针刺治疗心脏病最早见诸于风湿性心脏办膜病

根据报导堪称良效、而后治于冠心病心绞痛

在国内也屡见报道亦获良效。本文为探求针刺对急性心肌梗塞的疗效

于1978～1980年对14例急性心肌梗塞针刺双侧内关穴

于针前、针后止痛疗效、左心室功能(STI)、血浆cAMP含量、心电图∑ST等项目的观察上亦获一定疗效

今分析小结如下:Fourteen coronary patients with acute myocardial infarction were trea- ted with manual acupuncture at Neiquan points bilaterally. In thirteen cases the angina pectoris was relieved or alleviated after acupuncture (One patient had had no angina pectoris). The relief or alleviation of angina pectoris is therofore 100％. Eight of the cases (80％) showed a signi- ficant decrease in plasma cAMp concentration after acupuncture

the mean value of decrease being 11.01 pmole/ml (p<0.05 in single sided limit). In 2 cases the plasma cAMp level roso

but one of these patients had car- diogenic shock and the other died. The STI in 10 of 14 cases shortened after acupuncture: in 3 cases it remained unchanged and in 1 case it in- creased. The shortened cases amounted to 71.4％ and the mean interval of shortening was-0.034 (p<0.01). The value of ∑ST segment in the ECG in 5 of 6 cases was decreased after acupuncture

the percentage being 83.3％ and the mean value of decrease was 5.1 mm(p<0.05). According to the data presented above

we presume that the relief of angina pectoris in acupuncture therapy at Neiquan points might be connec- ted to the release of endorphine and the decrease of cAMp in the plasma might be due to the effect of acupuncture in changing the concentration of the catecholamines. These effects of acupuncture may be useful in the prognosis of myocardial infarction. The decrease of ∑ST indicates an im- provement in myocardial ischemia

while the shortening of STIs also po- ints to the improvement on cardiac function. From these preliminary obs- ervations

it may be concluded that acupuncture at Neiguan points pro- duces a favorable effect in the treatment of acute myocardial infarction. Further studies are in progress.