, and potential implications for the future of EVs. A key finding of the review highlights regenerative braking as a pivotal and highly efficient method for energy recovery, particularly in urban settings. In addition to extending battery life, regenerative braking significantly boosts energy efficiency of EVs. The paper also delves into the challenges associated with integrated solar energy systems, emphasizing issues related to efficiency and weather dependency. Kinetic energy recovery systems (KERS) are discussed for their substantial power boost during acceleration in both motorsports and road cars. Additionally, the review explores regenerative shock absorbers, which capture energy from suspension movement, enhancing ride comfort and increasing vehicle energy economy, especially on uneven terrain. The piezoelectric system, though intriguing, is found to have low power output from mechanical vibration, prompting further exploration for integration into EVs. However, complexities and cost considerations arise in their integration with the vehicle’s suspension system.

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Abdelrahman M, Liu G, Fan C, Zhang Z, Ali A, Li H, Azam A, Cao H, Mohamed AA (2023) Energy regenerative shock absorber based on a slotted link conversion mechanism for application in the electrical bus to power the low wattages devices. Appl Energy 347:121409. https://doi.org/10.1016/j.apenergy.2023.121409

Article   Google Scholar  

Aksu U, Halicioglu R (2018) A review study on energy harvesting systems for vehicles. Tehnički Glasnik 12(4):251–259. https://doi.org/10.31803/tg-20180210153816

Ali A, Qi L, Zhang T, Li H, Azam A, Zhang Z (2021) Design of novel energy-harvesting regenerative shock absorber using barrel cam follower mechanism to power the auxiliaries of a driverless electric bus. Sustain Energy Technol Assessments 48:101565. https://doi.org/10.1016/j.seta.2021.101565

Armenta-Déu C, Cortés H (2023) Analysis of kinetic energy recovery systems in electric vehicles. Vehicles 5(2):387–403. https://doi.org/10.3390/vehicles5020022

Bai S, Liu C (2021) Overview of energy harvesting and emission reduction technologies in hybrid electric vehicles. In Renewable and Sustainable Energy Reviews (Vol. 147). Elsevier Ltd. https://doi.org/10.1016/j.rser.2021.111188

Barton DAW, Burrow SG, Clare LR (2010) Energy harvesting from vibrations with a nonlinear oscillator. J Vib Acoust 132(2):0210091–0210097. https://doi.org/10.1115/1.4000809

Bentouba S, Zioui N, Breuhaus P, Bourouis M (2023) Overview of the potential of energy harvesting sources in electric vehicles. Energies 16(13):5193. https://doi.org/10.3390/EN16135193

Bhurat S, Sharma H, Kumar A, Dixit K, Shukla P, Kunwer R (2018) Magnetization of diesel fuel for compression ignition engine to enhance efficiency and emissions. Int J Appl Eng Res 13:341–347

Google Scholar  

Caban J, Vrabel J, Górnicka D, Nowak R, Jankiewicz M, Matijošius J, Palka M (2023) Overview of energy harvesting technologies used in road vehicles. Energies 16(9):3787. https://doi.org/10.3390/en16093787

Article   CAS   Google Scholar  

Chen C, Sharafi A, Sun JQ (2020) A high density piezoelectric energy harvesting device from highway traffic – design analysis and laboratory validation. Appl Energy 269:115073. https://doi.org/10.1016/j.apenergy.2020.115073

Dahat N, Maskar P, Yadav A (2023) Design and development of regenerative shock absorber. Mater Today Proc 82:363–368. https://doi.org/10.1016/j.matpr.2023.02.433

Day A (2014) Brake system layout design. Braking of Road Vehicles, 149–213. https://doi.org/10.1016/B978-0-12-397314-6.00006-1

Devlet B, Ertürk M, Gürbüz EY, Keçebaş A (2023) Investigation of using modified photovoltaic solar panels for battery charge of electric L1 category vehicles. Mater Today Proc 81:10–17. https://doi.org/10.1016/j.matpr.2022.11.151

Ebrahimi B, Khamesee MB, Golnaraghi MF (2008) Design and modeling of a magnetic shock absorber based on eddy current damping effect. J Sound Vib 315(4–5):875–889. https://doi.org/10.1016/J.JSV.2008.02.022

Ebrahimi B, Bolandhemmat H, Khamesee MB, Golnaraghi F (2011) A hybrid electromagnetic shock absorber for active vehicle suspension systems. Veh Syst Dyn 49(1–2):311–332. https://doi.org/10.1080/00423111003602400

El-Sherif O (2011). Looking for the next gram . BMW Group. https://www.press.bmwgroup.com/global/article/detail/T0119738EN/looking-for-the-next-gram?language=en

Elliott SJ, Zilletti M (2014) Scaling of electromagnetic transducers for shunt damping and energy harvesting. J Sound Vib 333(8):2185–2195. https://doi.org/10.1016/J.JSV.2013.11.036

Ershad NF, Mehrjardi R, Ehsani M (2019) Development of a kinetic energy recovery system using an active electromagnetic slip coupling. IEEE Trans Transp Electrif 5(2):456–464. https://doi.org/10.1109/TTE.2019.2891045

Fang Z, Guo X, Xu L, Zhang H (2013) An optimal algorithm for energy recovery of hydraulic electromagnetic energy-regenerative shock absorber. Appl Math Inform Sci 7(6):2207–2214. https://doi.org/10.12785/AMIS/070610

Fang Z, Guo X, Xu L, Zhang H (2013b) Experimental study of damping and energy regeneration characteristics of a hydraulic electromagnetic shock absorber. Adv Mech Eng 5:943528. https://doi.org/10.1155/2013/943528

Figueiredo R, Nunes P, Brito MC (2017) The feasibility of solar parking lots for electric vehicles. Energy 140:1182–1197. https://doi.org/10.1016/j.energy.2017.09.024

Galluzzi R, Circosta S, Amati N, Tonoli A (2021) Rotary regenerative shock absorbers for automotive suspensions. Mechatronics 77:102580. https://doi.org/10.1016/j.mechatronics.2021.102580

Gong B, Guo X, Hu S, Fang Z (2016) The ride comfort and energy-regenerative characteristics analysis of hydraulic-electricity energy regenerative suspension. J Vibroeng 18(3):1765–1782. https://doi.org/10.21595/JVE.2016.16746

Guo S, Liu Y, Xu L, Guo X, Zuo L (2016) Performance evaluation and parameter sensitivity of energy-harvesting shock absorbers on different vehicles. Veh Syst Dyn 54(7):918–942. https://doi.org/10.1080/00423114.2016.1174276

Hamada AT, Orhan MF (2022) An overview of regenerative braking systems. In Journal of Energy Storage (Vol. 52). Elsevier Ltd. https://doi.org/10.1016/j.est.2022.105033

Heydari S, Fajri P, Sabzehgar R, Asrari A (2020) Optimal brake allocation in electric vehicles for maximizing energy harvesting during braking. IEEE Trans Energy Convers 35(4):1806–1814. https://doi.org/10.1109/TEC.2020.2994520

Hosseini SM, Soleymani M, Kelouwani S, Amamou AA (2023) Energy recovery and energy harvesting in electric and fuel cell vehicles, a review of recent advances. IEEE Access 11:83107–83135. https://doi.org/10.1109/ACCESS.2023.3301329

Jin Z, Li D, Hao D, Zhang Z, Guo L, Wu X, Yuan Y (2024) A portable, auxiliary photovoltaic power system for electric vehicles based on a foldable scissors mechanism. Energy Built Environ 5(1):81–96. https://doi.org/10.1016/j.enbenv.2022.08.002

Khan S, Sudhakar K, Yusof MH, Bin, Azmi WH, Ali HM (2023) Roof integrated photovoltaic for electric vehicle charging towards net zero residential buildings in Australia. Energy Sustain Dev 73:340–354. https://doi.org/10.1016/j.esd.2023.02.005

Krishna G (2021) Understanding and identifying barriers to electric vehicle adoption through thematic analysis. Transp Res Interdiscip Perspect 10:100364. https://doi.org/10.1016/J.TRIP.2021.100364

Lafarge B, Cagin S, Curea O, Perret AH (2016) From functional analysis to energy harvesting system design: application to car suspension. Int J Interact Des Manuf 10(1):37–50. https://doi.org/10.1007/S12008-015-0284-1

Lee H, Jang H, Park J, Jeong S, Park T, Choi S (2013) Design of a piezoelectric energy-harvesting shock absorber system for a vehicle. Integr Ferroelectr 141(1):32–44. https://doi.org/10.1080/10584587.2013.778724

Lee G, Song J, Han J, Lim Y, Park S (2023) Study on energy consumption characteristics of passenger electric vehicle according to the regenerative braking stages during real-world driving conditions. Energy 283:128745. https://doi.org/10.1016/j.energy.2023.128745

Li P, Zuo L (2013) Assessment of vehicle performances with energy-harvesting shock absorbers. SAE Int J Passenger Cars Mech Syst 6(1):18–27. https://doi.org/10.4271/2013-01-0170

Li Z, Zuo L, Kuang J, Luhrs G (2013) Energy-harvesting shock absorber with a mechanical motion rectifier. Smart Mater Struct 22(2):025008. https://doi.org/10.1088/0964-1726/22/2/025008

Li H, Zheng P, Zhang T, Zou Y, Pan Y, Zhang Z, Azam A (2021) A high-efficiency energy regenerative shock absorber for powering auxiliary devices of new energy driverless buses. Appl Energy 295:117020. https://doi.org/10.1016/J.APENERGY.2021.117020

Li H, Chu J, Sun S (2022) Development of a flywheel hybrid power system in vehicles without the electric drive device rated capacity limit. World Elec Veh J 13(2):27. https://doi.org/10.3390/wevj13020027

Liang XC, Zhao JS (2015) Research on recycling vibration energy of shock absorber. Int J Veh Des 68(1–3):201–220. https://doi.org/10.1504/IJVD.2015.071079

Liebl J, Neugebauer S, Eder A, Linde M, Mazar B, Stütz W (2009) The thermoelectric generator from BMW is making use of waste heat. MTZ Worldwide 70(4):4–11. https://doi.org/10.1007/BF03226939

Liu J, Li X, Wang Z, Zhang Y (2016) Modelling and experimental study on active energy-regenerative suspension structure with variable universe fuzzy PD control. Shock Vib 1:6170275. https://doi.org/10.1155/2016/6170275

Liu Y, Chen W, Zhang Z, Hua G (2016b) Energy-regenerative shock absorber for transportation vehicles based on dual overrunning clutches: Design, modeling, and simulation. Transp Res Rec 2551:126–136. https://doi.org/10.3141/2551-15

Mathews T (2013) Flywheel Based kinetic energy recovery systems (Kers) Integrated in vehicles. Int J Eng Sci Technol 5(3):1694–1699

Mousavi GSM, Faraji F, Majazi A, Al-Haddad K (2017) A comprehensive review of flywheel energy storage system technology. Renew Sustain Energy Rev 67:477–490. https://doi.org/10.1016/J.RSER.2016.09.060

Mishra G, Sharma SK (2017) A review of automotive thermoelectric generator. International Research Journal of Engineering and Technology. www.irjet.net

Nivas M, Naidu RKPR, Mishra DP, Salkuti SR (2022) Modeling and analysis of solar-powered electric vehicles. Int J Power Electron Drive Syst (IJPEDS) 13(1):480–487. https://doi.org/10.11591/IJPEDS.V13.I1.PP480-487

Ong HC, Mahlia TMI, Masjuki HH (2011) A review on emissions and mitigation strategies for road transport in Malaysia. Renew Sustain Energy Rev 15(8):3516–3522. https://doi.org/10.1016/j.rser.2011.05.006

Özcan D, Sönmez Ü, Güvenç L (2013) Optimisation of the nonlinear suspension characteristics of a light commercial vehicle. Int J Veh Technol 1:562424. https://doi.org/10.1155/2013/562424

Pan C, Chen L, Chen L, Jiang H, Li Z, Wang S (2016) Research on motor rotational speed measurement in regenerative braking system of electric vehicle. Mech Syst Signal Process 66–67:829–839. https://doi.org/10.1016/j.ymssp.2015.06.001

Pelegov DV, Chanaron JJ (2023) Electric car market analysis using open data: sales, volatility assessment, and forecasting. Sustainability (Switzerland) 15(1):399. https://doi.org/10.3390/su15010399

Pillewar PR, Patil SN, Unde MG (2022) An implementation of solar PV array based multifunctional electrical vehicle charger. Mater Today: Proc 69:A12–A18. https://doi.org/10.1016/j.matpr.2023.01.003

Rahman I, Vasant PM, Singh BSM, Abdullah-Al-Wadud M, Adnan N (2016) Review of recent trends in optimization techniques for plug-in hybrid, and electric vehicle charging infrastructures. In Renewable and Sustainable Energy Reviews (Vol. 58, pp. 1039–1047). Elsevier Ltd. https://doi.org/10.1016/j.rser.2015.12.353

Rajak U, Verma TN, Allamraju KV, Kumar R, Le QH, Pugazhendhi A (2023) Effects of different biofuels and their mixtures with diesel fuel on diesel engine performance and exhausts. Sci Total Environ. https://doi.org/10.1016/j.scitotenv.2023.166501

Rao KD (2014) Modeling, simulation and control of semi active suspension system for automobiles under MATLAB Simulink using PID controller. IFAC Proceedings Volumes (IFAC-PapersOnline), 3(PART 1), 827–831. https://doi.org/10.3182/20140313-3-IN-3024.00094

Rashmi MR, Sairam KT, Suresh A (2023) Energy harvesting through piezoelectric technology. Materials Today: Proceedings. https://doi.org/10.1016/j.matpr.2023.07.252

Rigogiannis N, Perpinias I, Bogatsis I, Roidos I, Vagiannis N, Zournatzis A, Kyritsis A, Papanikolaou N, Kalogirou S (2023) Energy yield estimation of on-vehicle photovoltaic systems in urban environments. Renew Energy 215:118998. https://doi.org/10.1016/j.renene.2023.118998

Sagaria S, Duarte G, Neves D, Baptista P (2022) Photovoltaic integrated electric vehicles: assessment of synergies between solar energy, vehicle types and usage patterns. J Clean Prod 348:131402. https://doi.org/10.1016/j.jclepro.2022.131402

Satpute NV, Satpute SN, Jugulkar LM (2016) Hybrid electromagnetic shock absorber for energy harvesting in a vehicle suspension. Proc Inst Mech Eng Part C: J Mech Eng Sci 231(8):1500–1517. https://doi.org/10.1177/0954406216663577

Satpute NV, Satpute SN, Jugulkar LM (2017) Hybrid electromagnetic shock absorber for energy harvesting in a vehicle suspension. Proc Inst Mech Eng C J Mech Eng Sci 231(8):1500–1517. https://doi.org/10.1177/0954406216663577

Shukla (2024) Fundamentals of Vehicle Integration

Shukla P, Choudhary D (2023) Experimental investigation of wear failure of sliding joint of guide pin and bracket of four wheeler disc brake assembly. Int J Veh Noise Vib 18(3/4):186–193. https://doi.org/10.1504/IJVNV.2022.128278

Shukla P, Kunwer R, Bhurat SS (2018) Design optimization of an automotive fuel tank for the minimization of evaporative losses of gasoline due to thermal conduction: experimental & analytical approach. Chem Eng Trans 71:1393–1398

Singh S, Satpute NV (2015) Design and analysis of energy-harvesting shock absorber with electromagnetic and fluid damping. J Mech Sci Technol 29(4):1591–1605. https://doi.org/10.1007/S12206-015-0331-7

Solberg G (2007) The magic of Tesla roadster regenerative braking. Tesla. https://www.tesla.com/blog/magic-tesla-roadster-regenerative-braking

Suda Y, Shiiba T (1996) A new hybrid suspension system with active control and energy regeneration. Vehicle System Dynamics 25(SUPPL):641–654. https://doi.org/10.1080/00423119608969226

Tang X, Lin T, Zuo L (2014) Design and optimization of a tubular linear electromagnetic vibration energy harvester. IEEE/ASME Trans Mechatron 19(2):615–622. https://doi.org/10.1109/TMECH.2013.2249666

Tang M, Cao H, Kong LJ, Azam A, Luo D, Pan Y, Zhang Z (2022) A hybrid kinetic energy harvester for applications in electric driverless buses. Int J Mech Sci 223:107317. https://doi.org/10.1016/j.ijmecsci.2022.107317

Tiwari C, Dwivedi G, Verma TN (2023) Sustainability evaluation optimization and research dynamics of microalgae methyl ester in a research diesel engine. Proceedings of the Institution of Mechanical Engineers Part E: Journal of Process Mechanical Engineering. https://doi.org/10.1177/09544089231162318

Toyota Global (2023). Toyota launches all-new Prius PHEV in Japan | . Toyota. https://global.toyota/en/newsroom/toyota/38869594.html

Toyota Pressroom (2023) Unplug and Play: 2024 Toyota Prius Prime Redefines the daily drive. Toyota. https://pressroom.toyota.com/unplug-and-play-2024-toyota-prius-prime-redefines-the-daily-drive/

Tushar G et al. (2024) Consumers are driving the transition to electric cars in India. McKinsey & Company. https://www.mckinsey.com/industries/automotive-and-assembly/our-insights/consumers-are-driving-the-transition-to-electric-cars-in-india

Ukpanah I (2024) Electric vehicles: a deep dive into the statistics and trends for 2024. Greenmatch. https://www.greenmatch.co.uk/electric-vehicles

Un-Noor F, Padmanaban S, Mihet-Popa L, Mollah MN, Hossain E (2017) A comprehensive study of key electric vehicle (EV) components, technologies, challenges, impacts, and future direction of development. Energies 10(8):1217. https://doi.org/10.3390/en10081217

Vasiljević S, Aleksandrović B, Glišović J, Maslać M (2022) Regenerative braking on electric vehicles: working principles and benefits of application. IOP Conf Ser Mater Sci Eng 1271(1):012025. https://doi.org/10.1088/1757-899x/1271/1/012025

Wang J, Xiao F, Zhao H (2021) Thermoelectric, piezoelectric and photovoltaic harvesting technologies for pavement engineering. In Renewable and Sustainable Energy Reviews (Vol. 151). Elsevier Ltd. https://doi.org/10.1016/j.rser.2021.111522

Wang R, Gu F, Cattley R, Ball AD (2016a) Modelling, testing and analysis of a regenerative hydraulic shock absorber system. Energies 9(5):386. https://doi.org/10.3390/EN9050386

Wang X, Liang X, Shu G, Watkins S (2016b) Coupling analysis of linear vibration energy harvesting systems. Mech Syst Signal Process 70–71:428–444. https://doi.org/10.1016/J.YMSSP.2015.09.006

Wang X, Liang X, Wei H (2015) A study of electromagnetic vibration energy harvesters with different interface circuits. Mech Syst Signal Process 58:376–398. https://doi.org/10.1016/J.YMSSP.2014.10.004

Wang Z, Zhang T, Zhang Z, Yuan Y, Liu Y (2020) A high-efficiency regenerative shock absorber considering twin ball screws transmissions for application in range-extended electric vehicles. Energy Built Environ 1(1):36–49. https://doi.org/10.1016/J.ENBENV.2019.09.004

Wen MTX, Tien DTK (2018) Analysis of a Hybrid mechanical regenerative braking system. MATEC Web of Conf 152:1–15

Xie XD, Wang Q (2015) Energy harvesting from a vehicle suspension system. Energy 86:382–395. https://doi.org/10.1016/j.energy.2015.04.009

Xu Z, Shan X, Chen D, Xie T (2016) A novel tunable multi-frequency hybrid vibration energy harvester using piezoelectric and electromagnetic conversion mechanisms. Appl Sci 6(1):10. https://doi.org/10.3390/APP6010010

Yang W, Towfighian S (2017) A hybrid nonlinear vibration energy harvester. Mech Syst Signal Process 90:317–333. https://doi.org/10.1016/J.YMSSP.2016.12.032

Yang H, Wang L, Zhou B, Wei Y, Zhao Q (2018) A preliminary study on the highway piezoelectric power supply system. Int J Pavement Res Technol 11(2):168–175. https://doi.org/10.1016/J.IJPRT.2017.08.006

Yu L, Huo S, Xuan WW, Zuo L (2015) Assessment of ride comfort and braking performance using energy-harvesting shock absorber. SAE Int J Passenger Cars Mech Syst 8(2):482–491. https://doi.org/10.4271/2015-01-0649

Zamanov N (2023) Unleashing efficiency: the magic of regenerative braking in electric cars. Cyberswitching. https://cyberswitching.com/electric-cars-and-regenerative-braking-technology/

Zhang L, Cai X (2018) Control strategy of regenerative braking system in electric vehicles. Energy Procedia 152:496–501. https://doi.org/10.1016/j.egypro.2018.09.200

Zhang Z, Zhang X, Chen W, Rasim Y, Salman W, Pan H, Yuan Y, Wang C (2016) A high-efficiency energy regenerative shock absorber using supercapacitors for renewable energy applications in range extended electric vehicle. Appl Energy 178:177–188. https://doi.org/10.1016/J.APENERGY.2016.06.054

Zhang Y, Guo K, Wang D, Chen C, Li X (2017) Energy conversion mechanism and regenerative potential of vehicle suspensions. Energy 119:961–970. https://doi.org/10.1016/J.ENERGY.2016.11.045

Zhang R, Wang X, John S (2018a) A comprehensive review of the techniques on regenerative shock absorber systems. Energies 11(5):1167. https://doi.org/10.3390/EN11051167

Zhang R, Wang X, Liu Z (2018b) A novel regenerative shock absorber with a speed doubling mechanism and its Monte Carlo simulation. J Sound Vib 417:260–276. https://doi.org/10.1016/J.JSV.2017.12.017

Zhang R, Zhao L, Qiu X, Zhang H, Wang X (2020) A comprehensive comparison of the vehicle vibration energy harvesting abilities of the regenerative shock absorbers predicted by the quarter, half and full vehicle suspension system models. Appl Energy 272:115180. https://doi.org/10.1016/j.apenergy.2020.115180

Zheng XC, Yu F, Zhang YC (2008) Novel energy-regenerative active suspension for vehicles. J Shanghai Jiaotong Univ (Science) 13(2):184–188. https://doi.org/10.1007/S12204-008-0184-7

Zhu Y, Wu H, Zhen C (2021) Regenerative braking control under sliding braking condition of electric vehicles with switched reluctance motor drive system. Energy 230:120901. https://doi.org/10.1016/j.energy.2021.120901

Zou J, Guo X, Xu L, Tan G, Zhang C, Zhang J (2017) Design, modeling, and analysis of a novel hydraulic energy-regenerative shock absorber for vehicle suspension. Shock Vib 2017(1):3186584. https://doi.org/10.1155/2017/3186584

Zuo L, Zhang PS (2013) Energy harvesting, ride comfort, and road handling of regenerative vehicle suspensions. J Vib Acoust 135(1):011002. https://doi.org/10.1115/1.4007562

Zuo L, Scully B, Shestani J, Zhou Y (2010) Design and characterization of an electromagnetic energy harvester for vehicle suspensions. Smart Mater Struct 19(4):045003. https://doi.org/10.1088/0964-1726/19/4/045003

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Mhatre, A.S., Shukla, P. A comprehensive review of energy harvesting technologies for sustainable electric vehicles. Environ Sci Pollut Res (2024). https://doi.org/10.1007/s11356-024-34865-8

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Acupuncture: Effectiveness and Safety

.header_greentext{color:green!important;font-size:24px!important;font-weight:500!important;}.header_bluetext{color:blue!important;font-size:18px!important;font-weight:500!important;}.header_redtext{color:red!important;font-size:28px!important;font-weight:500!important;}.header_darkred{color:#803d2f!important;font-size:28px!important;font-weight:500!important;}.header_purpletext{color:purple!important;font-size:31px!important;font-weight:500!important;}.header_yellowtext{color:yellow!important;font-size:20px!important;font-weight:500!important;}.header_blacktext{color:black!important;font-size:22px!important;font-weight:500!important;}.header_whitetext{color:white!important;font-size:22px!important;font-weight:500!important;}.header_darkred{color:#803d2f!important;}.Green_Header{color:green!important;font-size:24px!important;font-weight:500!important;}.Blue_Header{color:blue!important;font-size:18px!important;font-weight:500!important;}.Red_Header{color:red!important;font-size:28px!important;font-weight:500!important;}.Purple_Header{color:purple!important;font-size:31px!important;font-weight:500!important;}.Yellow_Header{color:yellow!important;font-size:20px!important;font-weight:500!important;}.Black_Header{color:black!important;font-size:22px!important;font-weight:500!important;}.White_Header{color:white!important;font-size:22px!important;font-weight:500!important;} What is acupuncture?

Acupuncture is a technique in which practitioners insert fine needles into the skin to treat health problems. The needles may be manipulated manually or stimulated with small electrical currents (electroacupuncture). Acupuncture has been in use in some form for at least 2,500 years. It originated from  traditional Chinese medicine but has gained popularity worldwide since the 1970s.

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According to the World Health Organization, acupuncture is used in 103 of 129 countries that reported data.

In the United States, data from the National Health Interview Survey show that the use of acupuncture by U.S. adults more than doubled between 2002 and 2022. In 2002, 1.0 percent of U.S. adults used acupuncture; in 2022, 2.2 percent used it. 

.header_greentext{color:green!important;font-size:24px!important;font-weight:500!important;}.header_bluetext{color:blue!important;font-size:18px!important;font-weight:500!important;}.header_redtext{color:red!important;font-size:28px!important;font-weight:500!important;}.header_darkred{color:#803d2f!important;font-size:28px!important;font-weight:500!important;}.header_purpletext{color:purple!important;font-size:31px!important;font-weight:500!important;}.header_yellowtext{color:yellow!important;font-size:20px!important;font-weight:500!important;}.header_blacktext{color:black!important;font-size:22px!important;font-weight:500!important;}.header_whitetext{color:white!important;font-size:22px!important;font-weight:500!important;}.header_darkred{color:#803d2f!important;}.Green_Header{color:green!important;font-size:24px!important;font-weight:500!important;}.Blue_Header{color:blue!important;font-size:18px!important;font-weight:500!important;}.Red_Header{color:red!important;font-size:28px!important;font-weight:500!important;}.Purple_Header{color:purple!important;font-size:31px!important;font-weight:500!important;}.Yellow_Header{color:yellow!important;font-size:20px!important;font-weight:500!important;}.Black_Header{color:black!important;font-size:22px!important;font-weight:500!important;}.White_Header{color:white!important;font-size:22px!important;font-weight:500!important;} What is acupuncture used for?

National survey data indicate that in the United States, acupuncture is most commonly used for pain, such as back, joint, or neck pain.

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How acupuncture works is not fully understood. However, there’s evidence that acupuncture may have effects on the nervous system, effects on other body tissues, and nonspecific (placebo) effects. 

• Studies in animals and people, including studies that used imaging methods to see what’s happening in the brain, have shown that acupuncture may affect nervous system function.
• Acupuncture may have direct effects on the tissues where the needles are inserted. This type of effect has been seen in connective tissue.
• Acupuncture has nonspecific effects (effects due to incidental aspects of a treatment rather than its main mechanism of action). Nonspecific effects may be due to the patient’s belief in the treatment, the relationship between the practitioner and the patient, or other factors not directly caused by the insertion of needles. In many studies, the benefit of acupuncture has been greater when it was compared with no treatment than when it was compared with sham (simulated or fake) acupuncture procedures, such as the use of a device that pokes the skin but does not penetrate it. These findings suggest that nonspecific effects contribute to the beneficial effect of acupuncture on pain or other symptoms. 
• In recent research, a nonspecific effect was demonstrated in a unique way: Patients who had experienced pain relief during a previous acupuncture session were shown a video of that session and asked to imagine the treatment happening again. This video-guided imagery technique had a significant pain-relieving effect.

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Research has shown that acupuncture may be helpful for several pain conditions, including back or neck pain, knee pain associated with osteoarthritis, and postoperative pain. It may also help relieve joint pain associated with the use of aromatase inhibitors, which are drugs used in people with breast cancer. 

An analysis of data from 20 studies (6,376 participants) of people with painful conditions (back pain, osteoarthritis, neck pain, or headaches) showed that the beneficial effects of acupuncture continued for a year after the end of treatment for all conditions except neck pain.

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• In a 2018 review, data from 12 studies (8,003 participants) showed acupuncture was more effective than no treatment for back or neck pain, and data from 10 studies (1,963 participants) showed acupuncture was more effective than sham acupuncture. The difference between acupuncture and no treatment was greater than the difference between acupuncture and sham acupuncture. The pain-relieving effect of acupuncture was comparable to that of nonsteroidal anti-inflammatory drugs (NSAIDs).
• A 2017 clinical practice guideline from the American College of Physicians included acupuncture among the nondrug options recommended as first-line treatment for chronic low-back pain. Acupuncture is also one of the treatment options recommended for acute low-back pain. The evidence favoring acupuncture for acute low-back pain was judged to be of low quality, and the evidence for chronic low-back pain was judged to be of moderate quality.

For more information, see the  NCCIH webpage on low-back pain .

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• In a 2018 review, data from 10 studies (2,413 participants) showed acupuncture was more effective than no treatment for osteoarthritis pain, and data from 9 studies (2,376 participants) showed acupuncture was more effective than sham acupuncture. The difference between acupuncture and no treatment was greater than the difference between acupuncture and sham acupuncture. Most of the participants in these studies had knee osteoarthritis, but some had hip osteoarthritis. The pain-relieving effect of acupuncture was comparable to that of NSAIDs.
• A 2018 review evaluated 6 studies (413 participants) of acupuncture for hip osteoarthritis. Two of the studies compared acupuncture with sham acupuncture and found little or no difference between them in terms of effects on pain. The other four studies compared acupuncture with a variety of other treatments and could not easily be compared with one another. However, one of the trials indicated that the addition of acupuncture to routine care by a physician may improve pain and function in patients with hip osteoarthritis.
• A 2019 clinical practice guideline from the American College of Rheumatology and the Arthritis Foundation conditionally recommends acupuncture for osteoarthritis of the knee, hip, or hand. The guideline states that the greatest number of studies showing benefits have been for knee osteoarthritis.

For more information, see the  NCCIH webpage on osteoarthritis .

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• A 2020   review of nine studies that compared acupuncture with various drugs for preventing migraine found that acupuncture was slightly more effective, and study participants who received acupuncture were much less likely than those receiving drugs to drop out of studies because of side effects.
• There’s moderate-quality evidence that acupuncture may reduce the frequency of migraines (from a 2016 evaluation of 22 studies with almost 5,000 people). The evidence from these studies also suggests that acupuncture may be better than sham acupuncture, but the difference is small. There is moderate- to low-quality evidence that acupuncture may reduce the frequency of tension headaches (from a 2016 evaluation of 12 studies with about 2,350 people).

For more information, see the  NCCIH webpage on headache .

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• Myofascial pain syndrome is a common form of pain derived from muscles and their related connective tissue (fascia). It involves tender nodules called “trigger points.” Pressing on these nodules reproduces the patient’s pattern of pain.
• A combined analysis of a small number of studies of acupuncture for myofascial pain syndrome showed that acupuncture applied to trigger points had a favorable effect on pain intensity (5 studies, 215 participants), but acupuncture applied to traditional acupuncture points did not (4 studies, 80 participants).  

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• Sciatica involves pain, weakness, numbness, or tingling in the leg, usually on one side of the body, caused by damage to or pressure on the sciatic nerve—a nerve that starts in the lower back and runs down the back of each leg.
• Two 2015 evaluations of the evidence, one including 12 studies with 1,842 total participants and the other including 11 studies with 962 total participants, concluded that acupuncture may be helpful for sciatica pain, but the quality of the research is not good enough to allow definite conclusions to be reached.

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• A 2016 evaluation of 11 studies of pain after surgery (with a total of 682 participants) found that patients treated with acupuncture or related techniques 1 day after surgery had less pain and used less opioid pain medicine after the operation.

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• A 2016 review of 20 studies (1,639 participants) indicated that acupuncture was not more effective in relieving cancer pain than conventional drug therapy. However, there was some evidence that acupuncture plus drug therapy might be better than drug therapy alone.
• A 2017 review of 5 studies (181 participants) of acupuncture for aromatase inhibitor-induced joint pain in breast cancer patients concluded that 6 to 8 weeks of acupuncture treatment may help reduce the pain. However, the individual studies only included small numbers of women and used a variety of acupuncture techniques and measurement methods, so they were difficult to compare.
• A larger 2018 study included 226 women with early-stage breast cancer who were taking aromatase inhibitors. The study found that the women who received 6 weeks of acupuncture treatment, given twice each week, reported less joint pain than the participants who received sham or no acupuncture.

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• Chronic prostatitis/chronic pelvic pain syndrome is a condition in men that involves inflammation of or near the prostate gland; its cause is uncertain.
• A review of 3 studies (204 total participants) suggested that acupuncture may reduce prostatitis symptoms, compared with a sham procedure. Because follow-up of the study participants was relatively brief and the numbers of studies and participants were small, a definite conclusion cannot be reached about acupuncture’s effects.

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• A 2019 review of 41 studies (3,440 participants) showed that acupuncture was no more effective than sham acupuncture for symptoms of irritable bowel syndrome, but there was some evidence that acupuncture could be helpful when used in addition to other forms of treatment.

For more information, see the  NCCIH webpage on irritable bowel syndrome .

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• A 2019 review of 12 studies (824 participants) of people with fibromyalgia indicated that acupuncture was significantly better than sham acupuncture for relieving pain, but the evidence was of low-to-moderate quality.

For more information, see the  NCCIH webpage on fibromyalgia . 

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In addition to pain conditions, acupuncture has also been studied for at least 50 other health problems. There is evidence that acupuncture may help relieve seasonal allergy symptoms, stress incontinence in women, and nausea and vomiting associated with cancer treatment. It may also help relieve symptoms and improve the quality of life in people with asthma, but it has not been shown to improve lung function.

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• A 2015 evaluation of 13 studies of acupuncture for allergic rhinitis, involving a total of 2,365 participants, found evidence that acupuncture may help relieve nasal symptoms. The study participants who received acupuncture also had lower medication scores (meaning that they used less medication to treat their symptoms) and lower blood levels of immunoglobulin E (IgE), a type of antibody associated with allergies.
• A 2014 clinical practice guideline from the American Academy of Otolaryngology–Head and Neck Surgery included acupuncture among the options health care providers may offer to patients with allergic rhinitis.

For more information, see the  NCCIH webpage on seasonal allergies .

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• Stress incontinence is a bladder control problem in which movement—coughing, sneezing, laughing, or physical activity—puts pressure on the bladder and causes urine to leak.
• In a 2017 study of about 500 women with stress incontinence, participants who received electroacupuncture treatment (18 sessions over 6 weeks) had reduced urine leakage, with about two-thirds of the women having a decrease in leakage of 50 percent or more. This was a rigorous study that met current standards for avoiding bias.

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• Experts generally agree that acupuncture is helpful for treatment-related nausea and vomiting in cancer patients, but this conclusion is based primarily on research conducted before current guidelines for treating these symptoms were adopted. It’s uncertain whether acupuncture is beneficial when used in combination with current standard treatments for nausea and vomiting.

For more information, see the  NCCIH webpage on cancer .

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• In a study conducted in Germany in 2017, 357 participants receiving routine asthma care were randomly assigned to receive or not receive acupuncture, and an additional 1,088 people who received acupuncture for asthma were also studied. Adding acupuncture to routine care was associated with better quality of life compared to routine care alone.
• A review of 9 earlier studies (777 participants) showed that adding acupuncture to conventional asthma treatment improved symptoms but not lung function.

For more information, see the  NCCIH webpage on asthma .

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• A 2018 review of 64 studies (7,104 participants) of acupuncture for depression indicated that acupuncture may result in a moderate reduction in the severity of depression when compared with treatment as usual or no treatment. However, these findings should be interpreted with caution because most of the studies were of low or very low quality.

For more information, see the  NCCIH webpage on depression .

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• In recommendations on smoking cessation treatment issued in 2021, the U.S. Preventive Services Task Force, a panel of experts that makes evidence-based recommendations about disease prevention, did not make a recommendation about the use of acupuncture as a stop-smoking treatment because only limited evidence was available. This decision was based on a 2014 review of 9 studies (1,892 participants) that looked at the effect of acupuncture on smoking cessation results for 6 months or more and found no significant benefit. Some studies included in that review showed evidence of a possible small benefit of acupuncture on quitting smoking for shorter periods of time.

For more information, see the  NCCIH webpage on quitting smoking .

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• A 2021 review evaluated 6 studies (2,507 participants) that compared the effects of acupuncture versus sham acupuncture on the success of in vitro fertilization as a treatment for infertility. No difference was found between the acupuncture and sham acupuncture groups in rates of pregnancy or live birth.
• A 2020 review evaluated 12 studies (1,088 participants) on the use of acupuncture to improve sperm quality in men who had low sperm numbers and low sperm motility. The reviewers concluded that the evidence was inadequate for firm conclusions to be drawn because of the varied design of the studies and the poor quality of some of them. 

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• A 2018 review of 12 studies with 869 participants concluded that acupuncture and laser acupuncture (a treatment that uses lasers instead of needles) may have little or no effect on carpal tunnel syndrome symptoms in comparison with sham acupuncture. It’s uncertain how the effects of acupuncture compare with those of other treatments for this condition.    
• In a 2017 study not included in the review described above, 80 participants with carpal tunnel syndrome were randomly assigned to one of three interventions: (1) electroacupuncture to the more affected hand; (2) electroacupuncture at “distal” body sites, near the ankle opposite to the more affected hand; and (3) local sham electroacupuncture using nonpenetrating placebo needles. All three interventions reduced symptom severity, but local and distal acupuncture were better than sham acupuncture at producing desirable changes in the wrist and the brain.

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• A 2018 review of studies of acupuncture for vasomotor symptoms associated with menopause (hot flashes and related symptoms such as night sweats) analyzed combined evidence from an earlier review of 15 studies (1,127 participants) and 4 newer studies (696 additional participants). The analysis showed that acupuncture was better than no acupuncture at reducing the frequency and severity of symptoms. However, acupuncture was not shown to be better than sham acupuncture.

For more information, see the  NCCIH webpage on menopause .

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• Auricular acupuncture is a type of acupuncture that involves stimulating specific areas of the ear. 
• In a 2019 review of 15 studies (930 participants) of auricular acupuncture or auricular acupressure (a form of auricular therapy that does not involve penetration with needles), the treatment significantly reduced pain intensity, and 80 percent of the individual studies showed favorable effects on various measures related to pain.
• A 2020 review of 9 studies (783 participants) of auricular acupuncture for cancer pain showed that auricular acupuncture produced better pain relief than sham auricular acupuncture. Also, pain relief was better with a combination of auricular acupuncture and drug therapy than with drug therapy alone.
• An inexpensive, easily learned form of auricular acupuncture called “battlefield acupuncture” has been used by the U.S. Department of Defense and Department of Veterans Affairs to treat pain. However, a 2021 review of 9 studies (692 participants) of battlefield acupuncture for pain in adults did not find any significant improvement in pain when this technique was compared with no treatment, usual care, delayed treatment, or sham battlefield acupuncture.

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• Relatively few complications from using acupuncture have been reported. However, complications have resulted from use of nonsterile needles and improper delivery of treatments.
• When not delivered properly, acupuncture can cause serious adverse effects, including infections, punctured organs, and injury to the central nervous system.
• The U.S. Food and Drug Administration (FDA) regulates acupuncture needles as medical devices and requires that they be sterile and labeled for single use only.

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• Some health insurance policies cover acupuncture, but others don’t. Coverage is often limited based on the condition being treated.
• An analysis of data from the Medical Expenditure Panel Survey, a nationally representative U.S. survey, showed that the share of adult acupuncturist visits with any insurance coverage increased from 41.1 percent in 2010–2011 to 50.2 percent in 2018–2019.
• Medicare covers acupuncture only for the treatment of chronic low-back pain. Coverage began in 2020. Up to 12 acupuncture visits are covered, with an additional 8 visits available if the first 12 result in improvement. Medicaid coverage of acupuncture varies from state to state.

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• Most states license acupuncturists, but the requirements for licensing vary from state to state. To find out more about licensing of acupuncturists and other complementary health practitioners, visit the NCCIH webpage  Credentialing, Licensing, and Education . 

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NCCIH funds research to evaluate acupuncture’s effectiveness for various kinds of pain and other conditions and to further understand how the body responds to acupuncture and how acupuncture might work. Some recent NCCIH-supported studies involve:

• Evaluating the feasibility of using acupuncture in hospital emergency departments.
• Testing whether the effect of acupuncture on chronic low-back pain can be enhanced by combining it with transcranial direct current stimulation.
• Evaluating a portable acupuncture-based nerve stimulation treatment for anxiety disorders.

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• Don’t use acupuncture to postpone seeing a health care provider about a health problem.
• Take charge of your health—talk with your health care providers about any complementary health approaches you use. Together, you can make shared, well-informed decisions.

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Nccih clearinghouse.

The NCCIH Clearinghouse provides information on NCCIH and complementary and integrative health approaches, including publications and searches of Federal databases of scientific and medical literature. The Clearinghouse does not provide medical advice, treatment recommendations, or referrals to practitioners.

Toll-free in the U.S.: 1-888-644-6226

Telecommunications relay service (TRS): 7-1-1

Website: https://www.nccih.nih.gov

Email: [email protected] (link sends email)

Know the Science

NCCIH and the National Institutes of Health (NIH) provide tools to help you understand the basics and terminology of scientific research so you can make well-informed decisions about your health. Know the Science features a variety of materials, including interactive modules, quizzes, and videos, as well as links to informative content from Federal resources designed to help consumers make sense of health information.

Explaining How Research Works (NIH)

Know the Science: How To Make Sense of a Scientific Journal Article

Understanding Clinical Studies (NIH)

A service of the National Library of Medicine, PubMed® contains publication information and (in most cases) brief summaries of articles from scientific and medical journals. For guidance from NCCIH on using PubMed, see How To Find Information About Complementary Health Approaches on PubMed .

Website: https://pubmed.ncbi.nlm.nih.gov/

NIH Clinical Research Trials and You

The National Institutes of Health (NIH) has created a website, NIH Clinical Research Trials and You, to help people learn about clinical trials, why they matter, and how to participate. The site includes questions and answers about clinical trials, guidance on how to find clinical trials through ClinicalTrials.gov and other resources, and stories about the personal experiences of clinical trial participants. Clinical trials are necessary to find better ways to prevent, diagnose, and treat diseases.

Website: https://www.nih.gov/health-information/nih-clinical-research-trials-you

Research Portfolio Online Reporting Tools Expenditures & Results (RePORTER)

RePORTER is a database of information on federally funded scientific and medical research projects being conducted at research institutions.

Website: https://reporter.nih.gov

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• Befus D, Coeytaux RR, Goldstein KM, et al.  Management of menopause symptoms with acupuncture: an umbrella systematic review and meta-analysis . Journal of Alternative and Complementary Medicine. 2018;24(4):314-323.
• Bleck   R, Marquez E, Gold MA, et al.  A scoping review of acupuncture insurance coverage in the United States . Acupuncture in Medicine. 2020;964528420964214.
• Briggs JP, Shurtleff D.  Acupuncture and the complex connections between the mind and the body. JAMA. 2017;317(24):2489-2490.
• Brinkhaus B, Roll S, Jena S, et al.  Acupuncture in patients with allergic asthma: a randomized pragmatic trial. Journal of Alternative and Complementary Medicine. 2017;23(4):268-277.
• Chan MWC, Wu XY, Wu JCY, et al.  Safety of acupuncture: overview of systematic reviews. Scientific Reports. 2017;7(1):3369.
• Coyle ME, Stupans I, Abdel-Nour K, et al.  Acupuncture versus placebo acupuncture for in vitro fertilisation: a systematic review and meta-analysis. Acupuncture in Medicine. 2021;39(1):20-29.
• Hershman DL, Unger JM, Greenlee H, et al.  Effect of acupuncture vs sham acupuncture or waitlist control on joint pain related to aromatase inhibitors among women with early-stage breast cancer: a randomized clinical trial. JAMA. 2018;320(2):167-176.
• Linde K, Allais G, Brinkhaus B, et al.  Acupuncture for the prevention of episodic migraine. Cochrane Database of Systematic Reviews. 2016;(6):CD001218. Accessed at  cochranelibrary.com on February 12, 2021.
• Linde K, Allais G, Brinkhaus B, et al.  Acupuncture for the prevention of tension-type headache. Cochrane Database of Systematic Reviews. 2016;(4):CD007587. Accessed at  cochranelibrary.com on February 12, 2021.
• MacPherson H, Vertosick EA, Foster NE, et al. The persistence of the effects of acupuncture after a course of treatment: a meta-analysis of patients with chronic pain . Pain. 2017;158(5):784-793.
• Qaseem A, Wilt TJ, McLean RM, et al.  Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. Annals of Internal Medicine. 2017;166(7):514-530.
• Seidman MD, Gurgel RK, Lin SY, et al.  Clinical practice guideline: allergic rhinitis. Otolaryngology—Head and Neck Surgery. 2015;152(suppl 1):S1-S43.
• Vickers AJ, Vertosick EA, Lewith G, et al. Acupuncture for chronic pain: update of an individual patient data meta-analysis . The Journal of Pain. 2018;19(5):455-474.
• White AR, Rampes H, Liu JP, et al.  Acupuncture and related interventions for smoking cessation. Cochrane Database of Systematic Reviews. 2014;(1):CD000009. Accessed at  cochranelibrary.com on February 17, 2021.
• Zia FZ, Olaku O, Bao T, et al.  The National Cancer Institute’s conference on acupuncture for symptom management in oncology: state of the science, evidence, and research gaps. Journal of the National Cancer Institute. Monographs. 2017;2017(52):lgx005.

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• Adams D, Cheng F, Jou H, et al. The safety of pediatric acupuncture: a systematic review. Pediatrics. 2011;128(6):e1575-1587.
• Candon M, Nielsen A, Dusek JA. Trends in insurance coverage for acupuncture, 2010-2019. JAMA Network Open. 2022;5(1):e2142509.
• Cao J, Tu Y, Orr SP, et al. Analgesic effects evoked by real and imagined acupuncture: a neuroimaging study. Cerebral Cortex. 2019;29(8):3220-3231.
• Centers for Medicare & Medicaid Services. Decision Memo for Acupuncture for Chronic Low Back Pain (CAG-00452N). Accessed at https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=295 on June 25, 2021.
• Chen L, Lin C-C, Huang T-W, et al. Effect of acupuncture on aromatase inhibitor-induced arthralgia in patients with breast cancer: a meta-analysis of randomized controlled trials . The Breast. 2017;33:132-138. 
• Choi G-H, Wieland LS, Lee H, et al. Acupuncture and related interventions for the treatment of symptoms associated with carpal tunnel syndrome. Cochrane Database of Systematic Reviews. 2018;(12):CD011215. Accessed at cochranelibrary.com on January 28, 2021.
• Cui J, Wang S, Ren J, et al. Use of acupuncture in the USA: changes over a decade (2002–2012). Acupuncture in Medicine. 2017;35(3):200-207.
• Federman DG, Zeliadt SB, Thomas ER, et al. Battlefield acupuncture in the Veterans Health Administration: effectiveness in individual and group settings for pain and pain comorbidities. Medical Acupuncture. 2018;30(5):273-278.
• Feng S, Han M, Fan Y, et al. Acupuncture for the treatment of allergic rhinitis: a systematic review and meta-analysis. American Journal of Rhinology & Allergy. 2015;29(1):57-62.
• Franco JV, Turk T, Jung JH, et al. Non-pharmacological interventions for treating chronic prostatitis/chronic pelvic pain syndrome. Cochrane Database of Systematic Reviews. 2018;(5):CD012551. Accessed at cochranelibrary.com on January 28, 2021.
• Freeman MP, Fava M, Lake J, et al. Complementary and alternative medicine in major depressive disorder: the American Psychiatric Association task force report. The Journal of Clinical Psychiatry . 2010;71(6):669-681.
• Giovanardi CM, Cinquini M, Aguggia M, et al. Acupuncture vs. pharmacological prophylaxis of migraine: a systematic review of randomized controlled trials. Frontiers in Neurology. 2020;11:576272.
• Hu C, Zhang H, Wu W, et al. Acupuncture for pain management in cancer: a systematic review and meta-analysis. Evidence-Based Complementary and Alternative Medicine. 2016;2016;1720239.
• Jiang C, Jiang L, Qin Q. Conventional treatments plus acupuncture for asthma in adults and adolescent: a systematic review and meta-analysis. Evidence-Based Complementary and Alternative Medicine . 2019;2019:9580670.
• Ji M, Wang X, Chen M, et al. The efficacy of acupuncture for the treatment of sciatica: a systematic review and meta-analysis. Evidence-Based Complementary and Alternative Medicine.  2015;2015:192808.
• Kaptchuk TJ. Acupuncture: theory, efficacy, and practice. Annals of Internal Medicine . 2002;136(5):374-383.
• Kolasinski SL, Neogi T, Hochberg MC, et al. 2019 American College of Rheumatology/Arthritis Foundation guideline for the management of osteoarthritis of the hand, hip, and knee. Arthritis Care & Research. 2020;72(2):149-162. 
• Langevin H. Fascia mobility, proprioception, and myofascial pain. Life. 2021;11(7):668. 
• Liu Z, Liu Y, Xu H, et al. Effect of electroacupuncture on urinary leakage among women with stress urinary incontinence: a randomized clinical trial. JAMA. 2017;317(24):2493-2501.
• MacPherson H, Hammerschlag R, Coeytaux RR, et al. Unanticipated insights into biomedicine from the study of acupuncture. Journal of Alternative and Complementary Medicine. 2016;22(2):101-107.
• Maeda Y, Kim H, Kettner N, et al. Rewiring the primary somatosensory cortex in carpal tunnel syndrome with acupuncture. Brain. 2017;140(4):914-927.
• Manheimer E, Cheng K, Wieland LS, et al. Acupuncture for hip osteoarthritis. Cochrane Database of Systematic Reviews. 2018;(5):CD013010. Accessed at cochranelibrary.com on February 17, 2021. 
• Moura CC, Chaves ECL, Cardoso ACLR, et al. Auricular acupuncture for chronic back pain in adults: a systematic review and metanalysis. Revista da Escola de Enfermagem da U S P. 2019;53:e03461.
• Nahin RL, Rhee A, Stussman B. Use of complementary health approaches overall and for pain management by US adults. JAMA. 2024;331(7):613-615.
• Napadow V. Neuroimaging somatosensory and therapeutic alliance mechanisms supporting acupuncture. Medical Acupuncture. 2020;32(6):400-402.
• Patnode CD, Henderson JT, Coppola EL, et al. Interventions for tobacco cessation in adults, including pregnant persons: updated evidence report and systematic review for the US Preventive Services Task Force. JAMA. 2021;325(3):280-298.
• Qin Z, Liu X, Wu J, et al. Effectiveness of acupuncture for treating sciatica: a systematic review and meta-analysis. Evidence-Based Complementary and Alternative Medicine. 2015;2015;425108.
• Smith CA, Armour M, Lee MS, et al. Acupuncture for depression. Cochrane Database of Systematic Reviews. 2018;(3):CD004046. Accessed at cochranelibrary.com on January 20, 2021.
• US Preventive Services Task Force. Interventions for tobacco smoking cessation in adults, including pregnant persons. US Preventive Services Task Force recommendation statement. JAMA. 2021;325(3):265-279.
• Vase L, Baram S, Takakura N, et al. Specifying the nonspecific components of acupuncture analgesia. Pain. 2013;154(9):1659-1667.
• Wang R, Li X, Zhou S, et al. Manual acupuncture for myofascial pain syndrome: a systematic review and meta-analysis. Acupuncture in Medicine. 2017;35(4):241-250.
• World Health Organization. WHO Traditional Medicine Strategy: 2014–2023. Geneva, Switzerland: World Health Organization, 2013. Accessed at https://www.who.int/publications/i/item/9789241506096 on February 2, 2021.
• Wu M-S, Chen K-H, Chen I-F, et al. The efficacy of acupuncture in post-operative pain management: a systematic review and meta-analysis. PLoS One. 2016;11(3):e0150367.
• Xu S, Wang L, Cooper E, et al. Adverse events of acupuncture: a systematic review of case reports. Evidence-Based Complementary and Alternative Medicine. 2013;2013:581203.
• Yang J, Ganesh R, Wu Q, et al. Battlefield acupuncture for adult pain: a systematic review and meta-analysis of randomized controlled trials. The American Journal of Chinese Medicine. 2021;49(1):25-40.
• Yang Y, Wen J, Hong J. The effects of auricular therapy for cancer pain: a systematic review and meta-analysis. Evidence-Based Complementary and Alternative Medicine. 2020;2020:1618767.  
• Yeh CH, Morone NE, Chien L-C, et al. Auricular point acupressure to manage chronic low back pain in older adults: a randomized controlled pilot study. Evidence-Based Complementary and Alternative Medicine. 2014;2014;375173.
• You F, Ruan L, Zeng L, et al. Efficacy and safety of acupuncture for the treatment of oligoasthenozoospermia: a systematic review. Andrologia. 2020;52(1):e13415.
• Zhang X-C, Chen H, Xu W-T, et al. Acupuncture therapy for fibromyalgia: a systematic review and meta-analysis of randomized controlled trials. Journal of Pain Research. 2019;12:527-542.
• Zheng H, Chen R, Zhao X, et al. Comparison between the effects of acupuncture relative to other controls on irritable bowel syndrome: a meta-analysis. Pain Research and Management. 2019;2019:2871505.

Acknowledgments

NCCIH thanks Pete Murray, Ph.D., David Shurtleff, Ph.D., and Helene M. Langevin, M.D., NCCIH for their review of the 2022 update of this fact sheet. 

This publication is not copyrighted and is in the public domain. Duplication is encouraged.

NCCIH has provided this material for your information. It is not intended to substitute for the medical expertise and advice of your health care provider(s). We encourage you to discuss any decisions about treatment or care with your health care provider. The mention of any product, service, or therapy is not an endorsement by NCCIH.

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