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Acupuncture points used in the prophylaxis against recurrent uncomplicated cystitis, patterns identified and their possible relationship to physiological measurements

  • Acupuncture Research
  • Published:
Chinese Journal of Integrative Medicine Aims and scope Submit manuscript

Abstract

Objective

To explore the correlation between single acupoints used and the recurrence rate of cystitis among cystitis-prone women receiving acupuncture as a prophylactic treatment.

Methods

In all, 58 cystitis-prone women were included in the analysis. Customised acupuncture treatments were given twice a week, over 4 weeks. The main effect parameter was the number of cystitis episodes during the 6-month observation time. Residual urine was measured at baseline, 2, 4 and 6 months using portable ultrasound equipment. Sympathetic and vagotone nerve activities were measured by using skin conductance and respiratory sinus arrhythmia, respectively.

Results

The main acupoints used for patients with Kidney (Shen) qi/yang deficiency were Shenshu (BL23), Taixi (KI3), Zhongji (CV3), Sanyinjiao (SP6) and Pangguangshu (BL28), compared with Taichong (LR3), CV3, BL28, Yinlingquan (SP9) and SP6 for Liver (Gan) qi stagnation, and SP6, CV3, BL28, Zusanli (ST36) and SP9 for Spleen (Pi) qi/yang deficiency patients. The combination BL23 and KI3 were used in 16 women, 13 of which were Kidney pattern related patients. When used, the number of symptomatic episodes were reduced to a third compared with what occurred in the 42 women where this combination was not used (3/16 vs. 28/42, P<0.05). BL23 application correlated to a significant reduction in residual urine measured a few days after treatment. Patients with the pattern of Spleen qi/yang deficiency had an initial increase in residual urine after treatments.

Conclusion

Treating Kidney pattern related patients with the combination of BL23 and KI3 resulted in far better outcome than other points/combination of points for other Chinese medicine diagnoses. The acupoint SP6 may be less indicated than previously assumed when treating cystitis-prone women prophylactically.

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References

  1. Huan YZ, Rose K, eds. Who can ride the dragon? Massachusetts: Paradigm Pulicatons; 1999.

  2. Han SJ. Opiod and antiopiod peptides: a model of yin-yang balance in acupuncture mechanism on pain modulation. In: Stux G, Hammerschlag R, eds. Clinical acupuncture. Scientific basis. Berlin: Springer; 2001:51–68.

    Chapter  Google Scholar 

  3. Cho HZ, Na SC, Wang KE, Lee HS, Hong KI. Functional magnetic resonance of the brain in the investigation of acupuncture. In: Stux G, Hammerschlag R, eds. Clinical acupuncture. Scientific basis. Berlin: Springer; 2001:83–95.

    Chapter  Google Scholar 

  4. Yoo SS, Kerr CE, Park M, Im DM, Blinder RA, Park H, et al. Neural activities in human somatosensory cortical areas evoked by acupuncture stimulation. Complement Ther Med 2007;15:247–254.

    Article  PubMed  Google Scholar 

  5. Vickers JA. Can acupuncture have specific effects on health? A systematic review of acupuncture antiemesis trials. J Roy Soc Med 1996;89:303–311.

    CAS  PubMed  PubMed Central  Google Scholar 

  6. Lee A, Done ML. The use of nonpharmacologic techniques to prevent postoperative nausea and vomiting a metaanalysis. Anesth Analg 1999;88:1362–1369.

    CAS  PubMed  Google Scholar 

  7. Ezzo J, Vickers A, Richardson MA, Allen C, Dibble SL, Issell B, et al. Acupuncture-point stimulation for chemotherapy-induced nausea and vomiting. J Clin Oncol 2005;23:7188–7198.

    Article  PubMed  Google Scholar 

  8. Alraek T, Baerheim A. The effect of prophylactic treatment in women with recurrent cystitis; Kidney patients fare better. J Altern Complement Med 2003;9:651–658.

    Article  PubMed  Google Scholar 

  9. Alraek T. Acupuncture in the prevention of recurrent uncomplicated lower urinary tract infection in adult women. Department of Public Health and Primary Health Care, University of Bergen; 2004.

    Google Scholar 

  10. Alraek T, Soedal LIF, Fagerheim SU, Digranes A, Barheim A. Acupuncture treatment in the orevention of uncomplicated recurrent lower urinary tract infections in adult women. Am J Public Health 2002;92:1609–1611.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Bent S, Nallamothu KB, Simel LD, Fihn DS, Saint S. Does this woman have an acute uncomplicated urinary tract infection? JAMA 2002;287:2701–2710.

    Article  PubMed  Google Scholar 

  12. Haylen BT, Krishnan S, Verity L, Schulz S, Zhou J, Law MG, et al. Can we identify the women more likely to experience recurrent UTI. Int Urogynecol J 2005;16(Suppl 2):S45.

    Google Scholar 

  13. Raz R, Gennesin Y, Wasser J, Stoler Z, Rosenfeld S, Rottensterich E, et al. Recurrent urinary tract infections in postmenopausal women. Clin Infect Dis 2000;30:152–156.

    Article  CAS  PubMed  Google Scholar 

  14. Hoebeke P, van Laecke E, van Camp C, Raes A, Van De Walle J. One thousand videodynamic studies in children with non-neurogenic bladder sphincter dysfunction. BJU Int 2001;87:575–580.

    Article  CAS  PubMed  Google Scholar 

  15. Chang PL. Urodynamics study in acupuncture for women with frequency, urgency and dysuria. J Urol 1988;140:563–566.

    CAS  PubMed  Google Scholar 

  16. Klarskov PO. Training patients with residual urine and/ or recurrent urinary tract infections. Ugeskr Læger 1989;151:293–295.

    CAS  PubMed  Google Scholar 

  17. Chang PL, Wu CJ, Huang MH. Long-term outcome of acupuncture in women with frequency, urgency and dysuria. Am J Chin Med 1993;21:231–236.

    Article  CAS  PubMed  Google Scholar 

  18. Haylen BT. Residual urine volume in anormal female population: application of transvaginal ultrasound. Br J Urol 1989;64:347–349.

    Article  CAS  PubMed  Google Scholar 

  19. Vandoninck V, van Balken MR, Agro EF, Petta F, Caltagirone C, Heesakkers JPFA, et al. Posterior tibial nerve stimulation in the treatment of urge incontinence. Neurourol Urodyn 2003;22:17–23.

    Article  PubMed  Google Scholar 

  20. Vandoninck V, van Balken MR, Agro EF, Petta F, Micali F, Heesakkers JPFA, et al. Percutaneous tibial nerve stimulation in the treatment of overactive bladder: urodynamic data. Neurourol Urodyn 2003;22:227–232.

    Article  PubMed  Google Scholar 

  21. Bergström K, Carlsson CPO, Lindholm C, Widengren R. Improvement of urge-and mixed-type incontinence after acupuncture treatment in elderly women—a pilot study. J Auton Nerv Syst 2000;79:173–180.

    Article  PubMed  Google Scholar 

  22. Honjo H, Naya Y, Ukimura O, Kojima M, Miki T. Acupuncture on clinical symptoms and urodynamic measurements in spinal cord injured patients with detrusor hyperreflexia. Urol Int 2000;65:190–195.

    Article  CAS  PubMed  Google Scholar 

  23. Ben H, Zu Y, Ye Y. The effect of electroacupuncture on the function of the partially denervated bladder in rabbits. Acupunct Res (Chin) 1993;18:68–72.

    CAS  Google Scholar 

  24. Schilling JD, Hultgren SJ. Recent advances into the pathogenesis of recurrent urinary tract infections: the bladder as a reservoir for uropathogenic Esherichia coli. Int J Antimicrob Agents 2002;19:457–460.

    Article  CAS  PubMed  Google Scholar 

  25. Tracy KJ. The inflammatory reflex. Nature 2002;420:853–859.

    Article  Google Scholar 

  26. Ellis AK, Verma S. Quality of life in women with urinary tract infections is benign a misnomer. J Am Board Fam Pract 2000;13:392–397.

    Article  CAS  PubMed  Google Scholar 

  27. Sumners D, Kelsey M, Chait I. Psychological aspects of lower urinary tract infections in women. BMJ 1992;304:17–19.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Haug TT, Svebak S, Hausken T, Wilhelmsen I, Berstad A. Personality factors as predictors of stressrelated antral motility, vagal activation and symptoms in functional dyspepsia patients. Scand J Gastroenterol 1992;27(Suppl 190):A106.

    Google Scholar 

  29. Groome LJ, Loizou PC, Holland SB, Smith LA, Hoff C. High vagal tone is associated with with more efficient regulation of homeostasis in low-risk fetuses. Dev Psychobiol 1999;35:25–34.

    Article  CAS  PubMed  Google Scholar 

  30. Alraek T, Tan CO. Acupuncture and heart rate variability. Acupunct Med 2011;29:7–8.

    Article  PubMed  Google Scholar 

  31. Aune A, Alraek T, Lihua H, Baerheim A. Acupuncture in the prophylaxis of recurrent lower urinary tract infection in adult women. Scand J Prim Health Care 1998;16:37–39.

    Article  CAS  PubMed  Google Scholar 

  32. Minni B, Capozza N, Creti G, De Gennaro M, Caione P, Bischko J. Bladder instability and enuresis treated by acupuncture and electro-therapeutics: early urodynamic observations. Acupunct Electrother Res 1990;15:19–25.

    Article  CAS  PubMed  Google Scholar 

  33. Philp T, Shah PJ, Worth PH. Acupuncture in the treatment of bladder instability. Br J Urol 1988;61:490–493.

    Article  CAS  PubMed  Google Scholar 

  34. Kelleher CJ, Filshie J, Burton G, Khullar V, Cardozo LD. Acupuncture and the treatment of irritative bladder symptoms. Acupunct Med 1994;12:9–12.

    Article  Google Scholar 

  35. Kitakoji H, Tersaki T, Honjo H, Odahra Y, Ukimura O, Kojima M, et al. Effect of acupuncture on the overactive bladder. Nippon Hinyokika Gakkai Zasshi Jpn 1995;86:1514–1519.

    CAS  Google Scholar 

  36. Honjo H, Kawauchi A, Ukimura O, Soh J, Mizutani Y, Miki T. Treatment of monosymptomatic nocturnal enuresis by acupuncture: A preliminary study. Int J Urol 2002;9:672–676.

    Article  PubMed  Google Scholar 

  37. Serel TA, Perk H, Koyuncuolu, Koar A, Çelik K, Deniz N. Acupuncture therapy in the management of persistent nocturnal enuresis. Scand J Urol Nephrol 2000;35:40–43.

    Article  Google Scholar 

  38. Björkström G, Hellström AL, Andersson S. Electro-acupuncture in the treatment of children with monosymptomatic nocturnal enuresis. Scand J Urol Nephrol 2000;34:21–26.

    Article  PubMed  Google Scholar 

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Correspondence to Terje Alraek.

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Alraek, T., Baerheim, A. & Birch, S. Acupuncture points used in the prophylaxis against recurrent uncomplicated cystitis, patterns identified and their possible relationship to physiological measurements. Chin. J. Integr. Med. 22, 510–517 (2016). https://doi.org/10.1007/s11655-014-1988-y

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  • DOI: https://doi.org/10.1007/s11655-014-1988-y

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