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October 12, 1984


Author Affiliations

Lyon, France

JAMA. 1984;252(14):1855-1856. doi:10.1001/jama.1984.03350140015013

To the Editor.—  At the request of my American colleagues, I offer my opinion on the article by Melzack and Katz1 published in the Feb 24 issue of The Journal. I have serious reservations about the technique used in this study as well as the proposed conclusions.The purpose of this study was to evaluate auriculotherapy in patients suffering from chronic pain.It has not been shown in the work by Melzack and Katz how long the patients had been suffering from pain. One may suppose that these chronic conditions had existed for many years or at least several months.We know that chronic pain, although perceived in specific sites, also affects more central zones of the nervous system, such as the periaqueductal gray matter, the lateroventroposterior nucleus of the thalamus, and the cortex. These were mentioned only as some of the more important parts.Thus, the points of