First, let me point out that we may use the same instrument but the theory and use of the instrument is different. Having learned to do estim, acupressure and cupping on ashi (acupuncture points) and how to do dry needling on TrPs is like comparing apples to oranges. In acupuncture, we learn about the qi and that it flows along meridians. Pain and sickness is brought about by impeded flow of qi where there is no balance of yin and yang. Needles are stuck in ashi point to open the channels to the flow of energy. The points are predetermined and found using anatomical landmarks and measuring the distance using cun as measurement. Moxibustion may be done during acupuncture. In dry neeling, palpation is done to feel for active TrPs (trigger points) caused by a muscle that has become hypersensitive and has contracted to the point where it has produced pain and soreness by impeding blood flow. Landmarks are then determined so that the rusk of penetrating other structures ie lungs is avoided. No measurements of distances from landmarks are done.there is no memorizing of meridians nor measuring of cuns. We do not discuss the chi. Much like checking a person's pulse, an acupuncturist feels your pulse and make a diagnosis. A western medical practitioner takes your pulse and says something else. We all want the same goal for the patient; to help them become healthier and have a better life. I for one see no problem fir they are so different in so many ways. Are the similarities enough to say that they are one and the same, I believe not. I have a Bachelors degree, an Doctor of Medicine degree and a DPT degree. I do not claim to practice acupuncture and I do not claim to be one.