Résumé
(1) Some improvements were made in the score table used for evaluation of effectiveness in the previous studies.<br>(2) The number of the cases evaluated was incresed.<br>(3) The difference in effectiveness of acupuncture anaesthesia and the doctors' skill of operation, the factor which influences painfulness, were also examined.<br>(4) The measurement of palm-forearm skin potential was employed as an objective evaluation of pain.<br>METHODS<br>Acupuncture anaesthesia was undertaken using Neurometer NAJ. Induction was done through Chinese needles (2 inch no. 28) inserted on Zusanli and Sanyinjiao for 20 minutes.<br>The evaluation was done on 413 cases which underwent intrauterine curettage under acupuncture anaesthesia in 1982-1985.<br>The evaluation of the effectiveness was carried out in two ways: (1) using scores based on the observation of patient's expression of the face and other signs, and (2) subjective evaluation (questionnaire) during the operation.<br>The skin potential was measured between the electrodes applied to the palm and the forearm using ECG (Fukuda-DU3S).<br>The relationship was examined between the potential and pain during the operation was examined. (10mm-25mm/sec, 0-8mmV)<br>RESULT<br>(1) As a result of the improvement in the score table, the effectiveness rate obtained from the questionnaire and that from the score table were close enough to conough to confirm its utility.<br>(2) Less effectiveness of acupuncture anaesthesia was obtained in the patients classified into the “type of unbalanced autonomic nervous system” according to the classification of the CMI test modified by Majima. This result was coincide with the previous report.<br>(3) Among five doctors, one obtained the best effective rate of 63%, and others got those of 14-26%.<br>(4) In the measurement of the potential between the palm and the forearm, values of 0.1-8.0mV appeared. Although there was a tendency that the severer the pain was, the higher the potential was, the actual value of this measurement as a rating method is to be examined.
Résumé
I. Purpose:<br>Individual differences in effects of acupunctual anesthesia during uterine endometrial biopsy were tested by means of the modified methods of Cornell Medical Index (CMI-test).<br>II. Methods:<br>Two hundred forty eight patients were examined for this tests for three years since Dec. 1982. Needles for acupuncture were applied into Ashisanri (Zusanli) and Saninko (Sanyinjiao.) After careful recognition of sufficient Tokkuki (The chih) following acupuncture, stick-points of needles were lead to Neurometer NAJ.<br>After approximately 30 minutes of electrical induction, biopsical operation were started. Anesthetical effectiveness of acupuncture were confirmed as follows:<br>(1) During biopsy, facial features what to speak, body movements, sweating, and condition of anesthesia of patients were observed and checked on the specialized score table in order from zero to 28 points. Acquired points less than 11 were indicated as effective anesthesia.<br>(2) Following operation the inquires about grade of pain feeling during biopsical procedures were carried out and then they were classified into four ranks: no pain, slight pain. moderate pain and strong one. The last two were considered as no effective.<br>(3) In addition to the above mentioned two, CMI-test was performed.<br>III. Results:<br>From score points; The effectiveness was as follows, normal type group, 79%; subnormal, 77%; breaking down of autonomic nerve system, 44%; neurosis, 86%; psychosomatic type, 68%.<br>On the other hand, from inquires the following were obtained: normal 65%; subnormal 50%; autonomic nervous disorder, 19%; neurosis, 41% and psychosomatic type, 37%.<br>There is no critical differences between both results from score points and inquiry system.<br>It is concluded from results that acupunctual anethesia were not much effective in patients who have disorders of autonomic nervous system and psychosomatic system, while much effective in patients with neurosis.
Résumé
The effect of acupuncture-moxibustion treatment in the control of malignant neoplasm pain was examined in 157 (36%) of 434 cases in our clinic over a 16 year period (1966-1981).<br>In these cases, gastric cancer (36 of 157 cases: 23%) was the largest in number, followed by uterine cancer, and lung cancer. Many of the patients treated also complained of mental changes such as sleeplessness or anxiety.<br>Several kinds of acupuncture and moxibustion were applied to these cases, and marked improvement was found in 14-26% of them. These treatments were more effective in the cases after radical operations than in those cases deemed inoperable due to metastasis.<br>10 cases (6%) were aggravated by acupuncture, though none were severe.<br>The side effects by acupuncture such as slight aggravation of the pain were observe in 10 cases (6%), though none were severe.
Résumé
Introduction<br>It is said that D-phenylalanine improves the pain relief effect of acupuncture on pain disease. We applied it to different kinds of pain disease as preadministration and studies the clinical effectiveness.<br>Method<br>Subjects were 24 patients suffering from such comparatively chronic pain diseases as prosopalgia (2), a pain in the posterior region of neck (5), frozen shoulder (4), coxalgia with melosalgia (10) and gonalgia (3).<br>A. The low frequency electrical acupuncture (3Hz, sub-successive wave, 20 minutes) was applied to them on the most frequently used points by the JSA Committee of Acupoints.<br>B. 0.5g of DPA was administered to each patient as preadministration and acupuncture was given.<br>C. Lactose was administered to all of the same patients as a placebo and acupuncture was given.<br>D. The therapy was repeated two times.<br>E. We evaluated the just after effect of the therapy on both groups with the double blind experiment.<br>Effect<br>The preadministration of DPA improved the effectiveness of acupuncture against such pain disease. From our study, it was clarified that the effectiveness of DPA rose by 30% in comparison with the placebo.
Résumé
Purpose:<br>We previously reported that using D-phenylalanine (D-PA) as a pre-medication increasingly enhanced acupuncture aneshesia effects occur. In order to investigate this effect clinically, we performed tooth extractions under acupuncture anesthesia using D-PA as a premed.<br>Method:<br>We divided the patients in the oral surgery department of our hospital for whom acupuncture-moxibustion was determined indicated, into 2 groups, a test group (9cases) to which D-PA (4.0g) was administered 30minutes prior to acupuncture anestesia, and an acupuncture anesthesia only group (about 31cases), and comparitively examined results.<br>The points used were: LI-4 on both sides in all cases, and indicated local points selected from among JOKAN, ST-7, GV-26, ST-2, LI-20, CV-24, ST-6, SI-18 and ST-5. Needles were inserted (in some cases a point surface electrode was used) and the acupuncture sensation aroused, following which low frequency current at 3-15Hz was administered.<br>The tooth extractions were begun about 30minutes later. The standard for determining results was a score of 1=absolutely no pain, 2=slight pain, 3=very painful, 4=a small amount of local anesthesia administered, as supplement, 5=attempt to use acupuncture anesthesia abandoned.<br>Results:<br>In the control group effective results (score 1 or 2) were obtained in about 30% of the cases while in the test group there was almost no need for supplementary local anesthesia and generally effective results were obtained in most cases.<br>Summary:<br>The results were more excellent in the group in which D-PA was used as a pre-med for tooth extractions with acupuncture anesthesia than in the group in which it was not used.