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Acupuncture anaesthesia is based on the theory of meridian

and zangfu and clinical experience of acupuncture analgesia,


which is a new type anesthesia method. primarily using
acupuncture point, and assisted with a small quantity of
medicine to let the patient accept operation in the condition of
consciousness. Acupuncture anaesthesia is an important
ingredient of modern anesthesiology and acupuncture. There
are about 30 kinds of operation with acupuncture anaesthesia
having stable effect. Among them, achievement ratio of using
acupuncture anaesthesia in operation of thyroid, ceruical
uertebra, anterior cranial fossa and operation, tubal ligation of
abdominal type, abdominal delivery, and tooth extraction may
reach to over 80%.
Treatment
Hegu ( LI4 )
With routine sterilization, puncture perpendicularly at the depth
of about 0.5-0.8 cun with 1 cun 28 gauge filiform needle, and
use provocative maneuver of lifting, inserting, twirling, and
rotating methods before operation to make the sense of
needling upward, which is called preoperative induction of
acupuncture anaesthesia. The purpose is to let the patient to
adapt irritation of acupoint, stabilize emotion, and adjust
function of organism to stimulate mechanism of analgesia and
prepare for operation. Time of induction often lasts for 20-30
minutes, manipulating needle to maintain the sense of
sourness, weight and distend, enhance curative effect to
achieve paregoric purpose. Acupuncture anaesthesia in body
acupuncture often use the method of lifting, trusting, rotating
and twirling. The frequency of rotating is generally at about 120
times/minute, and angle is among 90-360, while
the amplitude of lifting and trusting should be within 10 ram.
Electro-acupuncture anaesthesia can also be used, in which
ectobatic pulsating current can traverse through the needle to
stimuli the point to retain the needing sensation. Retain
the needle during the operation, but stimulus intensity should
be controlled nimbly. Stimulation should be lightly in
operation,but can enhance the needling sensation in some
sensitive position; in some step of lighter stimulation.
manipulating needle can be paused or use electro-acupuncture
anaesthesia to keep the needle. This point is often used in the
operation of five sense organs, occlusalf surface, and oral
cavity.
Note
Acupuncture anesthesia procedure should be based on the
toleration of patient and comfortable midst and powerful
stimulation when using hand maneuvering or
electric acupuncture. Never use too powerful intensity, which
will lead the patient feeling unbearable, and affecting the effect
of acupuncture anesthesia. Acupuncture anesthesia using in
some case of a particular disease or some component
element of operation may occur pero-analgesia, tension of
muscle, or drag reaction of internal organs. So aid medicine
should be prepared before operation, and to grasp the juncture
of using medicine. Dosage of medicine should be controlled.
prevention of side effect of the medicine.

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