Weng Jiayin, Yang Huazhang, Peng Guicheng, Mao Shuhua, Li Guangzhao (Congqing Medical College)
Gynecological and obstetrical operations using the modified "Ciliao" point for acupuncture anaesthesia showed a definite effect in 1,000 cases of ligation of oviduct, 120 cases of cesarean section, 60 cases of colpohysterectomy, 22 cases of oophorectomy, 40 cases of coeliohysterectomy and 67 cases of pain suppression in parturition of primipara. It gives relaxation of abdominal-pelvic peritoneum with less reactions to visera pulling and definite analgesic effect. The effect of the modified "Ciliao" point is better, and the manipulation is easy and safe. The concrete operating procedure is as follows:
Using No. 24-26, 13 cm long filiform needle with the patient lying in prone position, the operator first identifies the posterior superior iliac spine, and then, inserts the needle at a place one finger breadth medially from the spine, forming a 15ยบ angle with the skin. The tip of the needle is directed inward and downward, for 10-12 cm until a feeling of tightening and stagnation is sensed. After switching on the current, the patient has the sensation of numbness and distention around the anal region, then connect the wires fixed with adhesive plaster and switch on for 15 minutes. No matter what type of acupuncture anesthesia apparatus is used, 3,000-6,000 times/min. continuous wave is applied, and voltage is to be increased gradually to the patient's maximal tolerance. After induction for 15-20 min., operation can be performed.
Radiographic pictures showed that the needle was lying closely in contact with the surface of the 2nd, 3rd, 4th foramina sacralia posteriora at the both sides of the dorsal surface of sacrum. By topographical dissection of the corpse, it can be seen that from superficial to deep, are skin, superficial fascia, deep fascia, lower part of musculus sacrospinalis, long and short sacroiliac ligament and posterior rami of the 2nd, 3rd, 4th sacral nerves, and that the tip of the needle reaches directly to the main stem of posterior rami of the 2nd, 3rd, 4th sacral nerves and its branches. The authors made a micro dissection of the posterior rami of the 2nd, 3rd, 4th sacral nerves and found that at the conjoining place with the anterior ramus, there are extensive connections with the pelvic splenic nerve (parasympathetic), forming plexus with each other.
The stimulation of the modified "Ciliao" point is to stimulate the parasympathetic nerve which controls the ulterus and its surrounding structures, thus causes relaxation of the pelvis, with less visceral and painful reactions. In addition, the patient is conscious and quiet with decreased pulse rate, increased skin temperature, and especially at the late period of the operation, the patient remains calm.
The authors think that, there is definite relationship between the stimulation of the modified "Ciliao" point and the parasympathetic nerve stimulation.
Gynecological and obstetrical operations using the modified "Ciliao" point for acupuncture anaesthesia showed a definite effect in 1,000 cases of ligation of oviduct, 120 cases of cesarean section, 60 cases of colpohysterectomy, 22 cases of oophorectomy, 40 cases of coeliohysterectomy and 67 cases of pain suppression in parturition of primipara. It gives relaxation of abdominal-pelvic peritoneum with less reactions to visera pulling and definite analgesic effect. The effect of the modified "Ciliao" point is better, and the manipulation is easy and safe. The concrete operating procedure is as follows:
Using No. 24-26, 13 cm long filiform needle with the patient lying in prone position, the operator first identifies the posterior superior iliac spine, and then, inserts the needle at a place one finger breadth medially from the spine, forming a 15ยบ angle with the skin. The tip of the needle is directed inward and downward, for 10-12 cm until a feeling of tightening and stagnation is sensed. After switching on the current, the patient has the sensation of numbness and distention around the anal region, then connect the wires fixed with adhesive plaster and switch on for 15 minutes. No matter what type of acupuncture anesthesia apparatus is used, 3,000-6,000 times/min. continuous wave is applied, and voltage is to be increased gradually to the patient's maximal tolerance. After induction for 15-20 min., operation can be performed.
Radiographic pictures showed that the needle was lying closely in contact with the surface of the 2nd, 3rd, 4th foramina sacralia posteriora at the both sides of the dorsal surface of sacrum. By topographical dissection of the corpse, it can be seen that from superficial to deep, are skin, superficial fascia, deep fascia, lower part of musculus sacrospinalis, long and short sacroiliac ligament and posterior rami of the 2nd, 3rd, 4th sacral nerves, and that the tip of the needle reaches directly to the main stem of posterior rami of the 2nd, 3rd, 4th sacral nerves and its branches. The authors made a micro dissection of the posterior rami of the 2nd, 3rd, 4th sacral nerves and found that at the conjoining place with the anterior ramus, there are extensive connections with the pelvic splenic nerve (parasympathetic), forming plexus with each other.
The stimulation of the modified "Ciliao" point is to stimulate the parasympathetic nerve which controls the ulterus and its surrounding structures, thus causes relaxation of the pelvis, with less visceral and painful reactions. In addition, the patient is conscious and quiet with decreased pulse rate, increased skin temperature, and especially at the late period of the operation, the patient remains calm.
The authors think that, there is definite relationship between the stimulation of the modified "Ciliao" point and the parasympathetic nerve stimulation.
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