Licensed practitioners in the US routinely incorporate a suite of non-needling techniques, known as adjunct therapies, which complement the primary treatment for a more comprehensive therapeutic approach. These methods are rooted in traditional practice but are utilized alongside modern clinical assessments.

Prominent adjuncts include Cupping and Moxibustion. Cupping involves applying specialized suction cups to the skin to create a vacuum effect, which is thought to increase local blood flow, loosen fascia, and relieve underlying muscle tension and local "stagnation" often associated with chronic pain. Moxibustion involves the careful burning of compressed Mugwort (Artemisia vulgaris) near the surface of the skin or on the handle of a needle to generate deep, penetrating warmth that stimulates specific points and improves circulation. Additionally, many practitioners recommend and dispense Chinese Herbal Formulas and provide detailed dietary and lifestyle advice as integral components of the overall treatment plan. The legal scope for dispensing herbs, however, is subject to variation based on state-level licensing regulations for non-physician acupuncturists. This multi-modal approach distinguishes the comprehensive nature of the practice from simple needle insertion, as noted in clinical scope documents, such as the US Acupuncture Professional Insights.