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Was Mafeisan an Anesthetic in Ancient China?

J Anesth Hist

July 2018

Third year Anesthesia Resident, Department of Anesthesiology and Perioperative Medicine, Tufts Medical Center, 800 Washington Street, # 298, Boston, MA 02111. Electronic address:

According to the Chinese historical books, Records of the Three Kingdoms () and Book of the Later Han (), Hua Tuo (, 140 - 208), a Traditional Chinese medicine (TCM) physician invented Mafeisan, an oral herbal general anesthetic, more than 1800 years ago during Eastern Han Dynasty. However, no written record of ingredients of the original Mafeisan has been found anywhere so far although there have been several similar anesthetic prescriptions published in TCM books later. There has been controversy over the existence of Mafeisan and even Hua Tuo in Chinese literature.

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