Acupuncture a supportive neuromodulatory therapy
My interest in acupuncture for cognitive health comes from clinical experience as much as research. I completed part of my acupuncture training in a research hospital neurology unit in Shanghai, where acupuncture was used alongside conventional neurology rather than as an alternative to it. Treatment decisions were grounded in imaging, neurological assessment, and functional outcomes.
That experience shaped how I view acupuncture today, as a supportive neuromodulatory therapy rather than a stand alone cure.
What does the evidence show?
Research over the past two decades suggests acupuncture may offer benefit in cognitive decline, particularly in mild cognitive impairment and the early stages of dementia.
Systematic reviews and clinical trials have shown improvements in cognitive scores such as MMSE and MoCA, benefits when acupuncture is used in addition to standard care rather than alone, and positive effects on associated symptoms including sleep disturbance, anxiety, and mood.
However, many studies describe the benefits as modest. This is important to understand and it does not mean acupuncture is ineffective.
Why are the benefits often described as modest?
There are several reasons.
Cognitive decline is multifactorial and no single therapy produces dramatic change on its own. Acupuncture trials are difficult to blind and standardise, which can dilute measured effects. Outcome tools such as cognitive scores do not always capture changes in daily function, behaviour, or quality of life. Acupuncture tends to work best as part of a broader therapeutic strategy, which research trials often fail to reflect.
In real world clinical settings, especially when combined with lifestyle, metabolic, vascular, and nervous system support, its impact can be more meaningful than trial data alone suggests.
How I use acupuncture clinically
In practice, acupuncture is best considered an adjunct to evidence based prevention and treatment strategies. It is most useful in early cognitive decline and particularly valuable where stress, poor sleep, pain, or autonomic imbalance are present.
It is usually trialled over a defined period, with progress assessed not only through cognitive testing, but through day to day function and overall wellbeing.
In summary
Acupuncture is not a cure for dementia, but the evidence supports its role as a safe and supportive therapy that can contribute to brain health when used thoughtfully and early.
In cognitive decline, small gains matter. And sometimes, supporting the nervous system is where meaningful change begins.
Functional medicine is a journey and this is one step along the way.