最新刊期
卷 ， 期 4 ， 1983
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- 摘要：This paper reports the use of acupuncture of JiaJi T_7, T_(11), Xuehai and Sanyinjiao as a treatment for thrombocytopenic Purpura. In 19 of 25 cases, thrombocytes were increased within one month. The difference of the results between using acupuncture and administration of Vincris- tinum was not significant. It was thought that acupuncture for thrombocy- topenic purpura is safe and advantageous.817|0|0更新时间：2023-08-11
- 摘要：In order to overcome the defect of acupuncture anesthesia, such as in- completeness of analgesic effect, we performed 24 subtotal gastrectomies with combination of epidural and aculaser anesthesia. The anesthetic effects on subtotal gastrectomy in a group of pateints by using acupuncture anesthesia with "good" (grade 2)effect and in another group by conteanous epidural anesthesia were compared. The following indices were chosen as the observed norms, The average rate of pain, the average rate of referred pain of stomach, the change scale of mean blood pressure and pulse rate, mean total dose of analgesics, mean dose of analgesics per hour and the amount of pressor agent to be used. Result: 1. The analgesic effect of combined acu-laser anesthesia was increased. Blood pressure and pulse rate by this anesthetic method were less affected than by epidural anesthesia. 2. In combined acu-laser anesthesia, the mean total dose of analgesics was reduced by about a half (P<0.05).Mean dose per hour reduced by nearly one third.960|0|0更新时间：2023-08-11
- 摘要：The clinical practice showed that the effect of acupuncture anesthesia on abdominal operations was often influenced by the visceral tractive rel- flex and the visceral pain. One of the important factors to chose the in- dications of acupuncture anesthesia and to improve its effect is to find out some methods which can be used to evaluate the visceral tractive reflex. According to the theory of relationship between viscera and channels of traditional Chinese medicine and the influence of needling points on the function of vegetative nervous system, we had a pre-operation evaluation of the effect of acupuncture anesthesia in patients, judging from parameters of changes of heart rates and times of gurgling sounds before and after needling Neiguan and Zusanli. 212 cases of two groups were selected. The patients in one group would receive abdominal operations, including total hysterectomy and subtotal gastrectomy. The others would receive operations on their necks and faces including local excision of thyroid cyst or adenoma and glaucoma decom- pression. 75% of them were females, 25% males; 90% 1850 years old, 10% 5150 years old, 10% 5160; 67% workers and cadres, and 33% peasants. All the tests were taken in laboratoies three hours after lunch within 1-3 days before opera- tion. The room temperature was 16-28℃. All the patients were free of arrhythmia, thydroidism or any acute intestinal diseases. Methods I. The patientes then their heart rates(pulse rates) were recorded with a polygraph for one minute as the fundamental value. 2. The times of gurgling sounds were recorded for two minutes with a stethoscope on an area of the abdomen(the right to the umbilicus). The average times of gurgling sounds in a minute were taken as the fundamental value. 3. strong stimulation was applied by inserting and twisting the need- les of two cun and three cun into Neiguan and Zusanli at the same side re- spectively. After the patients complained of the sensation of soreness, nu- mbness and distention, the needles were connected to an electric stimulator for induction. 10 minutes later the gurgling sounds were recorded, and another 10 minutes later the heart rates were recorded. 4. The sounds and rates recorded were compared with the fundamental values. Results 1. The effect of acupuncture anesthesia of 108 cases of abdominal opera- tions preliminarily showed that good results were obtained from those that their times of gurgling sounds inrcreased while their heart rates slowed down by needling the points(GradeⅠand GradeⅡ). On the contrary, poor results were obtained(Grade Ⅲ and Grade Ⅳ). There were some statistically significant differences(P<0.01). 2. Among the 104 cases of the operations performed on necks and faces, the changes of heart rates and times of gurgling sounds did not coincide with the effect of acupuncture anesthesia. By statistical analysis there was no significant difference (P>0.05). 3. During the first 10 minutes of induction period by needling Neiguan and Zusanli, the times of gurgling sounds obviously increased, but the heart rates did not change obviously; during the next 10 minutes, the heart rates changed clearly(mainly slowed down), and the times of gurgling sounds decreased, which was higher than the fundamental value. Control 31 cases of in patients without receiving acupuncture, who were suffer- ing from the four diseases as above, were observed with the same methods. Their heart rates and gurgling sounds did not change significantly (P> 0.05 ). Conclution 1. Needling Neiguan and Zusanli may change the times of gurgling sounds(mainly increasing)and the heart rates(mainly slowing down). 2. The good result is indicated by the slowing down of the heart rates and the increase of the times of gurgling sounds, whicn suggests that need- ling some points seems to modify the function of the vegetative nervous system. 3. Needling the relative points may change the visceral functions. These changes depend on the individuals obviously. 4. This study has provided a clue to pre-evaluating the effect of acu- puncture anesthesia on abdominal operations. It is valuable to further study.639|0|0更新时间：2023-08-11
- 摘要：It had been shown in our previous work that preoptic area might mo- dulate discharges of "pain" units in LH and that the neuronic activities of the preoptic area were also influenced by impulses from acupuncture po- int. So we assumed that the impulses from acupuncture point probably produ- ced the same effect as stimulation of preoptic area on LH. In order to give evidence to this problem, we performed this experiment. Thirty-eight albino rats of both sexes (body weight. 200-320g) were used for this study. The rats were anesthetized with chloralhydrate. The spontaneous firings of LH were recorded by glass microelectrode with co- ordinates: A 4.1 L 0.6 H 4.2. Electrical needling was performed by means of the G6805 type acupunc- ture anesthesia apparatus. The parameters of stimulation were: 100 cycles /sec, intensity 5-7v, 4＇-14＇ in duration. The spontaneous firings of 40 units in LH were recorded. "Pain" stimuli (the clamping of tail or electrostimulation of the sciatic nerves)caused art increase in discharge frequency of 29 units (pain-excitation unit, PE)and a decrease in 11 units (pain-inhibition unit, PI) . The 29 PE in LH all were inhibited by electrostimulation of the preoptic area, and 11 PI all were excited by it for comparing the effect of the pr- eoptic area and acupuncture. Then the effect of acupuncture on LH was observed further. Electrical needling "Zusanli" point might inhibit the discharge of PE in LH(24/29, 82.8%). This inhitory effect lasted for 1＇--6＇. Otherwise effect of the contralateral point was identical with ipsilateral. On the other hand, electrical needling increased freruency of spontaneous firings of PI in LH(7/11, 63.6%)and offset the inhibitcry response to noxious stimuli. From the data presented, it was suggested that the effect of electrical needling "Zusanli" point on two kinds of "pain" unit discharge in LH con- formed with electrostimulation of preoptic area, i.e., it might modulate discharge of "pain" unit in LH. At last, the relationship between this mo- dulatory effect and acupuncture analgesia was discussed.995|0|0更新时间：2023-08-11
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- 摘要：In rabbits provided with chronic intracerehroventricular cannula, CaCl_2 or MgC1_2 was injected intraventricularly (ivt) to increase the cerebral content of Ca(++) and Mg(++) and Mg(++), and CDTA, the cation chelator, was injected ivt to lower the cerebral content of cations including Ca(++), and CDTA, the cation chelator, was injected ivt to lower the cerebral content of cations including Ca(++) and Mg(++) and Mg(++) to see its effect on the analgesia induced by electroacupuncture (EA) or by morphine. 1. The effect on EA analgesia: EA of 2-15Hz, 1v, 10 min was given to hind leg points Zusanli and Qunlun, 10 rain after the ivt injection of one of the following chemicals: CaCl_2, MgCl_2 or CDTA in a dose of 0.5 μmol, or 50μl of normal saline as control. Nociception was tested by the latency of the head jerk induced by radiant heat applied on the skin over the snout. It was shown that EA analgesia found in CaCl_2 group(28±8%) was much lower than that of the saline control group(133±13%,p<0.001). A decrease in EA analgesia was also observed in rabbits injected with MgCl_2 (47±11% vs 123±15%, p<0.001). Ivt injection of the chelator CDTA, on the contrary, resulted in a potentiation of EA analgesia(CDTA group 164±15% vs saline group 104±19%, p<0.05). No significant chan- ges in pain threshold were seen when these chemicals were injected alone. The results indicate that Ca(++) to see its effect on the analgesia induced by electroacupuncture (EA) or by morphine. 1. The effect on EA analgesia: EA of 2-15Hz, 1v, 10 min was given to hind leg points Zusanli and Qunlun, 10 rain after the ivt injection of one of the following chemicals: CaCl_2, MgCl_2 or CDTA in a dose of 0.5 μmol, or 50μl of normal saline as control. Nociception was tested by the latency of the head jerk induced by radiant heat applied on the skin over the snout. It was shown that EA analgesia found in CaCl_2 group(28±8%) was much lower than that of the saline control group(133±13%,p<0.001). A decrease in EA analgesia was also observed in rabbits injected with MgCl_2 (47±11% vs 123±15%, p<0.001). Ivt injection of the chelator CDTA, on the contrary, resulted in a potentiation of EA analgesia(CDTA group 164±15% vs saline group 104±19%, p<0.05). No significant chan- ges in pain threshold were seen when these chemicals were injected alone. The results indicate that Ca(++) and Mg(++) and Mg(++) in brain may exert an antagonis- tic effect on EA analgesia 2. The effect on morphine analgesia: Groups of rabbits were given ivt injection of one of the following chemicals: CaCl_2 4 μmol, MgCl_2 2 μmol, CDTA 1.4 μmol, or normal saline 50 μl, followed 10 min later by iv injection of morphine(3 or 6 mg/kg). Pain threshold changes were monitored for 1 h. A decrease in morphine analgesia was shown both in CaCl_2 group(50±26% vs 197±2%, p<0.001) and in MgCl_2 group (54±11% vs 145±19%, p<0.001). Ivt injection of CDTA, however, caused a marked potentiation of morphine analgesia (166+20% as compared with 105±10% in control group, p<0.05). An antagonistic effect of cerebral Ca(++) in brain may exert an antagonis- tic effect on EA analgesia 2. The effect on morphine analgesia: Groups of rabbits were given ivt injection of one of the following chemicals: CaCl_2 4 μmol, MgCl_2 2 μmol, CDTA 1.4 μmol, or normal saline 50 μl, followed 10 min later by iv injection of morphine(3 or 6 mg/kg). Pain threshold changes were monitored for 1 h. A decrease in morphine analgesia was shown both in CaCl_2 group(50±26% vs 197±2%, p<0.001) and in MgCl_2 group (54±11% vs 145±19%, p<0.001). Ivt injection of CDTA, however, caused a marked potentiation of morphine analgesia (166+20% as compared with 105±10% in control group, p<0.05). An antagonistic effect of cerebral Ca(++) and Mg(++) and Mg(++) was thus shown also on morphine analgesia. That both EA and morphine analgesia were attenuated by an increase in cerebral Ca(++) was thus shown also on morphine analgesia. That both EA and morphine analgesia were attenuated by an increase in cerebral Ca(++) and Mg(++) and Mg(++) and augmented by a decrease in brain cations implies a similarity in the mechanisms of action for these two analgesic processes.945|0|0更新时间：2023-08-11
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- 摘要：There are 86 articles which have been reviewed in this paper, tooth extrac- tions under acupuncture anesthesia and tooth extractions under finger press anesthesia are described. In some aspects which include the experiences and opinions of the author. In which some references are talking about the principles of acupuncture anesthesia.820|0|0更新时间：2023-08-11
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