Monday, May 6, 2019

Electrical Acupuncture, Point Injection and BPH

When men reach the age of 50, about 50% of people often have nighttime urination, urinary urgency and urinary retention. These symptoms can affect their sleep and social life, causing anxiety and insomnia. Medications can help relax the smooth muscles of the bladder and prostate to reduce the urgency and frequency of urination, but can also cause erectile dysfunction, urinary tract infections and urinary retention.

The latest research on acupuncture and chronic prostatitis and chronic pelvic pain syndrome was published in 2018 by Qin et al. in the Journal of Urology. The study was a 32-week randomized controlled trial involving 8 weeks of treatment followed by a 24-week follow-up. 68 patients aged 18 to 50 were randomly assigned to acupuncture or non-invasive sham acupuncture. The National Institutes of Health's chronic prostatitis symptoms index [NIH-CPSI] scores were significantly different between the two groups at 8 weeks, 20 weeks, and 32 weeks after treatment. There was no significant difference between the NIH-CPSI pain and quality of life subscale scores and the International Prostate Symptom Score [IPSS] at week 4 [p > 0.05]. For all other secondary outcomes, the acupuncture group was statistically superior to the sham acupuncture group. The researchers concluded that acupuncture shows clinical and long-lasting benefits compared to sham acupuncture for chronic prostatitis and chronic pelvic pain syndrome, but requires adequate doses to achieve optimal results.

Electroacupuncture can alleviate the symptoms of benign prostatic hyperplasia, but does not reduce testosterone levels. This has been verified by Zheng Zheng in China's wine in 2017. Sixty patients were randomly assigned to the electroacupuncture group and the drug group, 30 in each group. In the electroacupuncture group, electroacupuncture was applied to the middle set [CV 3] and Qugu [CV 2] once a day, 5 times a week. In the drug group, 0.2 mg of tamsulosin hydrochloride sustained release capsule was orally administered once a day. The duration of treatment in both groups was 6 weeks. Serum testosterone [T], estradiol [E2], E2 / T, IPSS, erectile function score [△ EF5], serum prostate specific antigen [PSA] and adverse reactions were observed before and after treatment. Two groups. The clinical effects of the two groups were compared.

Before and after treatment, there was no significant difference in serum T, E2 and E2 / T between the electroacupuncture group [P>0.05], but the difference of E2/T in the treatment group was statistically significant [P <0.05]. The electroacupuncture group had lower IPSS before treatment [P <0.05]. The difference between the two groups was statistically significant [P <0.05]. The electroacupuncture group had better curative effect and the symptoms were milder after treatment. The electroacupuncture group was significantly reduced, and the overall condition of the patients was better than that of the drug-treated group [P < 0.05]. The total effective rate of the electroacupuncture group was 60.7%, which was almost 30.8% of the improvement rate [P < 0.05]. The study showed that electroacupuncture can more effectively alleviate the symptoms of chronic prostatitis without significantly changing serum testosterone and estrogen levels. Electroacupuncture can improve testicular function by bringing more blood flow to the testes and adrenal glands.

If men do not have time to take acupuncture twice a week for 8 weeks, they can use saline or herbal injections to reduce the frequency of acupuncture treatments required. The following study supports an interesting combination of electroacupuncture and acupoint injection for prostate enlargement.

An interesting research article was published in the Journal of Acupuncture and Meridian Research, entitled Hwanglyunhaedok Pharmacopuncture vs. Saline Pharmacopuncture on Chronic Nonbacterial Prostatitis / Chronic Pelvic Pain Syndrome by K.M. Seong et al. In this study, 63 patients diagnosed with chronic prostatitis/chronic pelvic pain syndrome received electroacupuncture treatment and injected 8 mL of 1 mL herbal injection or saline twice a week at acupoint CV1 for 4 week. There were 32 patients in the herbal injection group and 31 patients in the saline group. After 4 weeks of treatment twice a week, the researchers found a significant reduction in the total NIH-CPSI scores. Pain scores also decreased significantly in both groups. In addition, IPSS was significantly reduced after both treatments. However, there was no significant difference between the herbal injection and saline injection groups in the NIH-CPSI score and IPSS.



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