Zhu Yan-Xia, Xu Neng-Gui
Clinical Medical College of Acupuncture and Rehabilitation, Guangzhou University of Traditional Chinese Medicine, Guangzhou 510006, China.
Guangzhou University of Traditional Chinese Medicine, Guangzhou 510006.
Zhen Ci Yan Jiu. 2019 Jun 25;44(6):443-5. doi: 10.13702/j.1000-0607.180693.
To observe the clinical effect of acupuncture stimulation of Sanhuang points in the treatment of chronic nonbacterial prostatitis (CNP) of kidney- deficiency type.
A total of 60 CNP outpatients were equally randomized into medication(control) group and acupuncture plus medication (acupuncture) group. Patients of the control group were ordered to take Tamsulosin (0.2 mg/d) for successive 8 weeks. On the basis of medication treatment, for patients of the acupuncture group, bilateral Sanhuang points including Tianhuang-fu Point (Shenguan), Dihuang Point and Renhuang Point (at the lower leg) were needled with filiform needles which were manipulated for a while till , followed by retaining the needles for 30 min. The treatment was conducted once daily for successive 8 weeks. The therapeutic effect was evaluated in reference to the "Criteria for Diagnosis and Therapeutic Effect Evaluation of Syndromes/Diseases of Traditional Chinese Medicine". The National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI) scores were used to assess the severity of chronic prostatitis. Routine examination of the leukocyte count in the prostatic fluid was performed before and after the treatment.
Of the two 30 cases of the control and acupuncture groups, 9 and 19 were cured, 14 and 10 experienced improvement, and 7 and 1 failed in the treatment, with the effective rates being 76.67% and 96.67%, respectively. The effective rate of the acupuncture plus medication was significantly higher than that of the medication (<0.05). After the treatment, the scores of NIH-CPSI and white blood cell counts in the prostatic fluid in both groups were significantly decreased in comparison with their own pre-treatment (<0.05). The therapeutic effect of acupuncture plus medication was significantly superior to that of the medication alone in reducing the NIH-CPSI symptom score and the number of leukocytes in the prostatic fluid (<0.05).
Acupuncture at Sanhuang points is effective in improving symptoms of CNP patients of kidney-yang deficiency type, and the therapeutic effect of acupuncture plus medication is superior to that of medication alone.
观察针刺三黄穴治疗肾虚型慢性非细菌性前列腺炎（CNP）的临床疗效。
将60例CNP门诊患者随机分为药物（对照）组和针刺加药物（针刺）组，每组各30例。对照组患者口服坦索罗辛（0.2mg/d），连续服用8周。针刺组在药物治疗基础上，取双侧三黄穴（包括天黄穴（神阙）、地黄穴、人黄穴（位于小腿）），用毫针针刺，行针片刻后留针30分钟，每日治疗1次，连续治疗8周。参照《中医病证诊断疗效标准》评价疗效，采用美国国立卫生研究院慢性前列腺炎症状指数（NIH-CPSI）评分评估慢性前列腺炎严重程度，治疗前后检测前列腺液白细胞计数。
对照组和针刺组各30例患者中，对照组治愈9例，好转14例，无效7例，有效率为76.67%；针刺组治愈19例，好转10例，无效1例，有效率为96.67%。针刺加药物组的有效率显著高于药物组（P<0.05）。治疗后，两组患者的NIH-CPSI评分及前列腺液白细胞计数均较治疗前显著降低（P<0.05）。针刺加药物组在降低NIH-CPSI症状评分及前列腺液白细胞数量方面的疗效显著优于单纯药物组（P<0.05）。
针刺三黄穴对改善肾阳虚型CNP患者症状有效，且针刺加药物治疗的疗效优于单纯药物治疗。
