Correlation between the anesthetizing effect of acupuncture and Majima's CMI test during D & C operation / 全日本鍼灸学会雑誌

ABSTRACT

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.