[Objective] This study aimed to collect, analyse, and examine the literature on adverse events in acupuncture and moxibustionin order to improve safety.[Subjects and Methods] A literature search was conducted using Ichushi Web and PubMed to identify reports of adverse eventsrelated to acupuncture and moxibustion published in domestic and international medical journals from 2020 to 2023. The searchkeywords included 'acupuncture', 'moxibustion', and various terms related to adverse events associated with them.[Results] We identified 33 papers describing acupuncture-related adverse events in Japan. The reported adverse events includedinfections (9 papers), organ injuries (11), neurological injuries (2), dermatological problems (2), and needle breakage, retainedneedles, or foreign bodies (9). We also identified 56 papers reporting adverse events that occurred abroad, including infections(17); organ injuries (23); neurological injuries (1); dermatological problems (6); needle breakage, retained needles or foreignbodies (3); others (4); and moxibustion-related adverse events (2).[Conclusion] Consistent with previous surveys, various adverse events related to acupuncture and moxibustion occurred bothdomestically and internationally. These findings highlight the importance of learning from the reported cases and implementingsafety education on acupuncture and moxibustion.Zen Nihon Shinkyu Gakkai Zasshi (Journal of the Japan Society of Acupuncture and Moxibustion: JJSAM).2025; 75(4): 442-462. Received 29 Jun, 2025 Accepted 13 Jul, 2025

The Safety Committee, Clinical Information Department, Japan Society of Acupuncture and Moxibustion (JSAM) held a workshop at its 73rd Annual Meeting in Miyagi titled "Literature Review on Adverse Events and Introduction of the Practical Manual for Safety Management of Acupuncture and Moxibustion Therapy." The following topics were presented, followed by a question-and-answer session: 1. Literature Review on Adverse Events Associated with Moxibustion 2. Literature Review on Adverse Events Associated with Acupuncture 3. Introduction of the "Practical Manual for Safety Management of Acupuncture and Moxibustion Therapy" The manual was published in July 2024, and members are encouraged to read it and use it as a safety reference for daily practice settings.

The Safety Committee, Clinical Information Department, Japan Society of Acupuncture and Moxibustion (JSAM) held a workshop at their 72nd Annual Meeting in Kobe titled "Forgotten Needles: Present Conditions and Measures."In the workshop, the following information was offered by the three committees, and a question and answer session was conducted with the audience afterward. 1. Patient's affection for forgotten needles: analysis of a contribution to Twitter 2. The present conditions and measure plans of forgotten needles: based on the present conditions of Kansai University of Health Sciences 3. Forgotten needles at the Suzuka University of Medical Science: the real condition of prevention of outbreak We performed a thorough cross- and/or double-check to prevent forgotten needles. The reports suggested various ideas as check methods, and the results of the study helped the practice from the next day.