Save visits to acupuncturists. Ear seeds exert continuous mild pressures on acupoints to achieve results. Gently massage the ear seeds 3-5 times a day to further stimulate the points. It can be worn for a few days each time. No needles and do not pierce the skin. It is safe and suitable for people who want to experience acupuncture but are needle phobia. Hardly noticeable nude color stickers allow you to conveniently wear the ear seeds all day. Note: The plaster contains medical latex. Please test on the skin if you are uncertain that you may be allergic. Each package contains a total of 600 counts of ear seed patches and a brief instruction manual ONLY. This is a refill pack and does NOT contain tools, ear chart or ebook.