[Methodologic and epistemologic reflections on acupuncture].

Abstract

Methodological difficulties met in acupuncture cannot be overcome without epistemological analysis by researchers and practitioners. This is because of the 'cognitivo-cultural' gap between Occidental and Chinese traditions. With this aim, the author considers the role of cognitive expectancies in the effect of antalgic acupuncture, and draws epistemological then methodological conclusions. After comparing the advent of the holistic movement with the crisis of rationalism in medicine, an attempt is made to formulate an evaluation of the problems in acupuncture in terms of metaphysical realism. The author challenges the holistic model compared to the orthodox bio-medical model.