jeudi 31 août 2017

Therapeutic N°2, by injection into acupuncture points or Mesopuncture.

Therapeutic by injection into acupuncture points or Mesopuncture.
Two Parts. PART (2).

Some patients may feel a sensation of heat.
After usual disinfection of the determined point, we take a charged syringe and inserted its needle into the acupuncture point to a desired depth or until the appearance of a certain acupuncture sensation. Then, if by pulling slightly the piston, no trace of blood appears in the syringe, then we will be able to inject the drug into the AP.
Manipulations vary according conditions to be treated. In most cases the injection is made at an average speed. For debilitated patients with chronic disease injection should be slow and  more diluted medicinal solution, while that for  patients of strong constitution, injection should be fast with more concentrated solution.

3.                    Choice of medication
The drugs used must be easily absorbable and without side effects. In addition to pharmacological effects, they must still present some irritant properties to extend the effect of acupuncture.
The usual drugs are:
a. Placental extract: It is stated in common diseases. It is often prescribed in the treatment of chronic hepatitis, nephritis, gastric ulcer, allergy reactions, neurosis and certain gynecological disorders reactions.
b. The solutes of Vit.B1, Vit.B12 and Vit.C, are indicated in chronic diseases and elderly and debilitated people. The sensation produced by the Vit.B12 is less pronounced than that determined by the Vit. B1. The Vit.C is indicated in hem bleeding tendency and cardiovascular diseases...
c. Drugs responding to disorders such as penicillin, Streptomycin and sulfate of magnesia.
d. Some medicines of traditional Chinese medicine such as injectable aqueous extracts of Radix angelicae and Flos Carthami can also be used.
e. the intradermal injection of distilled water alone is painful and can provide a physical stimulation without side effects. It is suitable in certain diseases. Injection should be fast because the duration of produced acupuncture sensation is fleeting.

(3)          Remarks
a. Account must be taken of incompatibilities, of allergic reactions and side effects of drugs used. Skin Allergy tests should be performed prior to use drugs of antigenic properties. The injection will be made only when the test is recognized negative.
b. Carefully follow the dosage and concentration of injectable solutions. They vary depending on the disease state and regions to treat. In general for the region cephalo-facial (rarely chosen region), we would use medicated fluids at low concentration, less irritating, the dosage should be reduced with a slow injection. For regions of the trunk, drug solute must be more concentrated, stimulation may be stronger, the highest dose and rapid injection.
For Points of the four members we should not use drug solutes very concentrated or very irritating. But it is permissible to combine drug injection to acupuncture treatment..
c. In principle we retain to introduce solutes into articular cavities or blood vessels.
d. A large aseptic care will be taken to prevent any infections. For elderly and debilitated patients, are taken fewer points and for the first meeting, a smaller dose of solute will be injected.

e. Avoid the puncture of the viscera during injection into back points and more, precautions will be taken to avoid the needles discomfort, needles breaking and other potential accidents.
f. A session a day or every two days. A cure includes 7-10 sessions. The interval time between two cures is 4-7 days.

Translation of the published article, in French, in 1977 by Academy of traditional Chinese medicine in 'Précis  of Chinese Acupuncture ' Beijing. edition in foreign languages (French), Page 292. 

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