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Acupuncture Points and Quadrant
PainJohann Bauer, Hartmut Heine 1Institute for Antihomotoxic Medicine and Basic Regulation Research, Baden-Baden (Revised article from Biological Medicine, December 2000)Summary
Fibromyalgia is accompanied with painful acupuncture points known as tender points. This is linked to the anatomical structure of acupuncture points. In principle they form a nerve vessel bundle penetrating sharp outlined perforations of fascias, ligaments and aponeuroses or channels in bones, i.e. bones of te face and so on. The nerve vessel bundle is wrapped in a sheet of lose and easy inflammable connective tissue. The axons of the nerve bundle are connected with cuti-myogenous, cuti-visceral and cuti-neuronal reflexes. Disturbances of these feedback mechanisms can cause the development of tender points starting at one quadrant of the body spreading with time throughout the body. At the same time more and more tender points develop because of excess collagen formation with compression of the nerve-vessel bundle within an inflamed acupuncture point. We are able to demonstrate that surgical mobilization of nerve-vessel bundles of definite acupuncture points within a body quadrant relieves fibromyalgetic pain in 90% of the patients.
Diagnostic Procedure and Causal ConnectionsIntroduction
Many patients with affected with fibromyalgia or fibromyalgetic pain (1,2) are able to remember the onset of the pain, and particularly that 5, 10 or even more years ago the pain began, for instance, in their right arm and their right shoulder. In the course of time the pain spread over the whole body. At the time of the examination, the patient complained of wandering pain within the whole body at various points of time.
Classical medical anamnesis of the pain can be described as follows (10): "Anamnesis of pain is supposed to establish local (e.g. whole arm, left upper jaw-bone), temporal (e.g. continuous pain, pain lancinating in a flash), qualitative (e.g. burning or electrocuting sensation), and quantitative (e.g. moderate, very strong) aspects of the conscious perception of pain. The recording of the perception of pain is done by asking the following questions:

·Where does it hurt? When does it hurt?
·How does it hurt, what is the pain connected with?
·How strong is the pain?

As soon as the establishment of the localization and the radiation of the pain is completed, we can already start with a partial structural assignment of the symptoms."Previous studies were able to demonstrate that painful acupuncture points are of overriding importance within the complex of fibromyalgetic symptoms and that their surgical relief represents a new path in fighting the pain symptoms of fibromyalgia (1,2). The object of this effort is to draw a more detailed picture of the connections between quadrant pain and acupuncture points.The results of surgery are documented by the follow-up. Up to now, it proved possible to maintain the already published success rate of 90% (1, 2). After a certain postoperative waiting period, which correlates with the duration of the disease as a rule, patients live permanently free from pain in the body region of the operated quadrant.With 80% of these patients, the positive effect of the surgery also extends over the non-operated neighbouring quadrants, so that for 70% of the patients one single surgery is sufficient and only 20% require a second one. As a rule, this second surgery is performed 6 12 months after the first.

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