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. 2017 Jan 20;7:40837. doi: 10.1038/srep40837

Table 1. Characteristics of 94 included studies.

Reference (author, year and country) Diseases No. of acupoint (T/C) Sample size (T/C) dropout (T/C) Primary outcome measures Difference between groups Characteristic of sham electro-acupuncture (EA) methods
needle location degree of needle insertion electrical stimulation The type of sham EA method
Ntritsou et al. 2014 USA18 Pain 4/4 37/38 5(2/3) NRS and SF_MPQ scores T > C therapeutic acupoints no penetration no electrical stimulation Sham EA type A
Chu et al. 2012 Hong Kong19 Pain perception in Irritable Bowel Syndrome 6/6 15/15 0(0/0) FMRI T > C therapeutic acupoints no penetration no electrical stimulation Sham EA type A
Wang et al. 2010 Denmark20 Tinnitus 4/14 20/20 9(4/5) The frequency of tinnitus occurrence and the tinnitus loudness ND therapeutic acupoints no penetration no electrical stimulation Sham EA type A
Zyloney et al. 2010 USA21 Pain 2/2 N/N 29(N/N) FMRI and MASS ratings T > C therapeutic acupoints no penetration no electrical stimulation Sham EA type A
Jubb et al. 2008 UK22 Osteoarthritis 6/6 34/34 4(2/2) WOMAC pain score T > C therapeutic acupoints no penetration no electrical stimulation Sham EA type A
Chung et al. 2012 Hong Kong23 Postpartum Depression 18/18 10/10 6(5/1) EPDS, HADS, HDRS17 and CGI scores ND therapeutic acupoints no penetration electrical stimulation Sham EA type B
Barlas et al. 2006 UK24 1 Pain 4/4 12/12 N(N/N) Pressure pain threshold T > C therapeutic acupoints no penetration electrical stimulation Sham EA type B
Barlas et al. 2006 UK24 2 Pain 4/4 12/12 N(N/N) Pressure pain threshold ND therapeutic acupoints no penetration electrical stimulation Sham EA type B
Wayne et al. 2005 US25 Stroke Rehabilitation 14–22/2–3 16/17 9(3/6) FMA score ND non-acupuncture points no penetration no electrical stimulation Sham EA type Q
Sahin et al. 2010 Turkey26 Pain 14/14 15/16 2(2/0) VAS scores ND non-acupuncture points the same depth electrical stimulation Sham EA type L
Fanti et al. 2003 Italy27 Pain 10/10 10/10 0(0/0) VAS scores ND non-acupuncture points the same depth Electrical stimulation Sham EA type L
Hsing et al. 2012 Brazil28 Stroke recovery 11–14/11–14 31/31 0(0/0) NIHSS, Barthel Index and modified Rankin scales scores T > C therapeutic acupoints the same depth no electrical stimulation Sham EA type C
Gosman-Hedström et al. 1998 Sweden29 Stroke 4/4 37/34 3(2/1) The neurological score and the Barthel and Sunnaas index scores ND therapeutic acupoints superficial penetration no electrical stimulation Sham EA type D
Jing et al. 2009 China30 Auditory hallucination 6/6 30/30 7(4/3) The Psychotic Symptom Rating Scales and Auditory Hallucination Subscale total score T > C non-acupuncture points superficial penetration no electrical stimulation Sham EA type O
Kong et al. 2009 USA31 Pain 2/2 N/N 29(N/N) Gracely Sensory and Affective scales scores and fMRI ND therapeutic acupoints no penetration no electrical stimulation Sham EA type A
Darbandi et al. 2013 Iran32 Obesity 4/4 47/47 8(5/3) BW, BMI and BFM ND non-acupuncture points superficial penetration no electrical stimulation Sham EA type O
Yang et al. 2012 China33 Pain 12/12 40/40 0(0/0) the consumption of sevoflurane and the recovery profile T > C therapeutic acupoints no penetration no electrical stimulation Sham EA type A
Liu et al. 2013 China34 Post-stroke detrusor overactivity 10/10 35/36 5(2/3) maximum cystometric capacity and bladder compliance T > C non-acupuncture points no penetration no electrical stimulation Sham EA type Q
Zhang et al. 2014 China35 Postoperative ileus 2/2 20/20 1(1/0) Time of the first bowel sounds and passage of flatus T > C non-acupuncture points superficial penetration no electrical stimulation Sham EA type O
Mao et al. 2014 USA36 Aromatase Inhibitor-Related Arthralgia 4/4 22/22 6(3/3) BPI ND non-acupuncture points no penetration no electrical stimulation Sham EA type Q
Leung et al. 2011 Hong Kong37 Pain 3/3 20/20 0(0/0) the maximal tolerable pressure, VAS score and beta-endorphin level T > C therapeutic acupoints no penetration no electrical stimulation Sham EA type A
Rusy et al. 2002 USA38 a Postoperative Nausea and Vomiting 1/1 40/40 0(0/0) occurrence of nausea and vomiting, and use of antiemetic rescue medication T > C nonspecific acupuncture points the same depth electrical stimulation Sham EA type F
Rusy et al. 2002 USA38 b Postoperative Nausea and Vomiting 1/1 40/40 0(0/0) occurrence of nausea and vomiting, and use of antiemetic rescue medication T > C non-acupuncture points no penetration no electrical stimulation Sham EA type Q
Yang et al. 2014 China39 Migraine 3/3 10/10 0(0/0) VA S scores ND non-acupuncture points the same depth Electrical stimulation Sham EA type L
Chen et al. 2013 China40 Pancreatic cancer pain 10/10 30/30 1(0/1) NRS T > C therapeutic acupoints no penetration no electrical stimulation Sham EA type A
Quispe-Cabanillas et al. 2012 Brazi41 Multiple sclerosis 9/9 16/15 0(0/0) EDSS, pain VASscore and quality of life FAMS T > C non-acupuncture points superficial penetration no electrical stimulation Sham EA type O
Aranha et al. 2015 Brazil42 Pain 7–8/7–8 24/23 17(7/10) VAS scores and cervical movements T > C non-acupuncture points the same depth no electrical stimulation Sham EA type M
Yu et al. 2013 Hong Kong43 a   2/2 12/12 0(0/0) C-MMASS and HR, MAP ND non-acupuncture points the same depth Electrical stimulation Sham EA type L
Yu et al. 2013 Hong Kong43 b   2/2 12/12 0(0/0) C-MMASS and HR, MAP T > C therapeutic acupoints superficial penetration no electrical stimulation Sham EA type D
Li et al. 2010 Chin44 Attention deficit hyperactivity disorder 15–16/15–16 92/88 10(6/4) relapse rate T > C therapeutic acupoints the same depth no electrical stimulation Sham EA type C
Zheng et al. 2007 Australia45 Chronic pain 4/4 17/18 12(8/4) the dosage reduction of OLM, the incidence of side effect, and VAS score ND non-acupuncture points superficial penetration no electrical stimulation Sham EA type O
Li et al. 2013 China46 General anesthesia 10/6 9/10 0(0/0) the levels of TNF-α, IL-8 and IL-10 ND non-acupuncture points the same depth Electrical stimulation Sham EA type L
Lin et al. 2002 Taiwan47 1 Postoperative pain 2/2 25/25 0(0/0) VAS score ND therapeutic acupoints the same depth no electrical stimulation Sham EA type C
Lin et al. 2002 Taiwan47 2 Postoperative pain 2/2 25/25 0(0/0) VAS score ND therapeutic acupoints the same depth no electrical stimulation Sham EA type C
Chen et al. 2013 Taiwan48 Constipation 6/6 30/30 30 (16/14) the defecation rate T > C non-acupuncture points the same depth Electrical stimulation Sham EA type L
Schukro et al. 2014 Austria49 Obesity 3/3 28/28 14(7/7) the relative reduction of body weight T > C therapeutic acupoints the same depth no electrical stimulation Sham EA type C
Yu et al. 2014 China50 General anesthesia 2/2 20/20 0(0/0) The serum cortisol and ACTH T > C ? non-acupuncture points the same depth Electrical stimulation Sham EA type L
Xie et al. 2014 China51 Postoperative pain 2/2 20/20 0(0/0) VAS score, Total Doses of Sufentanil and Dezocine T > C therapeutic acupoints the same depth no electrical stimulation Sham EA type C
Sim et al. 2002 Singapore52 Intraoperative pain N/N 30/30 0(0/0) The total intraoperative usage of alfentanil, The total morphine consumption and VAS score ND non-acupuncture points no penetration no electrical stimulation Sham EA type Q
Song et al. 2009 China53 Depression 2/2 31/32 10(3/7) HDRS and CGI T > C non-acupuncture points the same depth Electrical stimulation Sham EA type L
Shafshak 1995 Egypt54 1 Obesity 2/2 10/10 N(N/N) the success rate of going on the diet trigmen T > C non-acupuncture points the same depth Electrical stimulation Sham EA type L
Shafshak 1995 Egypt54 2 Obesity 2/2 10/10 N(N/N) the success rate of going on the diet trigmen T > C non-acupuncture points the same depth Electrical stimulation Sham EA type L
Franasiak et al. 2012 USA55 Polycystic Ovary Syndrome 8/8 46/50 16(9/7) Serum LH and FSH.The monthly rates of ovulation ND non-acupuncture points no penetration no electrical stimulation Sham EA type Q
Naslund et al. 2002 Sweden56 Idiopathic anterior knee pain 6/6 30/28 1(0/1) one leg vertical jump, functional score, daily VAS recording and skin temperature ND non-acupuncture points superficial penetration no electrical stimulation Sham EA type O
Shen et al. 2000 US57 Chemotherapy–Induced Emesis 4/4 37/33 1(1/1) Total number of emesis episodes occurring T > C non-acupuncture points superficial penetration no electrical stimulation Sham EA type O
Wyon et al. 2004 Sweden58 Hot flushes in postmenopausal women. 6/6 15/15 7(4/3) The number of flushes/24 h ND non-acupuncture points superficial penetration no electrical stimulation Sham EA type O
Zhang et al. 2012 Hong Kong59 Depression 12/12 38/35 10(7/3) score of HAMD-17 and SDS T > C therapeutic acupoints no penetration electrical stimulation Sham EA type B
Zheng et al. 2010 Australia60 Pain 2/2 12/12 0(0/0) SPT and TST T > C therapeutic acupoints no penetration no electrical stimulation Sham EA type A
Ma et al. 2010 China61 a Menstrual Pain 2/2 13/14 1(1/0) VAS scores T > C nonspecific acupuncture points the same depth electrical stimulation Sham EA type F
Ma et al. 2010 China61 b Menstrual Pain 2/2 13/12 1(1/0) VA S scores T > C non-acupuncture points the same depth Electrical stimulation Sham EA type L
Wang et al. 2014 Taiwan62 Chronic stroke 4/4 10/10 5(1/4) R1, R2 and R2–R1 T > C therapeutic acupoint superficial penetration No electrical stimulation Sham EA type D
Yeung et al. 2011 Hong Kong63 a Insomnia 8/8 26/26 7(4/3) ISI and PSQI ND non-acupuncture points superficial penetration electrical stimulation Sham EA type N
Yeung et al. 2011 Hong Kong63 b Insomnia 8/8 26/26 7(4/3) ISI and PSQI T > C non-acupuncture points No penetration No electrical stimulation Sham EA type Q
Chan et al. 2014 Taiwan64 Heroin Addicts 4/4 30/30 2(1/1) the daily consumption of methadone T > C therapeutic acupoint superficial penetration no electrical stimulation Sham EA type D
Man et al. 2014 Hong Kong65 Post-stroke depression 20/20 23/20 10(4/6) HAMD-17 and CGI-S T > C therapeutic acupoint No penetration electrical stimulation Sham EA type B
Oh et al. 2013 Australia66 Pain 16/12 16/16 3(2/1) WOMAC, BPI-SF and FACT-G instrument ND therapeutic acupoint No penetration No electrical stimulation Sham EA type A
Wong et al. 2006 Hong Kong67 Pain 4/4 13/14 2(0/2) VAS pain score ND therapeutic acupoint No penetration No electrical stimulation Sham EA type A
Song et al. 2007 USA68 Depression 2/2 N/N N(N/N) 24-item HAMD and the level of G protein α subtypes in the platelet membrane ND non-acupuncture points the same depth no electrical stimulation Sham EA type M
Cameron et al. 2011 Australia69 Whiplash-associated Disorders 8/8 64/60 8(0/8) VAS T > C non-acupuncture points the same depth no electrical stimulation Sham EA type M
Darbandi et al. 2014 Iran70 Obesity 4/4 20/20 0(0/0) BMI, TFM, WC and HC T > C non-acupuncture points superficial penetration no electrical stimulation Sham EA type O
Wei et al. 2008 China71 Postpartum Insufficient Lactation 2/2 46/46 0(0/0) total therapeutic effect, 24-hour milk secretion quantity, prolactin level T > C nonspecific acupuncture points the same depth electrical stimulation Sham EA type F
Wang et al. 2007 USA72 Pain 4/4 29/27 0(0/0) intraprocedural alfentanil consumption, VAS score T > C therapeutic acupoint superficial penetration no electrical stimulation Sham EA type D
Kvorning et al. 2003 Sweden73 Anaesthesia 12/12 23/23 1(1/0) Physiological reactions to skin incision T > C therapeutic acupoint No penetration no electrical stimulation Sham EA type A
Kvorning et al. 2003 Sweden74 Anaesthesia 6/6 23/23 0(0/0) The minimal alveolar concentration of sevoflurane T < C therapeutic acupoint No penetration no electrical stimulation Sham EA type A
Yang et al. 2010 China75 Cardiac ischemia-reperfusion injury 6/6 30/30 0(0/0) levels of serum cardiac troponin I T > C therapeutic acupoint the same depth no electrical stimulation Sham EA type C
Sahmeddini et al. 2010 Iran76 Perioperative Pain 4/4 45/45 0(0/0) score on VAS-100 ND therapeutic acupoint no penetration no electrical stimulation Sham EA type A
Wang et al. 2007 China77   1/1 9/5 3(3/0) BOLD fMRI T > C non-acupuncture points the same depth electrical stimulation Sham EA type L
Jia et al. 2009 China78 Migraine 2/2 138/138 1(0/1) VAS score and the plasma 5-HT level T > C nonspecific acupuncture points the same depth electrical stimulation Sham EA type F
Wang et al. 2013 China79 Benign prostate hyperplasia 2/2 50/50 23(9/14) IPSS T > C non-acupuncture points the same depth electrical stimulation Sham EA type L
Andreescu et al. 2011 Canada80 Depression 2/2 28/29 11(4/7) HDRS score ND non-acupuncture points superficial penetration No electrical stimulation Sham EA type O
Yeung et al. 2009 Hong Kong81 Insomnia 8/8 30/30 3(1/2) ISI ND therapeutic acupoint no penetration no electrical stimulation Sham EA type A
Chen et al. 2014 Taiwan82 Pain 1/1 25/24 0(0/0) VAS scores and the dosage of opium derivative analgesic ND therapeutic acupoint the same depth no electrical stimulation Sham EA type C
Wang et al. 2008 China83 Diabetic Gastroparesis 4/4 11/12 4(2/2) GCSI score T > C non-acupuncture points superficial penetration electrical stimulation Sham EA type N
Meissner et al. 2004 Germany84 Pain 6/6 8/8 0(0/0) SEPs T > C therapeutic acupoint no penetration electrical stimulation Sham EA type B
Zhou et al. 2012 China85   2/2 11/11 0(0/0) MVC strength ND non-acupuncture points the same depth electrical stimulation Sham EA type L
Yeh et al. 2012 Taiwan86 Shivering during regional anesthesia 4/4 40/40 0(0/0) Shivering score and tympanic temperature T > C non-acupuncture points superficial penetration no electrical stimulation Sham EA type O
Yu et al. 2011 Taiwan87 Benign Prostate Hyperplasia 6/6 21/21 5(3/2) The change of the maximum flow rate, average flow rate, void volume T > C non-acupuncture points superficial penetration no electrical stimulation Sham EA type O
Ma et al. 2011 China88 Pain 2/2 116/117 0(0/0) VAS score T > C therapeutic acupoint no penetration no electrical stimulation Sham EA type B
Li et al. 2013 China89 Intraoperative immunosuppression 10/6 19/19 0(0/0) the levels of TNFα, IL-8, IL-10, IgM, IgA, IgG and full blood count ND non-acupuncture points the same depth electrical stimulation Sham EA type L
Deluze et al. 1992 Switzerland90 Fibromyalgia 4-10/4 36/34 15(8/7) Pain threshold, number of analgesic tablets used, VAS score T > C non-acupuncture points superficial penetration electrical stimulation Sham EA type N
Ng et al. 2013 Hong Kong91 Postoperative ileus 4/4 55/55 0(0/0) Time to defecation T > C non-acupuncture points superficial penetration no electrical stimulation Sham EA type O
Lee and Lee 2009 Republic of Korea92 Chronic Prostatitis / Chronic Pelvic Pain Syndrome 6/6 13/13 5(2/3) NIH-CPSI T > C Non-acupuncture points superficial penetration no electrical stimulation Sham EA type O
Tam et al. 2007 Hong Kong93 Rheumatoid arthritis 6/6 12/12 5(0/5) VAS ND Therapeutic acupoint Superficial penetration No electrical stimulation Sham EA type D
Kvorning and Akeson 2010 Sweden94 Anaesthesia 12/12 22/23 0(0/0) Plasma levels of adrenaline T > C Therapeutic acupoint No penetration No electrical stimulation Sham EA type A
Waite and Clough 1998 UK95 Smoking cessation 2/2 40/38 0(0/0) Biochemically validated total cessation of smoking T > C Non-acupuncture points superficial penetration Electrical stimulation Sham EA type N
Holzer et al. 2011 Austria96 Postoperative pain 3/3 20/20 0(0/0) VAS scores and the consumption of piritramide ND Therapeutic acupoint No penetration No electrical stimulation Sham EA type A
Sator-Katzenschlager et al. 2006 Austria97 Perioperative pain 3/3 32/30 1(0/1) VAS scores, adverse event and analgesic drug consumption T > C Therapeutic acupoint No penetration No electrical stimulation Sham EA type A
Liu et al. 2011 China98 a Primary dysmenorrhea 1/1 50/50 5(3/2) VAS scores ND Nonspecific acupuncture points The same depth Electrical stimulation Sham EA type F
Liu et al. 2011 China98 b Primary dysmenorrhea 1/1 50/46 6(3/3) VAS scores ND Non-acupuncture points The same depth Electrical stimulation Sham EA type L
Liu et al. 2014 China99 a Primary dysmenorrhea 2/2 167/167 6(4/2) VAS scores T > C Nonspecific acupuncture points The same depth Electrical stimulation Sham EA type F
Liu et al. 2014 China99 b Primary dysmenorrhea 2/2 167/167 6(4/2) VAS scores T > C Non-acupuncture points The same depth Electrical stimulation Sham EA type L
Maeda et al. 2013 USA100 1 Carpal tunnel syndrome 2/2 22/19 0(0/0) functional MRI, VAS scores T > C Non-acupuncture points No penetration No electrical stimulation Sham EA type F
Maeda et al. 2013 USA100 2 Carpal tunnel syndrome 2/2 18/19 0(0/0) functional MRI, VAS scores T > C Non-acupuncture points No penetration No electrical stimulation Sham EA type F
Shi et al. 2011 China101 a Primary dysmenorrhea 1/1 10/10 0(0/0) VAS scores, The plasma PGE2, PGF2a, TXB2, and 6-keto PGF1a levels ND Nonspecific acupuncture points The same depth Electrical stimulation Sham EA type F
Shi et al. 2011 China101 b Primary dysmenorrhea 1/1 10/10 0(0/0) VAS scores, The plasma PGE2, PGF2a, TXB2, and 6-keto PGF1a levels ND Non-acupuncture points The same depth Electrical stimulation Sham EA type L
Dias et al. 2010 Brazil102 Local anaesthesia 8/8 16/17 0(0/0) VAS scores ND Therapeutic acupoint No penetration No electrical stimulation Sham EA type A
Zhang et al. 2013 Hong Kong103 Chronic neck Pain 5/5 103/103 46(19/27) NPQ scores ND Therapeutic acupoint No penetration No electrical stimulation Sham EA type A
Sangdee et al. 2002 Thailand104 Osteoarthritis of the knee 4/4 48/47 4(2/2) VAS score, and Lequesne’s functional index T > C Therapeutic acupoint No penetration No electrical stimulation Sham EA type A
Johansson et al. 2001 Sweden105 Stroke rehabilitation 9–10/4 48/51 20(11/9) The scores of Barthel Index, the Rivermead Mobility Index and NHP, the time needed to walk 10 meters ND Therapeutic acupoint No penetration Electrical stimulation Sham EA type B
Hopwood et al. 2008 UK106 Stroke recovery 8–10/6 57/48 13(10/3) The scores of Barthel Index ND Therapeutic acupoint No penetration No electrical stimulation Sham EA type A
White et al. 1998 England107 Tobacco addiction 2/2 38/38 24 (11/13) VAS score ND Non-acupuncture points No penetration No electrical stimulation Sham EA type Q
Dias et al. 2014 Brazil108 Stress-related symptoms 13/8 33/20 5(3/2) The scores of MSQ, PSQI and MBI-SS T > C Therapeutic acupoint No penetration No electrical stimulation Sham EA type A
Lin et al. 2013Taiwan109 Insulin Resistance 2/2 16/15 1(1/0) Plasma glucose ND Therapeutic acupoint No penetration No electrical stimulation Sham EA type A
Michalek-Sauberer et al. 2007 Austria110 Perioperative pain 3/3 76/36 24(16/8) 5-point verbal rating scale, Time and amount of analgesic intake ND Therapeutic acupoint No penetration No electrical stimulation Sham EA type A
Carlsson and Sjolund 2001 Sweden111 Chronic Low Back Pain 4/2 16/16 0(0/0) VAS scores, Intake of analgesics, Sleep quality and level of activity T > C? Non-acupuncture points No penetration No electrical stimulation Sham EA type Q

T, treatment group/real EA group; C, control group/sham EA group; NS, not stated; T > C, EA treatment group was significantly superior to sham EA control group; ND, no difference between EA and sham EA group; T < C, real EA group was significantly inferior to sham EA group; T > C?, the efficacy result of trial was reported as “T > C” without conducting the between-group analysis and with the original data not available; NRS, Numerical Rating Scale; SF_MPQ, Short-Form McGill Scale; FMRI, Functional magnetic resonance imaging; MASS, the Massachusetts General Hospital Acupuncture Sensation Scale; WOMAC, The Western Ontario and McMaster University Osteoarthritis Index; EPDS, Edinburgh Postnatal Depression Scale; HADS, Hospital Anxiety and Depression Scale; HDRS17, 17-item Hamilton Rating Scale for Depression; CGI, Clinical Global Impression; FMA, Fugl-Meyer Assessment; VAS, Visual Analog Scale; NIHSS, the National Institutes of Health Stroke Scale. BW, body weight; BMI, body mass index; BFM, body fat mass; BPI, Brief Pain Inventory; EDSS, Expanded Disability Status Scale; FAMS, Functional Assessment of multiple Sclerosis; C-MMASS, Modified Massachusetts General Hospital Acupuncture Sensation Scale – Chinese version; HR, Heart rate; MAP, mean arterial blood pressure; OLM, opioid-like medication; TNF-α, tumor necrosis factor-α; IL-8, interleukin-8; IL-10, interleukin-10; HDRS, Hamilton Depression Rating Scale; HAMD-17, the 17-item Hamilton Rating Scale for Depression; SDS, the Chinese-version Self-rating Depression Scale; SPT, single pain threshold; TST, temporal summation thresholds; R1, angle of muscle reaction; R2, passive range of motion; R2–R1, dynamic component; ISI, The Insomnia Severity Index; PSQI, the Pittsburgh Sleep Quality Index; CGI-S, the Clinical Global Impression - Severity scale; BPI-SF, Brief Pain Inventory Short Form; FACT-G instrument, the Functional Assessment of Cancer Therapy-General instrument; 24-item HAMD, the 24-item Hamilton Depression Rating Scale; TFM, Trunk Fat Mass; WC, Waist Circumference; HC, Hip Circumference; VAS-100, a 100-mm visual analogue scale; BOLD fMRI, blood oxygen level dependent functional magnetic resonance imaging; IPSS, the International Prostate Symptom Score; GCSI, the Gastroparesis Cardinal Symptom Index; SEPs, somatosensory evoked potentials; MVC, maximal voluntary contraction; NIH-CPSI, NIH-Chronic Prostatitis Symptom Index; NPQ, the Northwick Park Neck Pain Questionnaire; NHP, the Nottingham Health Profile; MSQ, Mini-Sleep Questionnaire; MBI-SS, the Maslach Burnout Inventory—Student Survey.

Note: Sham EA type A: sham EA on therapeutic acupoints plus no penetration plus no electrical stimulation; Sham EA type B: sham EA on therapeutic acupoints plus no penetration plus electrical stimulation; Sham EA type C: sham EA on therapeutic acupoints plus the same depth plus no electrical stimulation; Sham EA type D: sham EA on therapeutic acupoints plus superficial penetration plus no electrical stimulation; Sham EA type F: sham EA on nonspecific acupuncture points plus the same depth plus electrical stimulation; Sham EA type L: sham EA on non-acupuncture points plus the same depth plus electrical stimulation; Sham EA type M: sham EA on non-acupuncture points plus the same depth plus no electrical stimulation; Sham EA type N: sham EA on non-acupuncture points plus superficial penetration plus electrical stimulation; Sham EA type O: sham EA on non-acupuncture points plus superficial penetration plus no electrical stimulation; Sham EA type Q: sham EA on non-acupuncture points plus no penetration plus no electrical stimulation.