American Society of Hirudotherapy

Acupuncture points in medieval European medicine to treat pain and inflammation

Historical analysis published in J Acupunct Meridian Stud (2024)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Research reportClinical TrialsIvanov et al. · Journal of acupuncture and meridian studies, 2024

Abstract

In the previous article, the author demonstrated the close relationship between bloodletting practices in medieval Europe and acupuncture in Traditional Chinese Medicine. This study aimed to explore how acupuncture-based treatment was applied in medieval Europe. The author hypothesizes that the physical stimulation of acupuncture points associated with bloodletting was one of the main methods of pain management at that time. The study examined the indications for phlebotomy as depicted in the original illustration from Practica Medicinalis written by the 15th-century Archbishop of Prague, Sigismundus Albicus, supplemented by two other European medieval medical manuscripts. A total of 76 distinct symptoms (corresponding to 25 bloodletting acupuncture points) from the Practica Medicinalis illustration were assembled into four groups: 1) Pain and inflammation symptoms; 2) Symptoms commonly associated with pain and inflammation; 3) General symptoms affecting various organs and functions; and 4) Conditions unrelated to pain or inflammation. Among the 76 symptoms and 25 acupuncture points, only nine symptoms and a single bloodletting point were not associated with the treatment of pain or inflammation. This suggests that acupuncture-based therapy was an effective method for managing pain and inflammation in the Middle Ages and that such treatment could still be valuable from a modern clinical perspective.

Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.

Publication typeJournal ArticleHistorical Article
Indexed MeSH termsHumansAcupuncture PointsHistory, MedievalPain ManagementInflammationEuropeAcupuncture TherapyPain

Summary

Historical analysis of acupuncture-like points in medieval European medicine for pain and inflammation including bloodletting tradition.

Why This Matters for Hirudotherapy

This historical article examines how acupuncture-based treatment—specifically physical stimulation of bloodletting points—was used for pain and inflammation management in medieval European medicine, analyzing 76 symptoms and 25 bloodletting points from 15th-century manuscripts. The author hypothesizes that bloodletting-point stimulation was a primary medieval pain management method. For ASH, this article is tangentially relevant as part of the broader historical tradition of bloodletting practices within which hirudotherapy also developed. CAVEAT: No leeches or hirudotherapy are mentioned anywhere in the abstract; the bloodletting discussed is phlebotomy/needle-based, and the connection to the leech secretome is purely contextual and historical.

Citation

Acupuncture points in medieval European medicine to treat pain and inflammation.

Ivanov et al. · Journal of acupuncture and meridian studies, 2024

Added to ASH library: May 27, 2026 · Site last updated: June 18, 2026

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