{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T16:47:57Z","timestamp":1784738877668,"version":"3.55.0"},"reference-count":43,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T00:00:00Z","timestamp":1706486400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T00:00:00Z","timestamp":1706486400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["headachejournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Headache"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Daith piercing is a special ear\u2010piercing method that punctures the crus of the helix. The penetrated site at the ear's innermost point is assumed to stimulate a pressure point associated with the vagus nerve. It has been reported that the pierced spot relieves migraine and tension\u2010type headaches by activating vagal afferents, leading to the inhibition of neurons in the caudal trigeminal nucleus via the nucleus tractus solitarii.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The objective of this narrative literature review is to summarize the current state of knowledge concerning daith piercing for the treatment of migraine and tension\u2010type headaches from the perspectives of the Chinese and Western auricular systems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>PubMed and China National Knowledge Infrastructure databases were searched using the keywords \u201cdaith piercing,\u201d \u201cauricular points,\u201d \u201cheadache,\u201d and \u201cacupuncture\u201d from database inception to September 1, 2023. Only studies on humans were eligible; otherwise, no further restrictions were applied to the study designs, type of headache, or patient population of the identified articles. Bibliographies of all eligible studies were screened for further eligible studies. The main outcome of interest was a quantitative measure of pain relief by daith piercing. Secondary outcomes were relapse time of headache and further outcomes related to daith piercing, if available.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From a total of 186 identified articles, one retrospective study and three case reports fulfilled the inclusion criteria. No clinical trial was identified. The obtained studies describe patients experiencing chronic headaches undergoing daith piercing without changing or reducing their usual medication. In all case studies and the retrospective study, patients reported substantial reductions in pain immediately after daith piercing; however, headache symptoms recurred several weeks to months thereafter. From the perspective of the Chinese and Western auricular systems, no sufficient explanation for the described treatment effect of daith piercing was found.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The available literature, combined with the reported recurrence of pain as well as the associated side effects of daith piercing, indicate that current evidence does not support daith piercing for the treatment of migraine, tension\u2010type headaches, or other headache disorders.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/head.14672","type":"journal-article","created":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T04:35:12Z","timestamp":1706502912000},"page":"131-140","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Daith piercing: Revisited from the perspective of auricular acupuncture systems. A narrative review"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9396-3428","authenticated-orcid":false,"given":"Saroj K.","family":"Pradhan","sequence":"first","affiliation":[{"name":"Research Department Swiss University of Traditional Chinese Medicine  Bad Zurzach Switzerland"},{"name":"TCM Ming Dao AG  Bad Zurzach Switzerland"},{"name":"Research Department Rehaklinik TCM Ming Dao Klink, ZURZACH Care  Bad Zurzach Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas R.","family":"Gantenbein","sequence":"additional","affiliation":[{"name":"Neurology &amp; Neurorehabilitation Department Rehaklinik ZURZACH Care  Bad Zurzach Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiming","family":"Li","sequence":"additional","affiliation":[{"name":"Research Department Swiss University of Traditional Chinese Medicine  Bad Zurzach Switzerland"},{"name":"TCM Ming Dao AG  Bad Zurzach Switzerland"},{"name":"Research Department Rehaklinik TCM Ming Dao Klink, ZURZACH Care  Bad Zurzach Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamdy","family":"Shaban","sequence":"additional","affiliation":[{"name":"Research Department Swiss University of Traditional Chinese Medicine  Bad Zurzach Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoying","family":"Lyu","sequence":"additional","affiliation":[{"name":"Research Department Swiss University of Traditional Chinese Medicine  Bad Zurzach Switzerland"},{"name":"Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet","family":"Sevik","sequence":"additional","affiliation":[{"name":"Research Department Swiss University of Traditional Chinese Medicine  Bad Zurzach Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Furian","sequence":"additional","affiliation":[{"name":"Research Department Swiss University of Traditional Chinese Medicine  Bad Zurzach Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,29]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"Migraine\u2010Buddy.Daith piercings \u00d7 migr\u00e4ne. Accessed September 8 2023.https:\/\/migrainebuddy.com\/de\/2018\u20105\u201011\u2010z7x7m5x2adpcsizyneda28loe5capd\/2023."},{"key":"e_1_2_13_3_1","unstructured":"Wikipedia\u2010Authors.Daith.2023.Wikipedia the free encyclopedia. Accessed September 8 2023.https:\/\/en.wikipedia.org\/wiki\/Daith_piercing"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.6978"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2017.00624"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/2301680"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers13164082"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2021.0310"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1590\/s1980-220x2018021703461"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/bs7020037"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ecam\/nel050"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.51507\/j.jams.2021.14.2.58"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.1000594"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/495684"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-044306732-7.50010-6"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.3233\/NRE-2002-17107"},{"key":"e_1_2_13_17_1","volume-title":"Auricular Acupuncture Diagnosis","author":"Romoli M","year":"2009"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/j3030022"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjno-2021-000193"},{"key":"e_1_2_13_20_1","unstructured":"Central\u2010Institute\u2010of\u2010Mental\u2010Health.Wirksamkeit von Ohrpiercings bei Migr\u00e4ne. Accessed April 4 2023.https:\/\/www.zi\u2010mannheim.de\/forschung\/probanden\u2010gesucht\/wirksamkeit\u2010von\u2010ohrpiercings\u2010bei\u2010migraene.html"},{"key":"e_1_2_13_21_1","volume-title":"Anatomy, Head and Neck, Ear","author":"Szymanski A","year":"2023"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2019.00854"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.1089"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-7020-3572-2.00001-X"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.13045\/jar.2019.00185"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.22259\/2638-504X.0202001"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/2806424"},{"key":"e_1_2_13_28_1","volume-title":"Das grosse Buch der Ohrakupunktur","author":"Bahr F","year":"2014"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eujim.2016.06.011"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-014-1768-7"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1089\/acu.2018.1294"},{"key":"e_1_2_13_32_1","volume-title":"Acupuncture\u2010Moxibustion","author":"Daosheng L","year":"1999"},{"issue":"2","key":"e_1_2_13_33_1","first-page":"18","article-title":"Auricular acupuncture stimulation measured on functional magnetic resonance imaging","volume":"13","author":"Alimi D","year":"2002","journal-title":"Med Acupunct"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicines4030046"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-56732-2_6"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-019-3896-0"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.7205\/milmed-d-13-00075"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/phm.0000000000000766"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16225"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.1089\/acu.2010.0751"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-7020-3572-2.00008-2"},{"key":"e_1_2_13_42_1","doi-asserted-by":"publisher","DOI":"10.1089\/acu.2020.1522"},{"key":"e_1_2_13_43_1","unstructured":"American\u2010Migraine\u2010Foundation.Daith piercings & migraine. Accessed September 8 2023.https:\/\/americanmigrainefoundation.org\/resource\u2010library\/daith\u2010piercings\u2010101\/"},{"key":"e_1_2_13_44_1","unstructured":"Deutsche\u2010Migr\u00e4ne\u2010und\u2010Kopfschmerzgesellschaft\u2010e.V.Die DMKG warnt: Piercing ist nicht zur Therapie der Migr\u00e4ne geeignet!Accessed September 8 2023.https:\/\/www.dmkg.de\/therapie\u2010empfehlungen\/migraene\/die\u2010dmkg\u2010warnt\u2010piercing\u2010ist\u2010nicht\u2010zur\u2010therapie\u2010der\u2010migraene\u2010geeignet"}],"container-title":["Headache: The Journal of Head and Face Pain"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/headachejournal.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/head.14672","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/headachejournal.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/head.14672","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/headachejournal.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/head.14672","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T10:33:22Z","timestamp":1771324402000},"score":1,"resource":{"primary":{"URL":"https:\/\/headachejournal.onlinelibrary.wiley.com\/doi\/10.1111\/head.14672"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,29]]},"references-count":43,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1111\/head.14672"],"URL":"https:\/\/doi.org\/10.1111\/head.14672","archive":["Portico"],"relation":{},"ISSN":["0017-8748","1526-4610"],"issn-type":[{"value":"0017-8748","type":"print"},{"value":"1526-4610","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,29]]},"assertion":[{"value":"2023-07-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}