
Written By,
Dorothy Payne
,
R.Ac
Case Study: Smoking Cessation Successfully Treated with German AuricularMedicine (GAM)
Patient:
Ms. Smith (pseudonym), is a woman in her mid-30s who presented with a long-standing dependence on tobacco. She began smoking in childhood, and by adulthood she was consuming approximately one pack of cigarettes per day. Over the years, she attempted multiple cessation strategies—including nicotine replacement therapy, prescription medications, behavioral programs, and cold quitting – all without sustained success. She reported high levels of both physiological and psychological attachment to the habit.
Despite these challenges, Ms. Smith expressed a clear and determined commitment to quit smoking and stated that cessation was among her highest personal priorities at this time.
Initial Evaluation and Assessment:
During the initial consultation, a full history was taken with emphasis on:
• Smoking history and prior attempts at quitting
• Withdrawal patterns, including emotional reactions
• Stress and activity triggers
• Sleep quality and mood
• Readiness and motivation to change
An auricular assessment was performed following the principles of German Auricular Medicine(GAM), including palpation and identification of active reflex zones associated with addiction, stress regulation, and autonomic imbalance.
Several reactive zones were identified corresponding to:
• Nicotine dependence points
• Autonomic nervous system regulation areas
• Stress and emotional regulation points
• Limbic/emotional centers
• Lung and throat projection zones
Ms. Smith agreed to begin a short course of 6 – 8 auricular treatments using sterile, single-use auricular acupuncture needles.
Treatment:
A structured treatment plan using German Auricular Medicine was initiated. Each session involved precise placement of sterile, single-use needles into auricular points identified as active for the patient. The treatment frequency was once weekly.
Session 1:
• Targeted points for nicotine craving, sympathetic overactivity, and limbic modulation.
• Within 24 hours after the first treatment, patient reported a noticeable reduction inthe urgency of her cravings. She continued to smoke during this week, however less often and described the cigarettes as “horrid tasting”.
Session 2:
• Adjustments based on new VAS findings.
• Patient reported further decline in smoking and reduced irritability.
Session 3:
• Focus on residual stress-trigger points and autonomic balancing.
• Patient reported that she had not smoked at all since the last treatment.
Session 4:
• By the fourth treatment, patient had remained completely smoke-free for several weeks. Cravings were described as ‘nonexistent’.
• Practitioner felt that further scheduled treatments were not necessary as targeted points showed significantly reduced imbalances. This final session reinforced stabilization points and emphasized long-term relapse prevention strategies.
Outcome:
At the conclusion of the fourth treatment, Ms. Smith had successfully quit smoking and expressed confidence in her ability to maintain abstinence. Follow-up communication over the subsequent months confirmed continued success.
As of eight years after completing treatment, the patient remains smoke-free. Patient reports:
• No significant cravings
• Ability to be around other smokers without cravings
• No episodes of relapse
• Improved overall health, energy, and respiratory comfort
• A strong sense of empowerment regarding her decision to quit
• A belief that German Auricular Medicine was the only approach that addressed both the physical and emotional dimensions of her dependence
Conclusion:
This case highlights the potential role of German Auricular Medicine as part of a comprehensive approach to smoking cessation. While individual responses vary and no single modality works for everyone, Ms. Smith’s strong commitment, accurate auricular point identification, and consistent treatment schedule likely contributed to her successful outcome.
Notes:
The treatment approach followed German Auricular Medicine methodology, which differs from traditional auricular acupuncture by emphasizing neurophysiological mapping of the ear, dynamic point assessment, and individualized treatment selection.
It illustrates the potential usefulness of GAM as a complementary approach for smoking cessation, particularly in patients with longstanding nicotine dependence and previous unsuccessful attempts using conventional methods. In this instance, the combination of the patient’s strong personal commitment and the targeted auricular interventions contributed to a successful and enduring outcome.
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