A METHOD FOR THE DETERMINATION OF THE EFFECTS OF DRUGS ON THE PAIN THRESHOLD OF HUMAN SUBJECTS
A method is presented for determining the effects of analgesic agents upon the pain thresholds of human subjects. The method consists of inducing a sharp pain in the calf muscles by applying pressure with a sphygmomanometer cuff; the pressure required to induce pain is taken as a measure of the pain threshold. By controlling a few variables in the procedure, the normal threshold can be determined with an accuracy of ±10 mm. Hg pressure. With placebos, a maximum increase of 4% over the normal pain threshold occurred one hour after administration. Acetylsalicylic acid produced an increase of approximately 20% at the same period; this was significantly greater than placebo effects. The effect of mild narcotic agents, given orally, upon the pain threshold was also measured. Codeine phosphate and pethidine hydrochloride both produced a significant increase in the pain threshold. The method presented permits the use of untrained human subjects and is sufficiently sensitive to measure the effects of the antipyretic analgesics.