[Effect of acupuncture at Weizhong (BL 40) on bladder urination function based on ultrasound]

Zhongguo Zhen Jiu. 2023 Mar 12;43(3):299-303. doi: 10.13703/j.0255-2930.20220311-k0005.
[Article in Chinese]

Abstract

Objective: To observe the effect of acupuncture at Weizhong (BL 40) with deqi on bladder urination function.

Methods: A total of 60 healthy subjects were randomized into an observation group and a control group, 30 subjects in each group. Under the guidance of ultrasound, acupuncture was applied Weizhong (BL 40) on both sides. In the observation group, the needling depth was reached to the tibial nerve, and lifting-thrusting twirling method was used to induce deqi. In the control group, the needling depth was reached to the superficial fascia, and no manipulation was operated to induce deqi. The needles were retained for 10 min and acupuncture was given once in both groups. The bilateral ureteral ejection frequency and volume of the bladder were observed by ultrasound before and after acupuncture, and the score of clinical evaluation scale of deqi sensation was observed in both groups.

Results: After acupuncture, the frequency of bilateral ureteral ejection in the observation group and the bladder volume in the two groups were increased compared before acupuncture (P<0.05), and the frequency of bilateral ureteral ejection, bladder volume and score of clinical evaluation scale of deqi sensation in the observation group were higher than those in the control group (P<0.05, P<0.01).

Conclusion: Acupuncture at Weizhong (BL 40) with deqi improves the bladder urination function. Ultrasound visualization improves the standardization and safety of acupuncture, intuitively evaluates the acupuncture effect, and provides an objective basis for the correlation between meridian points specificity and zang-fu organs.

目的:采用超声观察针刺委中得气对膀胱排尿功能的影响。方法:将60例健康受试者随机分为观察组和对照组,每组30例。在超声引导下针刺两组受试者双侧委中,观察组针刺至胫神经处,行提插捻转手法使之得气;对照组针刺至浅筋膜处,不行针不得气,均留针10 min,针刺1次。采用超声观察两组受试者针刺前后膀胱双侧输尿管喷尿频率、膀胱容积,并评定受试者得气感临床评价量表评分。结果:针刺后,观察组双侧输尿管喷尿频率及两组膀胱容积均较针刺前增加(P<0.05);观察组双侧输尿管喷尿频率、膀胱容积及得气感临床评价量表评分均高于对照组(P<0.05,P<0.01)。结论:针刺委中得气可改善膀胱排尿功能;超声可视化可提高针刺标准化和安全性,直观评价针刺效应,为经穴特异性-脏腑相关性提供客观依据。.

Keywords: Point BL 40 (Weizhong); acupuncture; bladder urination function; randomized controlled trial (RCT); ultrasound.

Publication types

  • Randomized Controlled Trial
  • English Abstract

MeSH terms

  • Acupuncture Points
  • Acupuncture Therapy*
  • Humans
  • Meridians*
  • Urinary Bladder
  • Urination