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41 reviewsABSTRACT Keywords: Objectives: Auriculotherapy has long been used to treat various diseases. We analyzed and visualized auricBibliometric analysis ulotherapy’s geographical distribution, key contributors, and thematic trends over the past 20 years to provide Auriculotherapy current trends in auriculotherapy field and to offer recommendations for future research directions. Ear acupuncture Design/setting: We searched for relevant studies in the Web of Science between January 10, 2003, and December Auricular acupressure 31, 2022. A bibliometric analysis was performed using VOSviewer for annual publications, journals, countries, institutions, authors, and keywords. Results: A total of 800 studies were included in the analysis, and the number of studies steadily increased over the 20 examined years. In 2018, there was a noteworthy rise in publications, nearly twice as many as the preceding year. Integrative & complementary medicine was the most researched area, with most articles published in Evidence-Based Complementary and Alternative Medicine. China was the country with the most published research, and the most active organization was Guangzhou University of Chinese Medicine in China, followed by Kyung Hee University in South Korea. The most prolific author was Yeh Mei-ling, who reported the effects of auriculotherapy on dysmenorrhea and smoking cessation. Keyword analysis revealed four clusters: pain, mental health, obesity, and smoking cessation. Conclusion: Auriculotherapy research primarily focused on clinical studies related to pain, obesity, smoking cessation, and depression. Future research should place greater emphasis on verifying the mechanisms of auriculotherapy for specific ailments and may require efforts to enhance the robustness of clinical trials. Through visual analysis, our study may serve as a foundational resource, offering valuable insights into the traject