Acu-Detox, also commonly referred to as acupuncture detoxification or the 5-Needle Protocol, is a standardized auricular (ear) acupuncture protocol used as a complementary and supportive approach in behavioral-health, substance-use recovery, and community settings.
The Acu-Detox / 5NP / NADA Protocol was developed in the 1970s at Lincoln Hospital in the Bronx, New York, and was subsequently incorporated into community-based approaches to substance-use recovery and behavioral health. The National Acupuncture Detoxification Association (NADA) provides training and education related to the protocol.
The term “Acu-Detox” or “acupuncture detoxification” refers to the name of the protocol. It should not be understood to mean that the treatment medically removes drugs, alcohol, or toxins from the body.
The 5-Nedle Protocol
The Acu-Detox / 5NP / NADA Protocol is a standardized form of auricular acupuncture. It uses up to five small, sterile, single-use needles at designated points on each ear:
- Sympathetic
- Shen Men
- Kidney
- Liver
- Lung
The needles are placed superficially in the ear and typically remain in place while participants sit quietly for approximately 15–45 minutes. commonly describes the protocol as being offered in a group setting, although the setting may vary by program.
The Acu-Detox / 5NP / NADA Protocol is distinct from individualized full-body acupuncture. Full-body acupuncture may involve an individual assessment and the selection of acupuncture points throughout the body based on the practitioner’s training and treatment approach. The Acu-Detox / 5NP / NADA Protocol, by contrast, follows its established five-point auricular protocol.
Supportive Use in Recovery and Behavioral Health
Acu-Detox / 5NP / NADA is generally used as an adjunctive or supportive approach rather than as a stand-alone treatment for addiction, substance-use disorders, trauma, or other health conditions.
Some people receiving Acu-Detox / 5NP / NADA report relaxation, reduced stress or anxiety, improved sleep, or a greater sense of well-being. Acu-Detox / 5NP / NADA materials also identify reductions in cravings, anxiety, and sleep disturbance among benefits reported by clients and clinicians.
Research on acupuncture and substance-use outcomes remains mixed. The National Center for Complementary and Integrative Health (NCCIH) reports that there is not enough consistent evidence to establish acupuncture as a treatment for substance-use disorders. Some research suggests that acupuncture or acupoint stimulation may have potential as an adjunctive approach for withdrawal, cravings, and anxiety, but the available evidence has limitations.
For this reason, Acu-Detox / 5NP / NADA protocol is best considered as one possible supportive component of a broader program that may include counseling, behavioral-health services, medication when appropriate, peer support, education, medical care, and other evidence-based services.
Acu-Detox / NADA / 5-Needle Protocol(5NP) and Full-Body Acupuncture
Although both and full-body acupuncture use acupuncture needles, they are not the same type of treatment.
5NP is a standardized five-point auricular protocol. It focuses on specific points on the ears and does not involve the individualized selection of numerous acupuncture points throughout the body.
Individualized acupuncture may involve a broader assessment and treatment plan determined by a licensed acupuncturist. The specific services provided by a practitioner depend on their professional training, credentials, and applicable state requirements.
Using the terms “NADA Protocol,” “Acu-Detox,” or “five-needle auricular acupuncture protocol” helps distinguish this standardized approach from general acupuncture services.
Community-Based Acu-Detox / 5NP Services in Arizona
Acu-Detox / 5NP may be incorporated into community and behavioral-health programs as a supportive service. Community-based programs may offer the protocol in group settings and may combine it with counseling, peer support, education, behavioral-health services, or other resources.
Arizona has specific requirements for individuals practicing auricular acupuncture for alcoholism, substance abuse, trauma, or chemical dependency. Arizona law provides for an acupuncture detoxification specialist certificate for qualified individuals who meet specified training and other requirements.
The requirements include completion of an approved training program, completion of an approved clean-needle technique course, and other certification requirements. The statute also provides that an acupuncture detoxification specialist practices auricular acupuncture under the supervision of a licensed acupuncturist and requires signed informed consent before treatment.
Accessibility and Community Support
One feature of the Acu-Detox / 5NP model is its suitability for community-based settings. Acu-Detox / 5NP describes the protocol as being used in a variety of settings, including behavioral-health and substance-use programs, community programs, shelters, and other supportive environments.
Individual programs may differ in their fees, session formats, availability, and additional services. Because these details can change, people interested in Acu-Detox / 5NP services should contact the individual program for current information.
A Complementary Approach
5NP/Acu-Detox/NADA is best understood as a standardized five-point auricular acupuncture protocol that may be used as a complementary service within a broader program of care.
It is not intended to replace medical care, counseling, addiction treatment, medication when indicated, or other appropriate behavioral-health services. Its role is generally supportive, and individual experiences and outcomes may vary.
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