1.Clinical Observation of Electroacupuncture at Baihuanshu (BL30) and Huiyang (BL35) for Chronic Abacterial Prostatitis
Jian YING ; Junxian LI ; Siyou WANG ; Mingyue YANG ; Minjie ZHOU ; Yanyan SHANG
Shanghai Journal of Acupuncture and Moxibustion 2014;(12):1102-1104
ObjectiveTo observe the clinical efficacy of electroacupuncture at Baihuanshu (BL30) and Huiyang (BL35) in treating chronic abacterial prostatitis.MethodSixty patients with chronic abacterial prostatitis were divided into a treatment group(n=30) and a control group (n=30), respectively to receive electroacupuncture plus Chinese herbal medicine and Chinese herbal medicine alone.ResultAfter intervention, the scores of National Institutes of Health-Chronic Prostatitis symptom index (NIH-CPS) dropped in both treatment and control groups, while the decrease was more significant in the treatment group (P<0.05); the pain or discomfort score from the NIH-CPS dropped in both groups, while the decrease was more marked in the treatment group (P<0.05).ConclusionElectroacupuncture and Chinese herbal medicine both are effective in treating chronic abacterial prostatitis, and electroacupuncture plus Chinese herbal medicine can produce a more significant efficacy than Chinese herbal medicine alone.
2.Clinical Observation of Electroacupuncture at Baihuanshu (BL30) and Huiyang (BL55) for Chronic Prostatitis
Mingyue YANG ; Jian YING ; Junxian LI ; Siyou WANG ; Minjie ZHOU ; Wei ZHANG
Shanghai Journal of Acupuncture and Moxibustion 2014;(10):913-915
Objective To observe the therapeutic efficacy of electroacupuncture at Baihuanshu (BL30) and Huiyang (BL55) for chronic prostatitis. Method Ninety patients were divided into an acupuncture-medication group and a Chinese medication group, 45 in each group, to respectively receive electroacupuncture at Baihuanshu and Huiyang plus oral administration of Chinese medication, and single Chinese medication treatment, 4 weeks as a treatment course. The therapeutic efficacy was evaluated by adopting the Chronic Prostatitis Symptom Index by National Institutes of Health (NIH-CPSI). Result The general score of NIH-CPSI dropped in both groups after intervention (P<0.05), while the decrease in the acupuncture-medication group was more significant (P<0.05), and it had a significantly higher therapeutic efficacy than the Chinese medication group (P<0.05). Conclusion Electroacupuncture at Baihuanshu and Huiyang can significantly improve the symptoms of chronic prostatitis, and it’s superior to oral administration of Chinese medication in comparing the clinical efficacy.
3.The effect of different frequencies of pudendal nerve electrical stimulation on female stress urinary incontinence
International Journal of Traditional Chinese Medicine 2013;(5):391-393
Objective To investigate the effect of different frequencies of pudendal electrical nerve stimulation on female stress urinary incontinence.Methods 60 SUI female patients from Shanghai Research Institute of Acupuncture and Meridian affiliated Yue Yang Hospital were enrolled in a three-times-per-week treatment group (30 paients) and a twice-per-week treatment group (30 patients).Both groups were treated by pudendal nerve electrical stimulation for twelve times.The change of therapeutic effect,symptoms index were observed in both groups before and after the treatment.Results ① Comparison of clinical efficacy:The therapeutic rate of three-times-per-week treatment group was 63.3% (19/30),the total effective rate was 90.0% (27/30); the therapeutic rate of twice-per-week treatment group was 36.7% (11/30),the total effective rate was 76.7% (23/30).The therapeutic rate showed significant differences between the two groups (x2=4.267,P< 0.05); The total effective rate showed no differences between the two groups (x2 =l.920,P>0.05).② Comparison of clinical symptom score and life quality score:the post-treatment clinical symptom scores of the both groups improved significantly compared with the pre-treatment (tthee-times-prt-week=7.972,ttwice-per-week=9.520,both P<0.01).Clinical symptom score of three-times-per-week treatment group improved better than twice-per-week treatment group (P<0.01).Conclusion Three-times-per-week of pudendal nerve electrical stimulation has a better effect on treating female SUI patients.
4.Clinical efficacy and action mechanism of electrical pudendal nerve stimulation in treating female stress urinary incontinence
Chinese Journal of Urology 2013;34(8):575-578
Objective To investigate the clinical efficacy and mechanism of electrical pudendal nerve stimulation (EPNS) in treating female stress urinary incontinence.Methods Thirty-five female patients with stress urinary incontinence were enrolled from May 2006 to April 2008.The average age was (54.9±9.7) years,the duration of incontinence was (74.1 ±45.6) months,the maximum urethral closure pressure was (63.7± 15.9) cm H2O,functional urethral length was (2.34±0.72) cm and bladder neck mobility was (1.23±0.76) cm.Long acupuncture needles were deeply inserted into four sacral points,which were located by the two edges of the sacrum on a level with the fourth sacral foramina and bilaterally to the tip of the coccyx.The needles were electrified (continuous waves,a frequency of 2.5 Hz,an intensity of 45-55 mA and 60 min once) to stimulate the pudendal nerves.When EPNS was performed,perineal ultrasonographic B-mode movements of the pelvic floor muscles (PFM),M-mode curves indicating the PFM contractions,vaginal pressure (VP) and PFM electromyogram were recorded simultaneously.Results When EPNS was performed correctly,the patient felt strong PFM contractions.Simultaneous records showed:1)B-mode cranio-caudal PFM movements; 2) M-mode PFM movement curves (amplitude:about 1 mm,n=31 ; in the other four patients,the M-mode curves were not obvious) ; 3) a sawtooth curve of VP changes (2.61±1.29 cm H2O,n=34); 4) PFM myoelectric waves (amplitude:23.9±25.3 μV).If during the EPNS process the electric current was stopped or its intensity was reduced or the two lower needles were drawn back 1-2 cm,then the above ultrasonographic PFM movements and VP changes disappeared.In the 35 patients,the ICI-Q-SF score was 12.9±2.9 before treatment and decreased to 3.5±3.3 after 27.5± 11.9 sessions of treatment (P<0.01).Twenty-five patients with ≥50% symptom improvement at the end of treatment were followed up for 24-72 months (mean 50),and 19 cases had ≥ 50% symptom improvement during the period of follow-up,including complete symptoms resolution in 10 cases.Conclusion EPNS can contract the PFMs and simulate PFM training to treat female stress incontinence.
5.Analysis of Clinical Regularities in Acupuncture-moxibustion Treatment for Stomach Diseases in Recent 10 Years
Journal of Acupuncture and Tuina Science 2011;09(1):7-12
Objective:To objectively and dynamically assess the therapeutic effects of acupuncturemoxibustion on stomach diseases by a review and statistical analysis of year 2000-2009 literature on acupuncture-moxibustion treatment for stomach diseases,facilitate the development of clinical acupuncturemoxibustion from the summarization of individual experience to the study of group experience and further exploit the advantages of acupuncture-moxibustion science.Methods:Statistical and expert analyses were made on the basis of the data from China Modem Acupuncture-moxibustion Information Databank.Results:There were 11 kinds of diseases in the acupuncture-moxibustion spectrum of stomach diseases.It was suggested that points Zusanli(ST 36),Zhongwan(CV 12),Weishu(BL 21),Pishu(BL 20),Neiguan(PC 6)and Sanyinjiao(SP 6)be used as a basic prescription for acupuncture-moxibustion treatment of stomach diseases and corresponding treatment be selected according to the character of each disease.Conclusion:acupuncturemoxibustion has a certain therapeutic effect on stomach diseases,but the clinical application and observed cases should be increased.
6.Exploration of Clinical Regularities in Acupuncture and Moxibustion Treatment for Allergic Rhinitis
Jie LIU ; Ligong LIU ; Qinfeng HUANG ; Siyou WANG
Journal of Acupuncture and Tuina Science 2010;8(2):80-84
Objective:To review literature from 1956 to 2007 and explore regularities in points selection and methods for acupuncture-moxibustion treatment of allergic rhinitis.Methods:A comprehensive analysis was made by a method of metrological analysis according to the data from China Modem Acupuncture-moxibustion Information Databank.Results:Points Yingxiang (LI 20) and Feishu (BL 13) were most frequently used.Acupuncture and hydro-acupuncture were the major treatment methods.Conclusion:It is suggested that Yingxiang (LI 20),Yintang (Ex-HN 3),Feishu (BL 13) and Dazhui (GV 14) be used as a basic prescription for acupuncture-moxibustion treatment of allergic rhinitis,which is combined with point selection based on syndrome differentiation.
7.Effect of Pricking Blood Therapy on Behavior and Gene Expression in a Rat Model of Migraine
Yabing LI ; Shengqing LI ; Wenxiang YANG ; Siyou WANG
Journal of Acupuncture and Tuina Science 2009;7(6):335-338
Objective: To investigate the effect of pricking blood therapy on behavior and brainstem c-fos and c-jun gene expression in migraine rats. Methods: A rat model of migraine was made with nitroglycerol. The rats were treated by pricking blood. Rat behavior was observed. Brainstem c-fos and c-jun gene expression was examined by immunohistochemistry. Results: Ear redness improved significantly, the number of head scratchings decreased obviously (P<0.05) and c-fos and c-jun expression was reduced markedly (P<0.01) in the treatment group after pricking blood compared with the model group and the blank group. Conclusion: Pricking blood treatment can improve behavior indices and reduce c-fos and c-jun positive expression in migraine rats.
8.Simultaneous Perineal Ultrasound and Vaginal Pressure Measurement Proves Electroacupuncture Pudendal Nerve Stimulation
Siyou WANG ; Juanjuan YAN ; Guomei CHEN ; Mingyi XU
Journal of Acupuncture and Tuina Science 2009;7(1):41-46
Purpose:To prove that electroacupuncture pudendal nerve stimulation(EPNS)can exactly excites the pudendal nerve.by simultaneous measurements of pelvic floor muscle (PFM) movements(perineal ultrasound),vaginal pressure and pelvic floor surface myoelectricity.Methods:Long needles(acupuncture needles)were deeply inserted into four sacral points and electrifled to stimulate the Pudendal nerves.When EPNS Was performed.perineal ultrasound B-mode images of PFM movements(contractions),M-mode PFM movement curves;vaginal pressure and pelvic floor surface electromyogram were recorded simultaneously by use of an urodynamic instrument with video suite(Medtronic Duet Encompass).Simultaneous records were also obmined under three conditions in the process of the nerve stimulation:1) pausing electric stimulation;2)reducing the intensity of electric stimulation(to about 2/7 of the original);3)drawing back the two lower needles to make the tips 1-2 cm away from the original position.Results:Thirty-five female patients with stress incontinence(aged 54.9±9.81 received EPNS and the simultaneous measurements.When EPNS was performed correctly,the patient felt rhythmic and cephalad PFM contractions with the urethra as the center.Simultaneous records showed the following:1) cranio-caudal PFM movements on the B.mode image;2)the M-mode curves indicating the PFM contractions (amplitude:about 1 mm,n=31,14 cases≥1 mm and 17 cases<1 mm);3)A sawtooth curve of changes in vaginal pressure[amplitude:2.61±1.69(0.7-5.6)cmH2O,n=34];4)pelvic floor myoelectric waves[amplitude:23.9±25.3(5-96)μV,n=34].The amplitude of a PFM movement curve conformed basically to that of a vaginal pressure curve.If the electric current was stopped or its intensity was reduced to about 2/7 of the original or during the process of the nerve stimulation the two lower needles were gradually drawn back until the tips were 1-2 cm away from the original positions,then B-mode PFM movements,M-mode curves and sawtooth changes in vaginal pressure disappeared.Conclusion:Electroacupuncture pudendal nerve stimulation can exactly excites the pudendal nerve and effectively contract the pelvic floor muscles.
9.Methods and Efficacy of Acupuncture for Regulating Body Weight in Different Populations
Bin XU ; Zhicheng LIU ; Jinhong YUAN ; Zhen MAO ; Qinghua SHAO ; Xinjun WANG ; Siyou WANG
Journal of Acupuncture and Tuina Science 2007;5(2):97-102
Objective: To investigate the proper methods of acupuncture and moxibustion for controlling body weight and their objects. Methods: 274 outpatients were allocated to 3observation groups: obesity, overweight and normal, using standard weight as an index. The obesity group was divided, at a ratio of 1: 1: 3, into 3 groups: fixed prescription, local treatment and treatment based on syndrome differentiation. The syndromes were classified into five types in the syndrome differentiation group. Different protocols of acupuncture and moxibustion plus auricular-plaster therapy were drawn up for treatment. Body mass index (BMI), body fat (F%),body circumferences and subcutaneous fat were evaluated in the patients before and after treatments. Results: There was a difference in the controlling effect of acupuncture on body weight among different populations. The curative effect was better in the obesity and overweight groups than in the normal group; the effective rate was 72.2%, 72.5% and 44.0%, respectively.There was also a difference in curative effect among obesity patients with different types of syndromes. The curative effects on retention of damp-heat in the stomach, stagnation of liver qi and dampness retention due to splenic hypofunction were equal but all better than those on deficiency of splenonephric yang and intemal heat due to yin deficiency. There was also a difference in curative effect among different protocols. The curative effects in the syndrome differentiation-based treatment and fixed prescription groups were equal (77.8%) but all better than that in the local treatment group (53.3%). Conclusion: Acupuncture and moxibustion is an effective way to treat obesity and overweight. Treatment based on syndrome differentiation and fixed prescription on the basis of syndrome differentiation are effective methods.
10.Metrological Analysis and Evaluation of Acupuncture-Moxibustion Treatment for Diarrhea in Modern Literature
Journal of Acupuncture and Tuina Science 2007;5(5):265-269
Objective: To review year 1957-2005 literature on acupuncture and moxibustion and explore point selection and methods for acupuncture-moxibustion treatment of diarrhea in order to provide objective and reliable data for research on acupuncture and moxibustion standardization. Methods: A comprehensive analysis was made by a method of metrological analysis according to the data from China modern acupuncture-moxibustion information database. Results: Points Zusanli (ST 36), Tianshu (ST 25) and Shenque (CV 8) were the most frequently used and the optimal combination for acupuncture-moxibustion treatment of diarrhea.Chronic adult diarrhea was often treated by moxibustion. Acute childhood diarrhea was often treated by point application and injection. Conclusion: Diarrhea is often treated by needling and moxaing methods in acupuncture-moxibustion treatment. It is proposed to use Zusanli (ST 36)and Tianshu (ST 25) as a basic prescription for acupuncture-moxibustion treatment of diarrhea and to select points according to the syndrome.

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