Can Acupoint Stimulation Reduce Symptoms of ADHD in Children and Adolescents? A Critical Review

Attention-deficit hyperactivity disorder (ADHD) affects millions of young people worldwide, with rising diagnosis rates. Symptoms of inattention, hyperactivity and impulsivity significantly impact quality of life. While stimulant medications are effective, concerns about side effects and long-term efficacy have increased interest in alternatives. A global medication shortage since 2022 has further highlighted vulnerabilities in current treatment models. ADHD likely involves dopaminergic pathway dysregulation, and acupuncture’s effects on dopaminelinked brain regions suggest it could be a viable treatment. Previous reviews have been inconclusive, often excluding auricular or non-invasive methods. This review evaluates evidence to determine whether acupuncture or related techniques could form part of an integrated management approach. Data quality was appraised using CONSORT and STRICTA protocols. Three RCTs showed significant ADHD symptom reduction. Auricular transcutaneous electrical acupoint stimulation (TEAS) shows promise, but study weaknesses indicate that further rigorous research is needed.