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Acupuncture Analgesia and Anesthesia

Acupuncture Analgesia and Anesthesia Abstract • After the war of liberation, Mao Tse Tung encouraged an integration of Western and traditional Chinese medicine. Several schools of therapeutic acupuncture have defined different points of puncture, originally assumed to be on an empiric basis but now rationalized as areas where nerve endings congregate. Results of therapeutic acupuncture in China cannot be evaluated because of inadequate record keeping. At the University of Washington Pain Clinic, immediate results (two to three days) are good but never lasting, nor do they decrease concomitant medication. For anesthesia, acupuncture acts to produce only hypalgesia in most patients, although some experience total analgesia. Patient selection and mental preparation are careful. Hence, the method is used in much less than 10% of the operations in China, and in these the analgesia is satisfactory by Western standards in only approximately 30%. Concepts as to the mode of action of acupuncture analgesia range from an attitudinal change towards sensory input to the release of a neurohumoral analgesic substances. (Arch Surg 112:896-902, 1977) References 1. Shaw GB: The Doctor's Dilemma . New York, Dodd Mead & Co Inc, 1941. 2. Diamond EG: Acupuncture anesthesia: Western medicine and Chinese traditional medicine . JAMA 218:1558-1563, 1971.Crossref 3. Hogness JR (ed): Report of the Medical Delegation to the People's Republic of China . Washington, DC, National Academy of Sciences Institute of Medicine, 1973. 4. Boas RA: The Visit of the New Zealand Medical Delegation to the People's Republic of China . Report to the Director General of Health, Auckland, New Zealand, 1974. 5. McLoud JG, Sainsbury MJ, Joseph D: Acupuncture: A Report to the National Health and Research Council of Australia . Canberra, Australian Government Publishing Services, 1974. 6. American Acupuncture Anesthesia Group. Acupuncture in the People's Republic of China . Washington, DC, National Academy of Sciences, 1976 7. Bonica JJ: Therapeutic acupuncture in the People's Republic of China . JAMA 228:1544-1551, 1974.Crossref 8. Bonica JJ: Acupuncture anesthesia in the People's Republic of China . JAMA 229:1317-1325, 1974.Crossref 9. Veith I (trans-ed): The Yellow Emperor's Classic of Internal Medicine . Berkeley, Calif, University of California Press, 1972. 10. Nogier PFM: Treatise of Auruolo Therapy . Moulin-les-Metz, Moulinneuve, 1972. 11. Murphy TM: Subjective and objective follow-up assessment of acupuncture therapy without suggestion in 100 chronic pain patients , in Bonica JJ, Albe-Fessard D (eds): Advances in Pain Research and Therapy . New York, Raven Press, 1976, vol 1, pp 811-815. 12. Levine JD, Gormley J, Fields ML: Observations on analgesic effects of needle puncture (acupuncture) . Pain 2:149-159, 1976.Crossref 13. Lee PK, Anderson TW, Modell JH, et al: Treatment of chronic pain with acupuncture . JAMA 232:1133-1135, 1975.Crossref 14. Shanghai Acupuncture Anaesthesia Coordinating Group: Acupuncture Anaesthesia: An Anaesthetic Method by Combination of Traditional Chinese and Western Medicine . Shanghai, August 1973. 15. Shanghai Acupuncture Research Group (eds): Acupuncture Anesthesia . Shanghai, Jen-min Ch'u-pan She, 1972, pp 1-9, 60, 63. 16. Schiff AF: A fatality due to acupuncture . Med Times 93:630-631, 1965. 17. Lewis-Driver DJ: Pneumothorax associated with Acupuncture . Med J Aust 2:296-297, 1973. 18. Chiang CY, Chang CT, Chiu HL, et al: Analysis of Peripheral Afferent Pathway for Effect of Acupuncture Analgesia . Sci Sinica 16:210, 1973. 19. Melzack R, Wall PD: Pain mechanisms: A new theory . Science 150:971-979, 1965.Crossref 20. Melzack R: Prolonged relief of pain by brief intense transcutaneous somatic stimulation . Pain 1:357-373, 1975.Crossref 21. Fox EJ, Melzack R: Transcutaneous stimulation and acupuncture: Comparison of treatment for low back pain . Pain 2:141-148, 1976.Crossref 22. Anderson SA, Ericson R, Holmgren E, et al: Electro-acupuncture: Effect on pain threshold measured with electrical stimulation of teeth . Brain Res 63:393-396, 1973.Crossref 23. Chapman CR, Chen AC, Bonica JJ: Effects of intra-segmental electrical acupuncture on dental pain: Evaluation by threshold estimation and sensory decision theory. Pain, to be published. 24. Chapman CR: Psychophysical evaluation of acupunctural analgesia . Anesthesiology 43:501-506, 1975.Crossref 25. Clarke WC, Yang JC: Acupunctural analgesia? Evaluation by signal detection theory . Science 184:1096-1098, 1974.Crossref 26. Research Group of Acupuncture Anesthesia, Peking Medical College: Effect of acupuncture on pain threshold of human skin . Chin Med J 3:151-157, 1973. 27. Hughes J: Isolation of an endogenous compound from the brain with pharmacological properties similar to morphine . Brain Res 88:295-308, 1975.Crossref 28. Mayer DJ, Price DD, Barber J, et al: Acupuncture analgesia: Evidence for activation of a central control system as a mechanism of action , in Bonica JJ, Albe-Fessard D (eds): Advances in Pain Research and Therapy . New York, Raven Press, 1976, pp 751-754. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Acupuncture Analgesia and Anesthesia

Archives of Surgery , Volume 112 (7) – Jul 1, 1977

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Publisher
American Medical Association
Copyright
Copyright © 1977 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1977.01370070110018
Publisher site
See Article on Publisher Site

Abstract

Abstract • After the war of liberation, Mao Tse Tung encouraged an integration of Western and traditional Chinese medicine. Several schools of therapeutic acupuncture have defined different points of puncture, originally assumed to be on an empiric basis but now rationalized as areas where nerve endings congregate. Results of therapeutic acupuncture in China cannot be evaluated because of inadequate record keeping. At the University of Washington Pain Clinic, immediate results (two to three days) are good but never lasting, nor do they decrease concomitant medication. For anesthesia, acupuncture acts to produce only hypalgesia in most patients, although some experience total analgesia. Patient selection and mental preparation are careful. Hence, the method is used in much less than 10% of the operations in China, and in these the analgesia is satisfactory by Western standards in only approximately 30%. Concepts as to the mode of action of acupuncture analgesia range from an attitudinal change towards sensory input to the release of a neurohumoral analgesic substances. (Arch Surg 112:896-902, 1977) References 1. Shaw GB: The Doctor's Dilemma . New York, Dodd Mead & Co Inc, 1941. 2. Diamond EG: Acupuncture anesthesia: Western medicine and Chinese traditional medicine . JAMA 218:1558-1563, 1971.Crossref 3. Hogness JR (ed): Report of the Medical Delegation to the People's Republic of China . Washington, DC, National Academy of Sciences Institute of Medicine, 1973. 4. Boas RA: The Visit of the New Zealand Medical Delegation to the People's Republic of China . Report to the Director General of Health, Auckland, New Zealand, 1974. 5. McLoud JG, Sainsbury MJ, Joseph D: Acupuncture: A Report to the National Health and Research Council of Australia . Canberra, Australian Government Publishing Services, 1974. 6. American Acupuncture Anesthesia Group. Acupuncture in the People's Republic of China . Washington, DC, National Academy of Sciences, 1976 7. Bonica JJ: Therapeutic acupuncture in the People's Republic of China . JAMA 228:1544-1551, 1974.Crossref 8. Bonica JJ: Acupuncture anesthesia in the People's Republic of China . JAMA 229:1317-1325, 1974.Crossref 9. Veith I (trans-ed): The Yellow Emperor's Classic of Internal Medicine . Berkeley, Calif, University of California Press, 1972. 10. Nogier PFM: Treatise of Auruolo Therapy . Moulin-les-Metz, Moulinneuve, 1972. 11. Murphy TM: Subjective and objective follow-up assessment of acupuncture therapy without suggestion in 100 chronic pain patients , in Bonica JJ, Albe-Fessard D (eds): Advances in Pain Research and Therapy . New York, Raven Press, 1976, vol 1, pp 811-815. 12. Levine JD, Gormley J, Fields ML: Observations on analgesic effects of needle puncture (acupuncture) . Pain 2:149-159, 1976.Crossref 13. Lee PK, Anderson TW, Modell JH, et al: Treatment of chronic pain with acupuncture . JAMA 232:1133-1135, 1975.Crossref 14. Shanghai Acupuncture Anaesthesia Coordinating Group: Acupuncture Anaesthesia: An Anaesthetic Method by Combination of Traditional Chinese and Western Medicine . Shanghai, August 1973. 15. Shanghai Acupuncture Research Group (eds): Acupuncture Anesthesia . Shanghai, Jen-min Ch'u-pan She, 1972, pp 1-9, 60, 63. 16. Schiff AF: A fatality due to acupuncture . Med Times 93:630-631, 1965. 17. Lewis-Driver DJ: Pneumothorax associated with Acupuncture . Med J Aust 2:296-297, 1973. 18. Chiang CY, Chang CT, Chiu HL, et al: Analysis of Peripheral Afferent Pathway for Effect of Acupuncture Analgesia . Sci Sinica 16:210, 1973. 19. Melzack R, Wall PD: Pain mechanisms: A new theory . Science 150:971-979, 1965.Crossref 20. Melzack R: Prolonged relief of pain by brief intense transcutaneous somatic stimulation . Pain 1:357-373, 1975.Crossref 21. Fox EJ, Melzack R: Transcutaneous stimulation and acupuncture: Comparison of treatment for low back pain . Pain 2:141-148, 1976.Crossref 22. Anderson SA, Ericson R, Holmgren E, et al: Electro-acupuncture: Effect on pain threshold measured with electrical stimulation of teeth . Brain Res 63:393-396, 1973.Crossref 23. Chapman CR, Chen AC, Bonica JJ: Effects of intra-segmental electrical acupuncture on dental pain: Evaluation by threshold estimation and sensory decision theory. Pain, to be published. 24. Chapman CR: Psychophysical evaluation of acupunctural analgesia . Anesthesiology 43:501-506, 1975.Crossref 25. Clarke WC, Yang JC: Acupunctural analgesia? Evaluation by signal detection theory . Science 184:1096-1098, 1974.Crossref 26. Research Group of Acupuncture Anesthesia, Peking Medical College: Effect of acupuncture on pain threshold of human skin . Chin Med J 3:151-157, 1973. 27. Hughes J: Isolation of an endogenous compound from the brain with pharmacological properties similar to morphine . Brain Res 88:295-308, 1975.Crossref 28. Mayer DJ, Price DD, Barber J, et al: Acupuncture analgesia: Evidence for activation of a central control system as a mechanism of action , in Bonica JJ, Albe-Fessard D (eds): Advances in Pain Research and Therapy . New York, Raven Press, 1976, pp 751-754.

Journal

Archives of SurgeryAmerican Medical Association

Published: Jul 1, 1977

References