[GAO Wei-bin's clinical experience in treatment of neurogenic bladder with acupuncture]

Zhongguo Zhen Jiu. 2023 Feb 12;43(2):197-202. doi: 10.13703/j.0255-2930.20220815-k0003.
[Article in Chinese]

Abstract

The paper introduces GAO Wei-bin's clinical experience in acupuncture treatment for neurogenic bladder. In association with the etiology, the location and types of neurogenic bladder and in accordance with nerve anatomy and meridian differentiation, the acupoints are selected accurately in treatment. Four acupoint prescriptions are allocated. For frequent urination and urinary incontinence, the foot-motor-sensory area of scalp acupuncture, Shenshu (BL 23) and Huiyang (BL 35) are used. For all kinds of urine retention, especially the patients who are not suitable for acupuncture at the lumbar region, Zhongji (CV 3), Qugu (CV 2), Henggu (KI 11) and Dahe (KI 12) are selected. For all kinds of urine retention, Zhongliao (BL 33) and Ciliao (BL 32) are applicable. For the patients with both dysuria and urinary incontinence, Zhongliao (BL 33), Ciliao (BL 32) and Huiyang (BL 35) are chosen. In treatment of neurogenic bladder, both biao (root causes) and ben (primary symptoms) are considered, as well as the accompanying symptoms; and electroacupuncture is combined accordingly. During the delivery of acupuncture, the sites where the acupoints located are detected and palpated so as to rationally control the depth of needle insertion and the operation of reinforcing and reducing needling techniques.

总结高维滨针灸治疗神经源性膀胱的临床经验。结合神经源性膀胱的病因、病位及疾病种类,依据神经解剖、经络辨证,精准选穴。总结4组穴方:针对尿频、尿失禁者,选取足运感区、肾俞、会阳;针对各型尿潴留(尤其是不适合在腰部针刺者)选取中极、曲骨、横骨、大赫;针对各型尿潴留选取中髎、次髎;针对既有排尿困难又有尿失禁者选取中髎、次髎、会阳。标本兼治,重视兼证,巧妙配合电针治疗。施术注重揣穴、合理把握针刺深度及补泻手法。.

Keywords: GAO Wei-bin; acupuncture; electroacupuncture; famous doctor′s experience; neurogenic bladder.

Publication types

  • English Abstract

MeSH terms

  • Acupuncture Points
  • Acupuncture Therapy* / adverse effects
  • Electroacupuncture*
  • Humans
  • Meridians*
  • Urinary Bladder, Neurogenic* / etiology
  • Urinary Incontinence*
  • Urinary Retention*