In 1198 cases acupuncture anesthesia for subrotal gastrectomy

there are 61 failures. The failure rate is 5.1%. The main purpose of this paper is to analyze the various causes of the failures of acupuncture anesthesia. As a result of this analysis

it is considered that the faitures are somewthat re- lated to various factors such as of age of the patients

choice of their acu- puncture points and method of stimulation

adjunct drugs used

location and degree of complication of the diseased foci

and to whether the operation is difficult or easy in certain procedures. From the summary of the failure cases

it has been pointed out that as method of physiological anesthesia

acupuncture anesthesia has certain li- mitation in analgesia

and insufficiency in prevention adverse reactions from traction to viscera. However

if the patients are detected preoperatively and chosen acco- rding to stability of their nature

strength of their temperance

higher threshold to pain sensation and less complicated diseased foci

meanwhile effective acupuncture points; and adequate method of stimulaton and suitable adjunct drugs are to be chosen

and good coorperation between all respects of operation team are to be expected; and in those critical surgical proce- dures such as freeing of duodenum

exploration of diseased foci and reexa- mination of anastimotic ring

apply some drugs beforehand; then acupunc- ture anesthesia can be considered as one of good choices in anesthesia

and good results can be expected.