Zhongshan Medical College
This paper analyses the analgesic effect of three groups of points for the repair of inguinal hernia performed in 1975. They were:
Group 1. Zusanli (bilateral), Gongsun (bilateral).
Group 2. Ganshu (unilateral) Shenshu (unilateral), Henggu (unilateral), Weidao (unilateral).
Group 3. Zusanli (unilateral), Gongsun (unilateral), Henggu (unilateral), Weidao (unilateral).
The results were:
1. The analgesic effect of acupuncture anesthesia for inguinal herniorrhaphy varied with age, the older the better. In most patients under 14 years of age, analgesia could be satisfactory if small amount of 0.5% procaine was used as local infiltration.
2. There was no difference in the analgesic effect among patients of various occupations.
3. The patients studied were divided into two groups, one with Ferguson's method and the other with Bassini's which is technically more complicated. Pain and discomfort were more marked in the latter group, but if small amounts of 0.5% procaine were used as local infiltration, analgesia could still be satisfactory.
4. Acupuncture points of group 2 provided the best analgesia.
5. Adrenalin intradermal test and needling tolerance test were used to evaluate the effect of acupuncture anesthesia preoperatively. The rate of accuracy was 63%.
The analgesic effect of acupuncture anesthesia was incomplete, however, group 2 gave relatively satisfactory results. The points Henggu and Weidao used in group 2 may interfere with the transmission of pain impulses along the ilioinguinal nerve and the 1st lumbar nerve. If points Henggu and Weidao were stimulated with electric current of high frequendy, the effect of acupuncture anesthesia appeared still better. Refinement and gentleness of surgical technique must be emphasized to ensure good results.
This paper analyses the analgesic effect of three groups of points for the repair of inguinal hernia performed in 1975. They were:
Group 1. Zusanli (bilateral), Gongsun (bilateral).
Group 2. Ganshu (unilateral) Shenshu (unilateral), Henggu (unilateral), Weidao (unilateral).
Group 3. Zusanli (unilateral), Gongsun (unilateral), Henggu (unilateral), Weidao (unilateral).
The results were:
1. The analgesic effect of acupuncture anesthesia for inguinal herniorrhaphy varied with age, the older the better. In most patients under 14 years of age, analgesia could be satisfactory if small amount of 0.5% procaine was used as local infiltration.
2. There was no difference in the analgesic effect among patients of various occupations.
3. The patients studied were divided into two groups, one with Ferguson's method and the other with Bassini's which is technically more complicated. Pain and discomfort were more marked in the latter group, but if small amounts of 0.5% procaine were used as local infiltration, analgesia could still be satisfactory.
4. Acupuncture points of group 2 provided the best analgesia.
5. Adrenalin intradermal test and needling tolerance test were used to evaluate the effect of acupuncture anesthesia preoperatively. The rate of accuracy was 63%.
The analgesic effect of acupuncture anesthesia was incomplete, however, group 2 gave relatively satisfactory results. The points Henggu and Weidao used in group 2 may interfere with the transmission of pain impulses along the ilioinguinal nerve and the 1st lumbar nerve. If points Henggu and Weidao were stimulated with electric current of high frequendy, the effect of acupuncture anesthesia appeared still better. Refinement and gentleness of surgical technique must be emphasized to ensure good results.
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