We performed the subtotal gastrectomy for 10 patients with gastrodu- odenal ulcer acute perforation and 15 patients with giant gastric ulcer under acupuncture anesthesia with minor anesthetic. There were 23 men and 2 women ranged from 32 to 58 years (ave- (rage age

45 years). There were 7 patients with duodenal ulcer acute per- foration and 3 patients with gastiic ulcer acute perforation. The giant ga- stric ulcer in all the cases sited on the posterior gastric wall. The ulcerative diameter averaged 3.3 cm. The mean time for operation was 3 hours. There was no complication of peritoneal cavity abscess or anastomotic fistula after operation. The acupuncture point was bilateral Jiaji below the fifth thoracic ver- tebra. The mixture of epidural anesthetic drug used consisted of 2% Li- docaine (20 ml)

1% Dicain (6ml)

and N.S (14ml). The mean of the mixture used in the 25 patients was 5.3ml/3hs which was much less than that used in the contral group (28.6ml/3hs 25min.) The effect of anesthesia was guite satisfactory (first grade: 19 cases; second grade: 6 eases). It seems that there is synergism between acupuncture anesthesia and epidural anesthesia.