我院从1976年起

在完成全国协作组所规定的三组穴位临床研究任务之后

在临床上又自选扶突透翳风穴应用于颅脑手术

至1979年11月共施行了67例手术

针麻效果较良好。现资料报告如下:From January 1976 to November 1979

sixty-seven cranial operations were successfully performedwith acupuncture anesthesia by means of needling Yifeng (S. J. 17) through Futu (L. I. 18). Amongthe patients 48 were males and 19 females

their ages ranging from 16 to 67 years. The underlying dise-ases included tumors of the hypophysis

cerebellum

c-p angle

glioma

acoustic neuroma

metastatictumors

brain abscesses

intracranial hematonia

trigeminal neuralgia and lesions of the cranium or scalpetc. Patients chosen for acupuncture anethesia were those who were consciotis

non deaf-mute

withoutobvious mental disturbance and had been clearly diagnosed. Two 6 cm-needles were inserted at the points of Futu on both sides of the neck

to the depth ofthe deep fascia

with the needle being held 30-45 degrees to the skin surface and toward the points ofYifeng. After that the needles were fixed and connected to the out-put of G-6805 model stimulator.Electrical stimulation in consecutive wave-form

frequency 500/min

was delivered with the intensityincreased gradually and not beyond the patient's tolerance. The induction lasted half an hour. All pa-tients were given sodium luminal 0.1 gm intramuscularly 30 minutes before operation

and some of themreceived atropin 0.5 mg or scopolamin 0.3 mg by intramuscular injection. Before skin incision

as aroutine

Dolantin (1mg/kg body weight) was injected intravenously. Epinephrin 0.3-0.5mg diluted in NS 150-200ml was infiltrated into the hypodermis to len bleeding during the skin incision. The anesthesia results were evaluated in 4 grades according to the criterion put forward by theChina Acupuncture Anesthesia Coordination Group (CAAC). There were 28 cases for grade Ⅰ(41.8%)

25 cases for grade Ⅱ(37.3%)

Ⅱ cases for grade Ⅲ (16.4%)

and the remaining 3 cases for gradeⅣ since they required other anesthetics to finish the operation. Hence 64 cases (95.5%) were consideredto be successful. Acting on the principle of channels and collaterals and considering the distribution of nerve seg-ments

the points of Futu and Yifeng on both sides of the neck were selected for anesthetic stimulationin operations of the anterior

middle and posterior cranial fossa. There were no significant differencesin the anesthetic results among these three regions of operation statistically (P>0.05) and none whencompared with the rssults of other three groups using (Quanliao

Ear acupuncture

and Body acupunc-ture

put forward by CAAC (P>0.05). Therefore

the method mentioned above is effective in cranialoperations. It has the advantages of passing through three Yang Channels in the hands and reachingthose in the feet directly or indirectly

all being near the operative area. Mereover it is simple

effec-tive

and easy to handle. The main problem to be solved is the incompleteness of analgesia

that is tosay

pain could be felt during skin incision. It demands further efforts to improve the operative steadi-ness accuracy

softness and quickness.