**2. Introduction to acupuncture treatment**

For the benefit of our readers, we feel it necessary to first introduce acupuncture. The acupuncture treatment that the authors are using is Japanese-style acupuncture needles. The needles are made of stainless steel and are disposable. The needles we use are 0.2 mm in diameter, which are much thinner than injection needles. Regarding the area to be treated, botulinum treatment or alcohol blockade would involve injecting a chemical solution into the affected muscle that is hypertonic. In our acupuncture treatment, we use acupuncture points as the target of treatment. The acupuncture points have an important meaning in acupuncture treatment. However, their actual status has not been confirmed anatomically. In this regard, it is not surprising that a non-acupuncturist would question the significance of acupuncture in medicine. However, in the 1990s and 2000s, there was a growing awareness of Oriental medicine in terms of complementary and alternative medicine (CAM) and integrative medicine. In 2003, the WHO began to consider international acupuncture point location standardization as part of its work to standardize acupuncture terminology, and in 2008, the WHO/WPRO: WHO Western Pacific Region Office published the "WHO Standard Acupuncture Point Locations in the Western Pacific Region" [5]. In this text, 14 meridians and 361 acupuncture points are summarized. We use this concept of meridians and acupuncture points in acupuncture treatment for dystonia to regulate muscle tone in the affected muscles.
