Acupuncture-Moxibustion Therapy and Acute Myocardial Infarction with Special Reference to Blood Letting Method
10.3777/jjsam.33.410
- VernacularTitle:急性心筋梗塞と鍼灸治療, とくに刺絡について
- Author:
Masashi OGIWARA
;
Shuji SHIMONAKA
- Publication Type:Journal Article
- From:Journal of the Japan Society of Acupuncture and Moxibustion
1984;33(4):410-414
- CountryJapan
- Language:Japanese
-
Abstract:
Introduction
We have seen no description of obvious cases of acute myocardial infarction in any authentic literature on acupuncture. However, it can be gathered from some literatures that blood letting therapy might be effective against heart diseases to some extent.
This case of anteroseptal myocardial infarction is reported because an acupuncturist participated in the treatment as a member of the medical team and obtained a good result.
Case Report
The patient was a 62 year old woman, an insurance canvasser, with a history of hypertension, obesity, hyperlipemia, and cardiac insufficiency. On the day of hospitalization (Sep. 17, 1982), shortly after having luncheon about noon, she felt a pain from the shoulder to the neck, followed by vomiting, diarrhea, diaphoresis, cyanosis in the lips, and unconsciousness.
On the first hospital day, the electrocarbiogram showed elevated ST segments in Leads V1-5, and depressed ST segments in Leads II, III, aVF, and V6. GOT 14, LDH 286. The ECG on the second day showed clear coronary T waves. On and after the third day, an frequent ventricular extrasystole was present. Tachycardia was not improved, and the blood pressure fell. GOT 120, LDH 1200. On the fifth day, the patient fell into a severe condition from about 8:50p.m.: ST segments were elevated. Administration of xyiocain etc. was not effective. The doctor intuitively decided to apply blood letting therapy to the patient. At 10:07p.m., blood letting was undertaken by the acupuncturist firstly at the left IT1 shaoze, then at the right IT1 shaoze. Shortly after the therapy, the ECG showed changes. The blood pressure, heart rate, and other symptoms were dramatically improved. On and after the sixth day, acupuncture therapy was successively undertaken three times a day for forty-eight days.
Conclusion
In this case report, we put emphasis on the blood letting therapy which was undertaken on the fifth hospital day. In addition, we discussed the efficacy of blood letting therapy and acupuncturist's duties as a member of a medical team which treats severe cases such as acute myocardial infarction.
