Augmentation of skin flap survival remains one of the principle concerns in the field of reconstructive plastic surgery. Moxibustion was thought to have potential in this area because it is known to induce proliferation of the blood capillaries of the skin. The authors therefore investigated the effects of moxibustion on skin flap survival in rats.
Male Wistar rats of about 200g were divided into four groups: Group I was stimulated before the operation, II after the operation, III both before and after the operation and Group IV served as an unstimulated control. Ten spots were selected for five days of stimulation with moxibustion (Kamayamini) on the skin flap, however, no stimulation was given the day before or the day of the operation. The caudal skin flap (9cm×3cm) was made under pentobarbital anesthesia (intraperitoneal; 26ml/kg).
A significant increase in the survival area in Groups I and II when compared with Group IV. It was therefore concluded that stimulation with moxibustion may be a valuable method of improving skin flap survival. For clinical application, further improvements such as exclusion of scar formation may be necessary.

Acupuncture anesthesia is not often used in dental practices because its efficacy depends on various conditions. However, pain-relieving methods, which use no medication, are necessary for those rare patients who are hypersensitive to local anesthetics or for whom local anesthetics are difficult to use because of diseases of the internal organs of the nervous system. In a patient hypersensitive to local anesthetics, we recently attempted to relieve the pain during extraction of an impacted lower third molar by applying acupuncture anesthesia, after relaxing the patient both physically and mentally with acupoint stimulation. By these methods, pain control for this patient was successful during and after surgery, without medication.

Temporomandibular arthrosis, whose major symptoms are trismus, pain of the temporomandibular joint and articular noise, has recently been increasing, primarily in younger people. This condition is often accompanied by unexplained complaints (e. g., headache and stiffness of the neck and/or shoulder) which are indications for the application of acupuncture therapy. To deepen the recognition of temporomandibular arthrosis by clinicians, we recently prepared a video tape showing detailed procedures of acupuncture therapy for this disease. The first half of this video tape consists of an explanation of the anatomical features of the temporomandibular joint, the pathophysiology and classification of temporomandibular arthrosis, and magnetic resonance images of the temporomandibular joint. The latter half consists of the diagnostic and therapeutic procedures for this disease, including the acupoints often stimulated for its treatment and the techniques of acupuncture therapy.