耳針麻酔

AURICULAR ACUPUNCTURE ANESTHESIA

　I．はじめに

　古代中国においては，体の疾患により耳介に変化があらわれ，その耳介の変化した部分に針などの操作をくわえることにより，体の各部の疾患を治癒させるといわれてきた^1）2）3）。それらの耳介に投影された体の各部位を系統的に並べ，それが胎児の各部に似ているとフランス人のNogier^4）が1956年に発表した。彼は耳垂を頭部に，対耳輪を耳垂より上部に向つて，頸・胸・腰・椎骨に，対耳輪上脚に沿つて大腿，膝，足と並び，舟状窩が耳垂側より鎖骨，上腕，肘，前腕，手と並び，耳甲介腔が肺，心，耳甲介艇に腹腔が，外耳道入口部より耳輪脚に下より口，食道，噴門，耳甲介腔と耳甲介艇の間が，胃，耳輪脚に沿つて小腸，大腸，肛門が並んでいると考えた。

　1958年より中国では針麻酔の著しい発展がおき^3）山東省において耳針麻酔がはじめて行なわれた^2）。

　Sixty three patients affected with dermatological disease were operated under auricular acupuncture anesthesia. The points of the needle insertion differed with different area of the anatomy to be operated, which are described in detail.

　In regards to the effectivity of this type of anesthesia, it was excellent in 15 cases; good in 15 cases; fairly good in 12 cases; but, in the remaining 21 cases the anesthesia was ineffective. In other words, the anesthesia was effective in 65% of case in whom the operations were performed without the aid of any other means.

　The auricular acupuncture anesthesia appeared to be well suited and effective in surgery of the face, neck and head regions but, not for that of the extremities. Its effectivity appeared to be better in the younger than the elder individuals.