Acupuncture combined with plum blossom needling reduces cholesterol and triglyceride levels in obese patients with hyperlipidemia. Researchers discovered an additive effect when combining the two protocols. The total effective rate in the acupuncture combined with plum blossom needling group was higher than in a group receiving only acupuncture. Other clinically significant changes documented in the study were improvements in body mass index and body fat percentages.Plum blossom needling, often referred to as seven star needling, refers to a group of needles attached to a wand. The flexible wand is manually manipulated to tap the needles to the surface of the skin. The researchers investigated the synergistic and additive effects of combining plum blossom needling with standard acupuncture protocols. One group received manual acupuncture and the other group received a combination of manual acupuncture plus plum blossom needling.