Electric Acupuncture in the Treatment of 36 Cases of Female Urethral Syndrome

Since 1999, the authors have used electricacupuncture to treat 36 cases of female urethralsyndrome with good therapeutic effects as comparedto that of the routine treatment. The following is areport of it.

Application of Bu Zhong Yi Qi Tang According to TCM Differentiation of Syndromes

Bu Zhong Yi Qi Tang (补中益气汤Decoction for Reinforcing the Middle-jiao and Replenishing Qi) is an effective formulated recipe commonly used for treating a variety of diseases with the manifestations of kidney-qi deficiency. In my opinion, however, it is also very effective for the conditions of which the symptoms of kidney-qi deficiency is not noticeable, but its mechanism lies in dysfunction of the spleen. The following are some examples.……

STUDY ON ACUPUNCTURE AND MOXIBUSTION THERAPY FOR FEMALE URETHRAL SYNDROME

Among 180 patients with female urethral syndrome, 128 were treated by acupuncture and moxibustion and 52 by western medicine as controls. The short-term effective rate in the acupuncture and moxibustion group was 90.6% and the long-term effective rate, 80.4%; whereas the short-term effective rate of the control group was 26.9% (P 0.05). Sixty-nine cases from the acupuncture and moxibustion group and 39 from the control group were subjected before and after treatment to determinations of the maximal bladder pressure, maximal abdominal pressure, bladder-neck pressure, and maximal urethral closure pressure during urination. All these indexes were decreased remarkably in the acupuncture and moxibustion group, while no changes were observed in the control group.

Survey of spinal cord injury-induced neurogenic bladder studies using the Web of Science

OBJECTIVE：To identify global trends in research on spinal cord injury-induced neurogenic bladder, through a bibliometric analysis using the Web of Science. DATA RETRIEVAL：We performed a bibliometric analysis of studies on spinal cord injury-induced neurogenic bladder using the Web of Science.Data retrieval was performed using key words＂spinal cord injury＂,＂spinal injury＂,＂neurogenic bladder＂,＂neuropathic bladder＂,＂neurogenic lower urinary tract dysfunction＂,＂neurogenic voiding dysfunction＂,＂neurogenic urination disorder＂and ＂neurogenic vesicourethral dysfunction＂. SELECTION CRITERIA：Inclusion criteria：（a）published peer-reviewed articles on spinal cord injury-induced neurogenic bladder indexed in the Web of Science;（b）type of articles：original research articles and reviews;（c）year of publication：no limitation.Exclusion criteria：（a）articles that required manual searching or telephone access;（b）Corrected papers and book chapters. MAIN OUTCOME MEASURES：（1）Annual publication output;（2）distribution according to journals; （3）distribution according to subject areas;（4）distribution according to country;（5）distribution according to institution;and（6）top cited publications. RESULTS：There were 646 research articles addressing spinal cord injury-induced neurogenic bladder in the Web of Science.Research on spinal cord injury-induced neurogenic bladder was found in the Science Citation Index-Expanded as of 1946.The United States,Ireland and Switzerland were the three major countries contributing to studies in spinal cord injury-induced neurogenic bladder in the 1970s.However,in the 1990s,the United States,the United Kingdom,the Netherlands,Germany and Japan published more papers on spinal cord injury-induced neurogenic bladder than Switzerland,and Ireland fell off the top ten countries list.In this century,the United States ranks first in spinal cord injury-induced neurogenic bladder studies,followed by France,the United Kingdom,Germany,Switzerland and Japan.Subject categories including urology, nephrology and clinical neurology,as well as rehabilitation,are represented in spinal cord injury-induced neurogenic bladder studies. CONCLUSION：From our analysis of the literature and research trends,we conclude that spinal cord injury-induced neurogenic bladder is a hot topic that will continue to generate considerable research interest in the future.

Investigation of Urination Disorder in Parkinson＇s Disease

Background： Urination disorders are common in Parkinson＇s disease （PD） and respond poorly to medication. This study aimed to analyze the risk factors for urination disorders in PD. Methods： Ninety-one patients with PD （aged 34-83 years old） were recruited. Patients were assessed with the Unified PD Rating Scale （UPDRS）, Hoehn and Yahr stage, Pittsburgh Sleep Quality Index （PSQ1）, Hamilton Depression Rating Scale （HAMD）, and Hamilton Anxiety Scale （HAMA）. Micturition number was recorded, and Type B ultrasound was used to evaluate residual urine. Statistics was performed using binary logistic regression, bivariate correlations, and Chi-square and t-tests. Results： Of 91 patients, urinary dysfunction occurred in 55.0%. Among these, 49.5% suffered with nocturia, 47.3% with pollakiuria. Nocturia number had a positive linear relationship with HAMA score （odds ratio [OR] = 0.340, P = 0.001 ）, HAMD score （OR = 0.323, P = 0.002）, duration of L-dopa medication （OR = 0.328, P = 0.001 ）, dose of L-dopa （OR = 0.273, P = 0.009）, UPDRS-II （OR = 0.402, P = 0.000）, UPDRS-III score （OR = 0.291, P = 0.005）, and PSQI score （OR = 0.249, P = 0.017）. Micturition number over 24 h was positively associated with HAMA （OR = 0.303, P = 0.004） and UPDRS-II scores （OR = 0.306, P = 0.003）. Of patients with residual urine, 79.3% had a volume of residual urine 〈50 ml. Residual urine was present in 44.4% of the patients with nocturia~ 46.5% of the patients with pollakiuria, and 80.0% of the patients with dysuria. More men than women had residual urine （35.2% male vs. 13.3% female; P = 0.002）. Conclusions： Nocturia and pollakiuria were common micturition symptoms in our participants with PD. Nocturia was associated with depression, anxiety, sleep problems, and severity of PD. Pollakiuria was associated with anxiety and severity of PD. Male patients were more prone to residual urine and pollakiuria.

Clinical observation on electroacupuncture at four sacral points for overactive bladder syndrome

Objective： To observe the clinical effect of electroacupuncture （EA） at four sacral points on overactive bladder syndrome. Methods： A total of 120 female patients with overactive bladder syndrome were allocated to a treatment group of 80 cases and a control group of 40 cases on a voluntary basis. The patients in the treatment group received EA at four sacral points, and the treatment was given three times a week for 6 consecutive weeks, while the patients in the control group received oral administration of M-receptor antagonist tolterodine tartrate, which was given 4 mg each time, once a day for 6 consecutive weeks. Then the symptom scores were compared between the two groups before and after treatment. Results： At the end of treatment, the symptom scores showed statistical significant differences in comparing with those before treatment in both groups （both P〈0.02）; the symptom score in the treatment group was lower than that in the control group, showing a statistically significant difference （P〈0.05）. Conclusion： EA at four sacral points is an effective method for overactive bladder syndrome.

Clinical and pathological analysis on Traditional Chinese Medicine syndromes in children with immunoglobulin A nephropathy

OBJECTIVE:To evaluate the common Traditional Chinese Medicine(TCM) syndromes and analyze their relationship to clinical and pathological manifestations in children with IgAnephropathy.METHODS:Forty five children diagnosed as having primary IgA nephropathy by renal biopsy for the first time were enrolled in this trial,and their TCM syndromes were evaluated and the distribution of TCM syndromes was observed.All the sick children were growed? according to clinical manifestations and pathological damages,and the differences in TCM syndromes were compared between the groups.RESULTS:The first 5 TCM symptoms were common cold,hyperhidrosis,red dry throat,dark yellow urine and lassitude.In the acute nephritis group,edema and aching pain in loin and knees were significant(P=0.021 and P=0.000).In the severe pathological damage group,edema was obvious(P= 0.004),and 24 h urinary protein was positively correlated with edema(P=0.015) while negatively with common cold(P=0,007).The score of mesangial cell proliferation was correlated with edema,red dry throat and common cold(P=0.006,0.013 and 0.029 respectively).The score of segmental pathological change was positively correlated with edema(P=0.039).CONCLUSION:Common cold,hyperhidrosis,red dry throat,dark yellow urine,lassitude and other symptoms of qi deficiency of the spleen and lung mainly seen in children with IgA nephropathy may bear a close relationship to clinical manifestations and pathological damages.

Therapeutic effect observation on acupuncture plus umbilicus application with Chinese medicine in treating detrusor underactivity

Objective:To observe the clinical efficacy of acupuncture plus umbilicus application with Chinese medicine for detrusor underactivity.Methods:A total of 46 male patients with detrusor underactivity who were admitted to our hospital between January and December 2017 were randomized into a control group and an observation group,with 23 cases in each group.The control group received intermittent catheterization and routine nursing,and the observation group was treated with acupuncture plus umbilicus application with Chinese medicine on the basis of the treatment of the control group.The comprehensive efficacy,the improvement of bladder urine residue and maximum flow rate of the two groups were observed.Results:No cases dropped out in the two groups.After the intervention,the total effective rate of the observation group was 78.3%,which was significantly higher than 52.2% of the control group (P<0.05).After intervention,the improvements of bladder urine residue and maximum flow rate in the observation group were statistically different from those in the control group (both P<0.05).Conclusion:The combination of acupuncture and umbilicus application with Chinese medicine added on the basis of intermittent catheterization and routine nursing has a certain effect in treating male patients with detrusor underactivity,and is worth further clinical study.

Dynamic Observation of Needling Huiyang(BL 35)on Ambulatory Urodynamics in Unstable Bladder

Objective： Needling lumbosacral acupoints could regulate unstable bladder （USB）. The present study is to observe the ambulatory urodynamics changing of needling Huiyang （BL 35） on USB to provide scientific basis for the relative theory of acupoint and Zang-fu organs, and the rule of acupuncture treatment. Methods： Unstable bladder model were prepared in 80 Wistar rats, and then they were randomly divided into treatment group （n=40） and model group （n=40）. The urodynamics were monitored respectively at 2 h, 6 h, 12 h and 24 h after acupuncture and the results were analyzed. Results： After acupuncture Huiyang （BL 35）, the compliance of bladder were superior to that of model group at 2 h, 6 h and 12 h, respectively （P〈0.05）, and the bladder volume were superior to that of model group at 2 h and 12 h, respectively （P〈0.05）. After acupuncture Huiyang （BL 35）, the compliance and volumn of bladder at 12 h were superior to those at other time （P〈0.05）. Twenty-four hours later, the effect of acupuncture on urodynamics decreased. Conclusion： Needling Huiyang （BL 35） could improve the urodynamics of USB, including improving the compliance of bladder and increasing the volume of bladder. Acupuncture Huiyang （BL 35） had the most effect at 12 h.