The effect of sensation of transmission along meridian acupuncture for chronic nonbacterial prostatitis

Abstract

ObjectiveTo investigate the short-term efficacy difference between sensation of transmission along meridian acupuncture and non- sensation of transmission along meridian acupuncture in the treatment of chronic nonbacterial prostatitis. MethodsA randomized, controlled, and single-blind clinical study was performed to collect 63 patients with chronic nonbacterial prostatitis who met the inclusion criteria and were randomly assigned to a transmission sensation group (31 patients) and a non-transmission sensation group (32 patients). The two groups of patients took the same acupuncture points. When they were lying down on their backs, Guānyuán (关元 CV4), Zhōngjí (中极 CV3) and Dàhè (大赫 KI12) were taken. When they were lying down on their stomachs, Shènshū (肾俞 BL 23), Cìliáo (次髎 BL32) and Huìyáng (会阳 BL35) were taken. Among them, the transmission sensation group was treated with transmission sensation along meridian to apply deep needling to the lower abdomen and lumbosacral acupuncture points with lifting, thrusting, and twirling method, so that the needling sensation was transmitted to the bladder, perineum and urethra. The non-transmission sensation group was treated with non-transmission sensation along meridian, and the acupuncture points were treated with conventional acupuncture until the patient felt soreness and distending etc. and the arrival of qi. Both groups of patients were treated with electro-acupuncture during acupuncture, and the sparse-dense wave (sparse wave 4 Hz, dense wave 20 Hz), and the needle retention continued for 20 min. All patients were treated for 3 times with once every other day, and the treatment lasted for one week. The CV4, CV3 and KI12 were used in the first and third treatments, and the BL23, BL32 and BL35 were used in the second treatment. The National Institute of Health chronic prostatitis syndrome index (NIH-CPSI) and Hamilton Anxiety Rating Scale (HAMA) were observed, and the clinical efficacies of the patient were observed. ResultsAfter treatment, the NIHCPSI scores (18.29±1.25, 21.56±1.28) and HAMA scores (10.29±1.16, 11.25±1.14) in the transmission sensation group and non-transmission sensation group were all lower than the pre-treatment NIHCPSI score (24.90±1.45, 24.94±1.25) and HAMA (14.10 ± 1.53, 14.47 ± 1.22) in the transmission sensation group and non-transmission sensation group, the differences were statistically significant (all P < 0.05). The difference value between the pre-treatment and post-treatment NIHCPSI scores of the transmission sensation group (6.61±0.97) was higher than that of the non-transmission sensation group (3.48±0.59), and the difference was statistically significant (P<0.05). The difference value between the pre-treatment and post-treatment HAMA scores of the transmission sensation group (3.81±0.81) was higher than that of the non-transmission sensation group (2.77±0.54). The total effective rate of the transmission sensation group (35.48%) was higher than that of the non-transmission sensation group (12.50%), and the difference was statistically significant (P<0.05). ConclusionsBoth the method of transmission sensation along meridian and the method of non-transmission sensation along meridian can effectively relieve the clinical symptoms and anxiety symptoms of patients with chronic nonbacterial prostatitis, improve the quality of life, and the method of transmission sensation along meridian had a more advantageous effect.