Lei Yunshan, Li Baoxiang, Wang Dongsheng (Acupuncture Anesthesia Group, People's Hospital of Jindongnan District, Shanxi)
Point Yeping was used for anesthesia in operations upon upper extremities in a total of 72 cases from May 1976 to August 1978.
So far as the effect is concerned, a four-grade score system was used. Of these, 46 cases (63.89%) were graded excellent: 17 (23.61%) good; 6 fine and 3 poor. The rate of satisfaction (I, II grade) was 87.5% and the rate of success was 95.58%.
Yeping is located at the upper end of the main plica axillaris anterior.
Perpendicularly penetrating through the skin at Yeping, the needle pierces through the m. pectoralis major, m. pectoralis minor and the areolar tissue of the axilla and reaches the m. subscapularis after passing between the n. thoracicus longus and Vagina neurovasorum.
The depth of needling in tissue is about 4-5 cm. The patient usually would experience soreness, numbness, distention and heaviness. Then the needle was connected to the output of Beihang 57-6D electric needling apparatus. Another needle was inserted at a point about 0.3 cm medially to the former and connected to the other output of the same apparatus.
Induction for 15-30 minutes was undertaken prior to operation. The frequency used was 6000-12000 c./s. The intensity of the stimulating current was adjusted according to the patient's tolerance.
On the basis of clinical observation, it was found that needling of Yeping was especially effective in operations on the hands, carpals and the forearms.
Statistically, there was no significant difference between effects of anesthesia for osseous, tendinous and mixed procedure.
From our clinical practices it was revealed that the stronger the subjective needling feeling, the better the analgesic effects and the higher the rate of I, II grade would be.
Yeping has not been described literally in any ancient Chinese medical works, but is an effective point when acupuncture properly, it evokes a peculiar sensation, radiating from shoulder to hand along the trajectory which correspondes to that of Hand-Shaoyin Channel.
From observations of the transverse section of the axillary fossa through the Yeping point and clinical investigations of 3 cases of radical operation for breast cancer and one case of disarticulation at shoulder, it was found that the needle inserted through Yeping lies about 0.5-1.5 cm. medially from vagina neurovasorum. This fact may explain why the evoked radiating trajectory of acupuncture feeling has some relationship to the pathway of the nerve.
Point Yeping was used for anesthesia in operations upon upper extremities in a total of 72 cases from May 1976 to August 1978.
So far as the effect is concerned, a four-grade score system was used. Of these, 46 cases (63.89%) were graded excellent: 17 (23.61%) good; 6 fine and 3 poor. The rate of satisfaction (I, II grade) was 87.5% and the rate of success was 95.58%.
Yeping is located at the upper end of the main plica axillaris anterior.
Perpendicularly penetrating through the skin at Yeping, the needle pierces through the m. pectoralis major, m. pectoralis minor and the areolar tissue of the axilla and reaches the m. subscapularis after passing between the n. thoracicus longus and Vagina neurovasorum.
The depth of needling in tissue is about 4-5 cm. The patient usually would experience soreness, numbness, distention and heaviness. Then the needle was connected to the output of Beihang 57-6D electric needling apparatus. Another needle was inserted at a point about 0.3 cm medially to the former and connected to the other output of the same apparatus.
Induction for 15-30 minutes was undertaken prior to operation. The frequency used was 6000-12000 c./s. The intensity of the stimulating current was adjusted according to the patient's tolerance.
On the basis of clinical observation, it was found that needling of Yeping was especially effective in operations on the hands, carpals and the forearms.
Statistically, there was no significant difference between effects of anesthesia for osseous, tendinous and mixed procedure.
From our clinical practices it was revealed that the stronger the subjective needling feeling, the better the analgesic effects and the higher the rate of I, II grade would be.
Yeping has not been described literally in any ancient Chinese medical works, but is an effective point when acupuncture properly, it evokes a peculiar sensation, radiating from shoulder to hand along the trajectory which correspondes to that of Hand-Shaoyin Channel.
From observations of the transverse section of the axillary fossa through the Yeping point and clinical investigations of 3 cases of radical operation for breast cancer and one case of disarticulation at shoulder, it was found that the needle inserted through Yeping lies about 0.5-1.5 cm. medially from vagina neurovasorum. This fact may explain why the evoked radiating trajectory of acupuncture feeling has some relationship to the pathway of the nerve.
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