By P.E. Baldry, MB BS FRCP, and John W. Thompson, PhD MB BS FRCP (Auth.)
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Extra resources for Acupuncture, Trigger Points and Musculoskeletal Pain. A scientific approach to acupuncture for use by doctors and physiotherapists in the diagnosis and management of myofascial trigger point pain
Cambridge University Press, Cambridge, p. 295 Osler Sir William 1912 The principles and practice of medicine, 8th edn. Appleton, New York, p. 1131 Sarlandière le Chevalier J B 1825 Mémoires sur l’electropuncture … Private publication, Paris Snell S 1880 Remarks on acupuncture. Medical Times and Gazette 1: 661–662 Teale T Pridgin 1871 Clinical essays no. III. On the relief of pain and muscular disability by acupuncture. Lancet 1: 567–568 Wansborough D 1826 Acupuncturation. Lancet 10: 846–848 Ward T Ogier 1858 On acupuncture.
And, even when used within these strictly defined limits, the traditional Chinese approach to this form of therapy has serious drawbacks. The principal disadvantage is that, for most practitioners of traditional Chinese acupuncture, needles have to be inserted somewhat arbitrarily in accordance with the numerous lists of points that are recommended for use in the treatment of various rather ill-defined clinical conditions in every standard textbook on the subject. Moreover, before a person is able to use these lists, recipes, or prescriptions, as they are sometimes called, it is first necessary to memorize the course taken by the various Chinese acu-tracts, and the exact anatomical position on them of the various acu-points.
Site of reference within a group of subjects varied widely and could not be interpreted as segmental or having a fixed anatomical substrate. qxd 36 11*10*04 10:15 Page 36 ACUPUNCTURE, TRIGGER POINTS AND MUSCULOSKELETAL PAIN discussing these during the course of considering various aspects of spinal ligamentous pain: Although such saline solutions provide a very effective chemical irritant for connective tissue nociceptive receptors, it must be emphasised here that because of the diffuse distribution of this receptor system through the vertebral connective tissues, and because of the widespread intersegmental linkages between their afferent nerve fibres, attempts to use such a procedure as a means of delineating a supposed segmental nociceptive innervation of the spinal tissues are clearly fallacious, especially as it is impossible (even with the introduction of radio-opaque material into the injected solution) to be certain just how much of the diffuse nociceptive afferent system is being stimulated by any given volume of hypertonic saline.
Acupuncture, Trigger Points and Musculoskeletal Pain. A scientific approach to acupuncture for use by doctors and physiotherapists in the diagnosis and management of myofascial trigger point pain by P.E. Baldry, MB BS FRCP, and John W. Thompson, PhD MB BS FRCP (Auth.)