qiboo Pro · clinic toolkit

What your patients receive

With qiboo Pro, your clinic generates an honest, fully-sourced evidence brief for any complaint — or combination of complaints — to hand the patient. Real studies from our 66,000-study library, written in warm, plain language your patient actually understands, and a shared-decision plan that builds your clinic's authority and earns a skeptical cash-pay patient's trust.

Not a chat message — a real clinical document. It exports as a clean, letterhead PDF (no logins, no buttons) you hand the patient or drop in their file. Download the example above.
What this is: an evidence & education resource for practitioners and patients. It is general, evidence-sourced information for a licensed clinician to review, complete and discuss with the patient — not a diagnosis, not a prescription, and not a medical device. The clinician makes all clinical decisions.
Example · Demo Acupuncture ClinicPatient evidence brief · generated by qiboo

A note on transparency & your care

We believe you deserve the honest, unfiltered science about your options. This summary is auto-generated by qiboo's AI from our clinical study library to help you and your clinician make an informed decision together. It is a starting point for that conversation — not a diagnosis, and not a guarantee of results.

How to read this report

Acupuncture is not a treatment that emerged only from modern clinical research. As part of Traditional Chinese Medicine it rests on a written clinical record spanning roughly two thousand years and an even longer practice tradition; today it is taught in universities and used in hospitals across China and much of East Asia. For that reason we do not judge it from a single kind of evidence — we look at three complementary sources of knowledge together:

  • Traditional clinical knowledge — classical texts, historical clinical experience, and patterns of practice refined over centuries.
  • Modern scientific research — clinical trials, systematic reviews, and meta-analyses.
  • Individual clinical assessment — your own health, your goals, and how you personally respond to treatment.

An honest boundary: a long tradition, being taught in universities, or being widely used are not, on their own, proof that a treatment works. They provide context and explain how the treatment developed; they do not replace modern research findings. This report keeps the two clearly separate so you can weigh them together with open eyes.

Reading the research fairly: in some areas the studies are already large and consistent; in others research is still growing. Where the research is still growing, that does not mean acupuncture has been shown not to work — it usually means the studies so far have been small, or that treatment tailored to each person is genuinely hard to test in a standardized trial. This report tells you plainly, in each section, what the studies actually found.

How Traditional Chinese Medicine views this condition

For centuries, traditional Chinese medicine has described conditions like sciatica as a type of “painful obstruction.” The idea is that the body’s vital energy, or Qi, and blood are not flowing smoothly along the pathways, or meridians, that run down the leg. This blockage can be caused by various factors, such as injury, cold, or dampness settling in the channels.

The practitioner's goal is to identify the specific nature of this obstruction and encourage the free flow of Qi and blood again. By inserting fine needles at specific points along the affected meridians, they aim to relieve the stagnation, nourish the tissues, and reduce the pain. This approach is highly individualized, considering your whole health picture, not just the leg pain, to restore the body's natural balance.

This section describes the traditional explanatory framework and the clinical reasoning behind treatment. It is context, not a claim of proven effectiveness — the strength of the modern evidence is reported separately below.

What the research says

Current research suggests that acupuncture and related therapies may help reduce pain and improve function for some people with sciatica, often with fewer side effects than some medications. The goal of this evidence brief is to give you a clear, honest picture of the research so you can decide if a trial of care makes sense for you.

Studies have compared acupuncture to treatments like medication or physical therapy, and have explored different techniques such as adding heat or electrical stimulation. We will track your personal response closely to see if this approach is helpful for your specific situation.

What the studies found

  • A large 2023 review that pooled data from over 2,600 patients found that those receiving acupuncture were 25% more likely to report improvement in their sciatica symptoms compared to those receiving medication-based treatment.

  • In a 2025 trial with 70 patients, one group received "warm acupuncture" (acupuncture with added heat) while another group took the nerve pain medication gabapentin. The warm acupuncture group reported a 73.7% improvement in disability scores after 15 days.

  • Another study of 60 patients compared deep acupuncture with added heat at a key point on the hip (GB30) to conventional acupuncture at the same point. The group receiving the deep, warm needling reported significantly better outcomes for their sciatica.

  • For sciatica-like pain caused by piriformis syndrome, one study of 58 patients found that both dry needling and classical physical therapy significantly reduced pain, with no major difference between the two approaches.

  • Other smaller studies have suggested that therapies sometimes used alongside acupuncture, like cupping or electroacupuncture combined with an infrared lamp, may also help reduce pain and improve mobility for people with sciatica.

The honest picture

The science, honestly: research on acupuncture for this kind of complaint is still growing, and many of the studies so far are small. Their results are encouraging, and part of the relief people feel comes from the treatment experience as a whole — the needles, the care, and the body's own response working together — which is a real, drug-free part of the benefit. What the research cannot yet do is give a definitive answer for everyone.

Everyone is different: some people respond to acupuncture and some do not, and there is no way to know in advance who will benefit — a good result for someone else does not guarantee one for you.

Treatment approaches the trials used (to discuss with your clinician)

The studies used a few different approaches, which we can discuss to find the best fit for you. These are examples of what researchers have tried, not a prescription for your care.

  • Acupuncture with Heat (Moxibustion): Several trials successfully used "warm acupuncture," where an herb (moxa) is burned on the needle handle to send gentle, penetrating heat into the point. This was often applied to points on the low back, hip, and down the leg, such as BL23, BL25, GB30, and BL40.

  • Electroacupuncture: Some studies attached a small device to the needles to provide a gentle, continuous electrical pulse. This was often used to stimulate key points on the leg, like ST36 (below the knee) and SP6 (on the inner ankle).

  • Local and Distal Points: Most treatment plans involved a combination of points directly in the area of pain (like the low back and hip) and "distal" points farther down the leg or even on the arm, which are traditionally used to influence the entire pathway affected by sciatica.

Working together — realistic expectations

This could mean a noticeable reduction in the intensity or frequency of your leg pain, being able to walk or sit for longer periods with less discomfort, or relying less on pain medication.

Some people feel a difference relatively quickly, while for others it can be more gradual. It's also possible that you may not experience a significant change. We will work together to define what a successful outcome would look like for you.

Because acupuncture has a strong safety record and generally milder side effects than many long-term medications, we don't rely on blind faith — we rely on a low-risk, practical trial. Together, we'll track your own response over a short course (often about 4–6 sessions). If your symptoms and quality of life noticeably improve, we continue; if not, we simply explore other options together.

Safety

The studies reported few or no side effects. A 2023 review covering over 2,600 patients found that those receiving acupuncture had a significantly lower risk of adverse events compared to those taking medication. When side effects from acupuncture do occur, they are typically minor and temporary, such as slight bruising, soreness, or a drop of blood at the needle site. Serious complications are very rare when treatment is performed by a qualified and licensed practitioner.

Sources

  • The efficacy and safety of acupuncture therapy for sciatica: A systematic review and meta-analysis of randomized controlled trails. (2023) link
  • The Management of Sciatica by Acupuncture: An Expert Consensus Using the Improved Delphi Survey. (2021) link
  • Effect of body mass index on the efficacy of acupuncture for discogenic sciatica: a secondary analysis of a multicenter randomized controlled trial (2026) link
  • A randomized controlled clinical study to evaluate the efficacy of Hijamah (wet cupping) in Irq-un-Nasa (Sciatica) (2022) link
  • The Effects of Dry Needling and Physical Therapy on Improvement of Pain in Patients with Piriformis Syndrome (2023) link
  • Efficacy and Safety of Warm Acupuncture Compared to Gabapentin for Pain Management in Patients with Sciatica in Bhutan: A Randomized Controlled (ACUWARM) Trial. (2025) link
  • Evaluate the effect of mocibustion infrared lamps combined with electroacupuncture in treating sciatica (2023) link
  • The Effectiveness of Dry Needling in Patients with Piriformis Syndrome (2024) link
  • EFFECTIVENESS OF CUPPING THERAPY ON NERVE CONDUCTION VELOCITY IN SCIATICA-A RANDOMIZED CONTROL TRIAL. (2022) link

And for you — the clinician

Point & Protocol Atlas: a clinician-facing reference (not patient-facing). For any condition it aggregates, from real trials in qiboo's 66,000-study library, the classical syndrome differentiation and point combinations for the presentation you enter, plus which points the published trials most often used. Your chairside “where's the evidence” answer.
Example · Demo Acupuncture ClinicPoint & Protocol Atlas · generated by qiboo · 2026-09-19

Point & Protocol Atlas — Low Back Pain

How to read this atlas

For the symptom(s) you entered, qiboo works out the classical syndrome differentiation and its point combinations, and — where published trials exist — the points those trials most often used. A clinician's reference to inform your own point selection.

Points at a glance

Classical selection and modern-trial usage side by side. Trial counts are frequency of use across the aggregated studies, never a success rate.

PointNameMeridianClassical prescriptionUsed in trials
BL23Shenshu · Kidney ShuBladder✓37 / 55
BL25Dachangshu · Large Intestine ShuBladder✓25 / 55
GV4Mingmen · Gate of LifeGoverning Vessel✓10 / 55
BL40Weizhong · Middle of the CrookBladder✓18 / 55
BL60Kunlun · KunlunBladder✓8 / 55
GB30Huantiao · Jumping CircleGallbladder✓15 / 55
GB34Yanglingquan · Yang Mound SpringGallbladder✓5 / 55
BL24Qihaishu · Qi Sea ShuBladder—16 / 55
GV3Yaoyangguan · Lumbar Yang GateGoverning Vessel—14 / 55
EX-B2Yaoyangguan · Lumbar Yang GateExtra—7 / 55
LI4Hegu · Union ValleyLarge Intestine—7 / 55

Classical differentiation & point combinations

SyndromeKey signsTreatment principlePoints
Cold-Dampness Low Back Pain (Han Shi Yao Tong)Heavy aching in lumbar region, cold sensation, stiffness, worse in damp weather or restDispel cold, eliminate dampness, warm the channels, and stop painBL23 BL25 BL40 BL60
BL23 tonifies Kidney qi and warms the lower back; BL25 regulates local lumbar qi; BL40 clears Taiyang channel obstruction; BL60 courses the channel and relieves pain.
Kidney Deficiency Low Back Pain (Shen Xu Yao Tong)Dull aching, limpness in knees, weakness, preference for pressure and warmthTonify the Kidneys, warm the yang, and strengthen the lumbar spineBL23 GV4 GB30 GB34
BL23 nourishes Kidney essence; GV4 strengthens the root and warms ministerial fire; GB30 frees channels in the hip; GB34 relaxes the sinews and joints.

Low back pain is primarily governed by the condition of the Bladder channel of Foot-Taiyang and the Governor vessel (Du Mai), as these pathways course directly along the lumbar spine and back. When the lumbar region is invaded by external pathogenic factors such as cold and dampness, or weakened by Kidney deficiency and traumatic blood stasis, the circulation of qi and blood becomes obstructed, leading to contraction of the muscles and vessels and subsequent pain and stiffness.

In this presentation, the pattern points predominantly to Cold-Dampness Stagnation combined with underlying Kidney Deficiency. Cold and dampness are heavy, turbid pathogens that impede the free flow of meridian qi, causing a heavy, aching sensation in the lower back that is aggravated by damp weather and alleviated by warmth. Concurrently, depletion of Kidney essence fails to nourish and warm the lumbar spine, resulting in deep, chronic aching and inability to stand for long periods.

  • BL23 + BL25 + GV4 — Cold-Dampness with Kidney Deficiency — BL23 (Shenshu) tonifies Kidney qi and warms the lower back; BL25 (Dachangshu) regulates qi locally in the lumbar region; GV4 (Mingmen) kindles ministerial fire, strengthens the root, and dispels cold from the spine.
  • BL40 + BL60 — Lower Back Pain along the Taiyang Meridian — BL40 (Weizhong) is the classic empirical command point for back and lumbar pain, clearing obstruction in the Taiyang channel; BL60 (Kunlun) courses the channel downward, subduing rebellious qi and relieving pain in the lower back and heels.
  • GB30 + GB34 — Lumbar Pain radiating to the Gluteal Region and Lower Limbs — GB30 (Huantiao) frees the channels and quickens the network vessels in the hip and leg; GB34 (Yanglingquan) is the Hui-meeting point of tendons, relaxing the sinews and easing stiffness in the lower extremities.

Evidence base & coverage

Of 250 acupuncture studies retrieved for “Low Back Pain”, 55 reported a clearly-extractable, clinically-relevant point protocol; this atlas aggregates those 55. Set aside: 55 were evidence syntheses (review / meta-analysis), not single-protocol trials; 5 were protocols / animal / opinion (not clinical evidence); 31 had only a default/unreadable point set; 104 reported no extractable points. Compiled 2026-09-19.

Evidence grade across the aggregated cohort: 50 low, 4 moderate, 1 very_low.

Most-used points across the trials

How often each point appeared across the 55 clinical studies that reported a readable protocol (frequency of use, NOT a success rate).

#PointPinyin (English)MeridianUsed in (of 55)Evidence grade
1BL23Shenshu (Kidney Shu)Bladder37/55 (67%)35 low, 2 moderate
2BL25Dachangshu (Large Intestine Shu)Bladder25/55 (45%)23 low, 2 moderate
3BL40Weizhong (Middle of the Crook)Bladder18/55 (33%)17 low, 1 moderate
4BL24Qihaishu (Qi Sea Shu)Bladder16/55 (29%)16 low
5GB30Huantiao (Jumping Circle)Gallbladder15/55 (27%)14 low, 1 moderate
6GV3Yaoyangguan (Lumbar Yang Gate)Governing Vessel14/55 (25%)13 low, 1 moderate
7GV4Mingmen (Gate of Life)Governing Vessel10/55 (18%)9 low, 1 moderate
8BL60Kunlun (Kunlun)Bladder8/55 (15%)7 low, 1 moderate
9EX-B2Yaoyangguan (Lumbar Yang Gate)Extra7/55 (13%)6 low, 1 moderate
10LI4Hegu (Union Valley)Large Intestine7/55 (13%)6 low, 1 very_low
11BL26Guanyuan Shu (Gate of Origin Shu)Bladder7/55 (13%)7 low
12BL54Zhibian (Coordinate)Bladder6/55 (11%)5 low, 1 moderate
13ST36Zusanli (Leg Three Miles)Stomach6/55 (11%)5 low, 1 very_low
14GV20Baihui (Hundred Meetings)Governing Vessel6/55 (11%)6 low

Point combinations used in the trials

Multi-point prescriptions used across the trials (count of studies/arms):

#PrescriptionStudies
1BL32 BL60 GB30 GV20 HT7 KI14
2BL23 BL32 BL39 BL51 BL52 BL54 BL573
3BL20 BL23 BL25 BL40 BL60 GB30 GB342
4BL23 BL25 BL54 EX-B22
5BL23 BL25 BL40 EX-B22
6BL23 BL24 BL25 BL40 GB30 GV3 GV42
7BL22 BL23 BL24 BL25 BL52 GV3 GV42
8EX-HN3 EX-HN4 EX-HN51

Techniques used

TechniqueStudiesShare
Acupuncture (unspecified)2441%
Manual acupuncture1322%
Auricular acupuncture712%
Electroacupuncture712%
Moxibustion / warm needle47%
Laser acupuncture35%
Dry needling12%

Treatment dosage (as reported)

Reported in 43 of 55 studies, exactly as each study stated it.

YearStudyDosage as reportedGrade
2025Auricular point acupressure for older adults with chronic low back pai4 sessions · 3 times/day · 4 weeks · noninvasive acupressuremoderate
2025Should thread-embedding and auricular acupuncture be combined rather t4 sessions · 4 weeksmoderate
2022Comparing the efficacy of two different temperature stimulation in war9 sessions · 3 times/week · 3 weeks · 25 min · manualmoderate
2025Efficacy and safety of 650 nm invasive laser acupuncture on non-specifTwice a week for four weekslow
2026Effects of Hip Joint Motion-Style Acupuncture Treatment in Patients wi15–20 min · manuallow
2025The Effect of Acupressure Applied in the Postpartum Weeks 1 and 4 Afte10 minutes per visitlow
2025Multimodal Interventions for Chronic Low Back Pain: A Pilot RandomizedAll groups received acupuncture for 25 minutes per session over eight weeks. The stretching and Qigong groups…low
2025Novel avatar-based video-guided acupuncture imagery treatment for chro8 sessions · 2 times/week · 4 weekslow
2025The Effect of Auricular Acupressure on Low Back Pain and Postpartum Fa4 sessions over 4 weeks, once a weeklow
2025Effects of Tuina combined with traditional Chinese exercises on functi12 sessions · 3 times/week · 4 weekslow

Sources

  • Auricular point acupressure for older adults with chronic low back pain: a randomized controlled trial. (2025) link
  • Should thread-embedding and auricular acupuncture be combined rather than used individually for non-specific chronic low back pain?: A double-blinded, randomized, sham-controlled trial. (2025) link
  • Efficacy of auricular and electronic acupuncture to treat chronic low back pain: A randomised trial (2025) link
  • Comparing the efficacy of two different temperature stimulation in warm acupuncture on acute low back pain: A randomized controlled trial (2022) link
  • Efficacy and safety of 650 nm invasive laser acupuncture on non-specific chronic low back pain: a randomized clinical trial. (2025) link
  • Effects of Hip Joint Motion-Style Acupuncture Treatment in Patients with Acute Radiating Leg Symptoms After Traffic Accidents: A Pilot Pragmatic Randomized Controlled Trial (2026) link
  • Efficacy of auricular and electronic acupuncture to treat chronic low back pain: A randomised trial (2025) link
  • The Effect of Acupressure Applied in the Postpartum Weeks 1 and 4 After Cesarean Delivery on Back Pain: A Randomized Controlled Trial. (2025) link
  • Multimodal Interventions for Chronic Low Back Pain: A Pilot Randomized Trial of Acupuncture, Stretching, and Qigong. (2025) link
  • Novel avatar-based video-guided acupuncture imagery treatment for chronic low back pain: a randomised controlled trial in the USA. (2025) link
  • The Effect of Auricular Acupressure on Low Back Pain and Postpartum Fatigue in Postpartum Women: A Randomized Controlled Trial (2025) link
  • Effects of Tuina combined with traditional Chinese exercises on function disability in patients with lumbar disc herniation: a multicentre, randomised, controlled clinical trial. (2025) link
  • Dry cupping therapy combined with conventional therapy does not provide additional benefits over conventional therapy alone in patients with non-specific chronic low back pain: a randomized trial. (2025) link
  • The Effect of EX-B8 Acupressure on Labor Pain: A Randomized, Single-Blind, Sham-Controlled Trial. (2025) link

And for daily life — the nutrition sheet

Nutrition & lifestyle plan: the patient types (or you type) the symptoms — here fatigue after meals, loose stools, sugar cravings — and qiboo differentiates the traditional pattern, names its reasons, and prints the emphasize / moderate / limit table with everyday habits. Instant and free; the personalised plan mode adds a sample day and recipes.
Example · Demo Acupuncture ClinicNutrition & lifestyle plan · generated by qiboo · 2026-09-20

Traditional Food Guidance — Qi Deficiency

How to read this sheet

In Chinese medicine, food has long been chosen to match a person's pattern — warming foods for cold patterns, moistening foods for dryness, easy-to-digest foods when digestion is weak. This sheet reflects that traditional approach for the pattern your clinician identified. It is general traditional guidance for comfort and habit-building — not a medical diet, and it never replaces advice from your doctor or a dietitian, especially if you have allergies, diabetes, kidney disease or are pregnant.

Qi Deficiency

From the symptoms you entered — fatigue after meals, loose stools, sugar cravings — qiboo chose this pattern on the basis of: fatigue, loose stool. If your own differentiation differs, pick another pattern in the studio and regenerate.

Tiredness, weak voice, poor appetite, easy sweating. Tradition favors gently warming, well-cooked, easy-to-digest food that "builds" energy.

Foods by traditional nature

EmphasizeIn moderationBetter to limit
Rice & oat porridgeRaw fruitIced drinks & frozen food
Root vegetables (carrot, sweet potato, pumpkin)DairyHeavy fried food
Chicken or vegetable brothsNutsLarge raw salads
Dates, cooked applesExcess sugar
Ginger (small amounts, cooked)

Traditional eating habits for every pattern

  • Eat warm, cooked meals at regular times; avoid skipping breakfast.
  • Chew slowly; stop at about 70–80% full.
  • Prefer warm or room-temperature drinks over iced ones.
  • Keep late-evening heavy meals rare.
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