Adults do not need noma picking.
The “noma picking method”, also known as the “picking four stitches method”, is an external treatment that uses a three-pronged needle (or other steel needle) to pick a specific area or acupuncture point and pick through the skin to remove subcutaneous fat.
It is used to treat pediatric chancre (a chronic disease in children that manifests itself as emaciation, abnormal eating and drinking, abdominal distension, and thinning and yellowing of the hair).
This treatment was first described in Acupuncture and Moxibustion Dacheng (针灸大成), and doctors have specialized in treating children’s chancre. The four sutures are extra-meridian acupuncture points that are intrinsically linked to the San Jiao (三焦), Vital Gate (命门), liver, and small intestine, and clinically have the effects of calming the liver and diarrhea of the heart and regulating the spleen and the stomach, which can regulate the San Jiao (三焦), regulate the spleen and generate vital essence, and dry up dampness and expel insects.
There is no evidence in the literature that this treatment is effective in adults, so adults do not need to be treated for noma.
The method described above should be practised by a medical professional in order to prevent harm to the body.