Acute Appendicitis

Appendicitis is a common acute abdominal disease. Pain originates in the upper abdomen or the umbilical region . It eventually moves and settles into the right lower quadrant. The pain will be accompanied with nausea, vomiting and mild diarrhea. There is sensitivity to pressure and rebounding pain in the right lower quadrant, a slight rise in temperature, and leucocytosis. Sensitivity to pressure at acupoint Lanwei (Extra) occurs in most patients. A mass may be palpated if an abscess has formed. Should one find tension of the abdominal muscles along with a rapid pulse and fever, emergency intervention may be required. In children there may be diarrhea.

Points:

Lanwei (right side). Lanwei is the point most sensitive to pressure located approximately 2 cun below ST 36 Zusanli. A "cun" is a proportional inch. For example, the distance between the lower border of the patella and the lower border of the anterior crest of the tibia is three cun.

Ashi point (abdominal region).

Prescription:

10 - 15 cc. of 10% glucose is injected into each point. Treat once a day.

Acupuncture treatment gives good results in uncomplicated acute appendicitis.

Notes:

Emergency operative intervention should occur in cases of abdominal pain that persists more than 48 hours, temperature above 38C, and leucocytoses over 15,000 per cubic millimeter with neutrophils. A palpabel abdominal mass and physical signs of peritonitis are is suggestive of perforation, another indication for surgery.

The treatment of chronic appendicitis is the same as for acute. Treat once daily or every other day combined with moxibustion.

Source: The Treament of 100 Common Diseases by New Acupuncture, Medicine and Health Publishing Company

        

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acute.appendicitis.shtml was last modified Sep 27 2008.