针刺麻醉acupuncture anesthesia
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• Neurochemical factors • Modulation of Nociception • Inflammatory Reflex
Lin J G, Chen W L. Acupuncture analgesia: a review of its mechanisms of actions[J]. The American journal of Chinese medicine, 2008, 36(04): 635-645.
（清醒状态）by needling acupoints（穴位）to achieve
the effect of analgesia（无痛觉）.
Acupuncture anesthesia, Journal of Acupuncture and Tuina Science, Dec. 2003, Vol. 1, No. 6 ：41.
*WU Huan-gan (吴焕淦)，ect. Experience and Thinking on Study of Pneumonectomy by Acupuncture Anesthesia . J. Acupunct. Tuina. Sci. (2008) 6: 70-74 . *WU Gen-cheng (吴根诚), Acupuncture Anesthesia in China: Retrospect and Prospect, Chin J Integr Med 2007 Sep;13(3):163-165.
Acupuncture Anesthesia
针刺麻醉
Group Members：
• Have you ever heard of acupuncture anesthesia?
– Acupuncture anesthesia(AA) is a method by which a patient can have an operation in a conscious state
specific clinical uses
1 Preoperative preparation
2
Intraoperative auxiliary acupuncture anesthesia
Treatment of postoperative pain Prevention and treatment of postoperative nausea and vomiting
3
4
Clinical uses
The using range of acupuncture anesthesia
simply usage tooth, tonsil excision, bone surgery, etc.
compound anesthesia thyroid surgery, cardiac surgery, abortion, esophageal cancer, gallbladder excision, calculi surgery…
Some schools of thought
• Neurochemical factors • Modulation of Nociception • Inflammatory Reflex
Lin J G, Chen W L. Acupuncture analgesia: a review of its mechanisms of actions[J]. The American journal of Chinese medicine, 2008, 36(04): 635-645.
U Gen-cheng (吴根诚), Acupuncture Anesthesia in China: Retrospect and Prospect, Chin J Integr Med 2007 Sep;13(3):163-165.
They applied acupuncture anesthesia to tonsillectomy （扁桃体切除术）and the surgery had a satisfactory result.
The Effect of Acupuncture Anesthesia
• Analgesia • Muscle relaxation • Anti-viscera traction action
Tangyi Liu, Huayuan Yang, Lizi Chu. The present situation and analysis of acupuncture anesthesia [J]. Chinese acupuncture and moxibustion, 2008, 27(12): 914-916.
Efficacy
Ideal State of Anesthesia
?
• Unconsciousness, amnesia(无记忆), analgesia（镇痛） and muscle relaxation • Provide minute-to-minute control. • • • Stable state of the body Recover timely Satisfaction
In 1976,China Post issued four stamps describing “new achievements in medical and health science”.
In recent years
• Acupuncture-drug balanced anesthesia（针刺复合
测痛是否能预测针麻效果？
术 前 测 定 针 刺 镇 痛 效 果
外 科 手 术 时 针 麻 效 果
The mechanism of of Acupuncture Anesthesia
Ancient Chinese Natural Philosophy
Some schools of thought
times.
WU Gen-cheng (吴根诚), Acupuncture Anesthesia in China: Retrospect and Prospect, Chin J Integr Med 2007 Sep;13(3):163-165.
百度文库
Clinical uses
acupuncture anesthesia(AA)has already developed to acupuncture-assisted anesthesia(AAA)
Rabbit experiment: cross infusion of CSF
aCSF
perfusate
Doner rabbit
Lat ventricle
Recipient rabbit
III ventricle
Evidence showing a neurochemical basis for AA
Contents
1 2 3 4
History Clinical Uses Efficacy Advantages & Disadvantages
History
Acupuncture-drug balanced anesthesia In recent years Be in vogue for a Time（盛极一时） In 1970s Start to become popular In 1960s The first case August 30th,1958
麻醉）has been successfully used in anesthesia for
surgical operations.
• It can fulfil the requirement of anesthesia.
• It is not widely used in clinical practice in recent
20
40
60
80
Time in minutes
Site specificity
• Meridine/channel (morphological evidence?)
• Acupoints (precise to mm level?) • Body points (Chinese original) or Ear points (French scholars) • Bio-electrically sensitive sites, or densely innervated sites • relative rather than absolute specificity
In 1958
• In 1958,the doctors of Chinese and Western medicine in the First People's Hospital of Shanghai worked together and learned from each other.
• On August 30th
• In 1972, American President Nixon visited China and he showed an interest in acupuncture.It made “acupuncture heat” expand to the whole world.
http://zh.wikipedia.org/wiki/%E9%92%88%E5%88%BA%E9%BA%BB%E9%86%89%E7%96%97%E6%B3%95
Accepting thoracotomy （胸廓切开术）under acupuncture anesthesia
In 1970s
• In 1971,a report titled “Now,About My Operation in Peking” published in New York times.It led “acupuncture heat”in American.
• http://baike.baidu.com/view/136344.htm?fr=aladdin#3
Clinical uses
• Discussing Acupuncture Anesthesia from Muscle Region Theory WU Huan-gan，ZHANG Ren,KONG Shtto-tang,Ligong,Sttl Zheng．Shanghai J Acu-lnox,2006,40-43
Acupuncture-induced analgesia Human Observation:
120
Acupuncture at Heku point
* needle manipulation (n=66)
Pain threshold change (%)
100
80
60 40
20
0 -20 0
control group (n=22)
（针刺麻醉发展为针刺辅助麻醉）
Clinical uses
1 2 3
preoperative induction
intraoperative anesthesia
postoperative analgesia
• Prospects on acupuncture analgesia：its clinical appifacafion and research.CHEN Huai—long，WANG Ming—shan， WANG Shi—duan.Int J Anesth Resus.2006,347-350
In 1960s
• In the early 1960s,the subject of penumonectomy （肺切除术）by acupuncture anesthesia started. • After that, satisfactory results were also obtained in many other large-scale and difficult operations in the 1960s and 1970s.
Lin J G, Chen W L. Acupuncture analgesia: a review of its mechanisms of actions[J]. The American journal of Chinese medicine, 2008, 36(04): 635-645.
（清醒状态）by needling acupoints（穴位）to achieve
the effect of analgesia（无痛觉）.
Acupuncture anesthesia, Journal of Acupuncture and Tuina Science, Dec. 2003, Vol. 1, No. 6 ：41.
*WU Huan-gan (吴焕淦)，ect. Experience and Thinking on Study of Pneumonectomy by Acupuncture Anesthesia . J. Acupunct. Tuina. Sci. (2008) 6: 70-74 . *WU Gen-cheng (吴根诚), Acupuncture Anesthesia in China: Retrospect and Prospect, Chin J Integr Med 2007 Sep;13(3):163-165.
Acupuncture Anesthesia
针刺麻醉
Group Members：
• Have you ever heard of acupuncture anesthesia?
– Acupuncture anesthesia(AA) is a method by which a patient can have an operation in a conscious state
specific clinical uses
1 Preoperative preparation
2
Intraoperative auxiliary acupuncture anesthesia
Treatment of postoperative pain Prevention and treatment of postoperative nausea and vomiting
3
4
Clinical uses
The using range of acupuncture anesthesia
simply usage tooth, tonsil excision, bone surgery, etc.
compound anesthesia thyroid surgery, cardiac surgery, abortion, esophageal cancer, gallbladder excision, calculi surgery…
Some schools of thought
• Neurochemical factors • Modulation of Nociception • Inflammatory Reflex
Lin J G, Chen W L. Acupuncture analgesia: a review of its mechanisms of actions[J]. The American journal of Chinese medicine, 2008, 36(04): 635-645.
U Gen-cheng (吴根诚), Acupuncture Anesthesia in China: Retrospect and Prospect, Chin J Integr Med 2007 Sep;13(3):163-165.
They applied acupuncture anesthesia to tonsillectomy （扁桃体切除术）and the surgery had a satisfactory result.
The Effect of Acupuncture Anesthesia
• Analgesia • Muscle relaxation • Anti-viscera traction action
Tangyi Liu, Huayuan Yang, Lizi Chu. The present situation and analysis of acupuncture anesthesia [J]. Chinese acupuncture and moxibustion, 2008, 27(12): 914-916.
Efficacy
Ideal State of Anesthesia
?
• Unconsciousness, amnesia(无记忆), analgesia（镇痛） and muscle relaxation • Provide minute-to-minute control. • • • Stable state of the body Recover timely Satisfaction
In 1976,China Post issued four stamps describing “new achievements in medical and health science”.
In recent years
• Acupuncture-drug balanced anesthesia（针刺复合
测痛是否能预测针麻效果？
术 前 测 定 针 刺 镇 痛 效 果
外 科 手 术 时 针 麻 效 果
The mechanism of of Acupuncture Anesthesia
Ancient Chinese Natural Philosophy
Some schools of thought
times.
WU Gen-cheng (吴根诚), Acupuncture Anesthesia in China: Retrospect and Prospect, Chin J Integr Med 2007 Sep;13(3):163-165.
百度文库
Clinical uses
acupuncture anesthesia(AA)has already developed to acupuncture-assisted anesthesia(AAA)
Rabbit experiment: cross infusion of CSF
aCSF
perfusate
Doner rabbit
Lat ventricle
Recipient rabbit
III ventricle
Evidence showing a neurochemical basis for AA
Contents
1 2 3 4
History Clinical Uses Efficacy Advantages & Disadvantages
History
Acupuncture-drug balanced anesthesia In recent years Be in vogue for a Time（盛极一时） In 1970s Start to become popular In 1960s The first case August 30th,1958
麻醉）has been successfully used in anesthesia for
surgical operations.
• It can fulfil the requirement of anesthesia.
• It is not widely used in clinical practice in recent
20
40
60
80
Time in minutes
Site specificity
• Meridine/channel (morphological evidence?)
• Acupoints (precise to mm level?) • Body points (Chinese original) or Ear points (French scholars) • Bio-electrically sensitive sites, or densely innervated sites • relative rather than absolute specificity
In 1958
• In 1958,the doctors of Chinese and Western medicine in the First People's Hospital of Shanghai worked together and learned from each other.
• On August 30th
• In 1972, American President Nixon visited China and he showed an interest in acupuncture.It made “acupuncture heat” expand to the whole world.
http://zh.wikipedia.org/wiki/%E9%92%88%E5%88%BA%E9%BA%BB%E9%86%89%E7%96%97%E6%B3%95
Accepting thoracotomy （胸廓切开术）under acupuncture anesthesia
In 1970s
• In 1971,a report titled “Now,About My Operation in Peking” published in New York times.It led “acupuncture heat”in American.
• http://baike.baidu.com/view/136344.htm?fr=aladdin#3
Clinical uses
• Discussing Acupuncture Anesthesia from Muscle Region Theory WU Huan-gan，ZHANG Ren,KONG Shtto-tang,Ligong,Sttl Zheng．Shanghai J Acu-lnox,2006,40-43
Acupuncture-induced analgesia Human Observation:
120
Acupuncture at Heku point
* needle manipulation (n=66)
Pain threshold change (%)
100
80
60 40
20
0 -20 0
control group (n=22)
（针刺麻醉发展为针刺辅助麻醉）
Clinical uses
1 2 3
preoperative induction
intraoperative anesthesia
postoperative analgesia
• Prospects on acupuncture analgesia：its clinical appifacafion and research.CHEN Huai—long，WANG Ming—shan， WANG Shi—duan.Int J Anesth Resus.2006,347-350
In 1960s
• In the early 1960s,the subject of penumonectomy （肺切除术）by acupuncture anesthesia started. • After that, satisfactory results were also obtained in many other large-scale and difficult operations in the 1960s and 1970s.