YAO Wang,CHEN Yuelai,JIANG Shihan,et al.Chen Yuelai's experience in treatment of overactive bladder with acupuncture[J].Shanghai Journal of Traditional Chinese Medicine,2025,59(11):46-51.
YAO Wang,CHEN Yuelai,JIANG Shihan,et al.Chen Yuelai's experience in treatment of overactive bladder with acupuncture[J].Shanghai Journal of Traditional Chinese Medicine,2025,59(11):46-51. DOI: 10.16305/j.1007-1334.2025.z20250217001.
Chen Yuelai's experience in treatment of overactive bladder with acupuncture
This article introduces Professor Chen Yuelai's clinical experience in acupuncture treatment for overactive bladder (OAB). It is believed that OAB often manifests as a deficiency syndrome, though cases of excess syndrome or a combination of both deficiency and excess can also occur. The underlying pathological mechanism is dysfunction in the bladder's qi transformation function. In clinical practice, emphasis is placed on "treating the root cause of the disease". Treatment aims to tonify kidney qi, regulate the water pathways, and assist the bladder's qi transformation function. In acupuncture treatment, points are selected based on the theory of meridian-point-organ association and syndrome differentiation, with the use of the conduction acupuncture technique to "direct qi to the affected area". Additionally, optimal electroacupuncture frequencies are used, complemented by bladder and pelvic floor muscle training. Two clinical cases are provided for reference.
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HAYLEN B T , DE RIDDER D , FREEMAN R M , et al . An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction [J]. Neurourol Urodyn , 2010 , 29 ( 1 ): 4 - 20 .
IRWIN D E , KOPP Z S , AGATEP B , et al . Worldwide prevalence estimates of lower urinary tract symptoms,overactive bladder, urinary incontinence and bladder outlet obstruction [J]. BJU Int , 2011 , 108 ( 7 ): 1132 - 1138 .
LAI H H , VETTER J , JAIN S , et al . Systemic nonurological symptoms in patients with overactive bladder [J]. J Urol , 2016 , 196 ( 2 ): 467 - 472 .
HUANG S , GUO C , TAI S , et al . Prevalence of overactive bladder in Chinese women:A systematic review and meta-analysis [J]. PLoS One , 2023 , 18 ( 12 ): e0290396 .
SEXTON C C , COYNE K S , THOMPSON C , et al . Prevalence and effect on health-related quality of life of overactive bladder in older americans:results from the epidemiology of lower urinary tract symptoms study [J]. J Am Geriatr Soc , 2011 , 59 ( 8 ): 1465 - 1470 .
DURDEN E , WALKER D , GRAY S , et al . The economic burden of overactive bladder (OAB) and its effects on the costs associated with other chronic, age-related comorbidities in the United States [J]. Neurourol Urodyn , 2018 , 37 ( 5 ): 1641 - 1649 .
KOTOWICZ Z , PABIŚ J , PODGÓRSKI P . An examination of Overactive Bladder Syndrome:present comprehension,methods of treatment,and innovative approaches [J]. J Educ Health Sport , 2024 , 64 : 106 - 117 .
WANG J , REN L , LIU X , et al . Underactive bladder and detrusor underactivity: New advances and prospectives [J]. Int J Mol Sci , 2023 , 24 ( 21 ): 15517 .
DE WACHTER S , VAGANEE D , KESSLER T M . Sacral neuromodulation:Mechanism of action [J]. Eur Urol Focus , 2020 , 6 ( 5 ): 823 - 825 .
KRHUT J , KOBBERØ H , KANAAN R , et al . The mechanism of action of neuromodulation in the treatment of overactive bladder [J]. Nat Rev Urol , 2025 , 22 ( 7 ): 414 - 426 .
SAKAKIBARA R , YAMAMOTO T , SEKIDO N , et al . How brain diseases affect the lower urinary tract function? [J]. Bladder (San Franc) , 2023 , 10 : e21200001 .
SAKAKIBARA R , PANICKER J , FOWLER C J , et al . Is overactive bladder a brain disease? The pathophysiological role of cerebral white matter in the elderly [J]. Int J Urol , 2014 , 21 ( 1 ): 33 - 38 .
FOLER C J , GRIFFITHS D J . A decade of functional brain imaging applied to bladder control [J]. Neurourol Urodyn , 2010 , 29 ( 1 ): 49 - 55 .
GRIFFITHS D , TADIC S D , SCHAEFER W , et al . Cerebral control of the bladder in normal and urge-incontinent women [J]. Neuroimage , 2007 , 37 ( 1 ): 1 - 7 .
GRIFFITHS D , DERBYSHIRE S , STENGER A , et al . Brain control of normal and overactive bladder [J]. J Urol , 2005 , 174 ( 5 ): 1862 - 1867 .
KOMESU Y M , KETAI L H , MAYER A R , et al . Functional MRI of the brain in women with overactive bladder:Brain activation during urinary urgency [J]. Female Pelvic Med Reconstr Surg , 2011 , 17 ( 1 ): 50 - 54 .
TADIC S D , GRIFFITHS D , SCHAEFER W , et al . Brain activity underlying impaired continence control in older women with overactive bladder [J]. Neurourol Urodyn , 2012 , 31 ( 5 ): 652 - 658 .
LIGHTNER D J , GOMELSKY A , SOUTER L , et al . Diagnosis and treatment of overactive bladder (non-neurogenic) in adults:AUA/SUFU guideline amendment 2019 [J]. J Urol , 2019 , 202 ( 3 ): 558 - 563 .
VAN BREDA H M K , MARTENS F M J , TROMP J , et al . A New implanted posterior tibial nerve stimulator for the treatment of overactive bladder syndrome:3-month results of a novel therapy at a single center [J]. J Urol , 2017 , 198 ( 1 ): 205 - 210 .
GONG Q Q , XU Y Q , XU J , et al . Meta-analysis of randomized controlled trials using botulinum toxin a at different dosages for urinary incontinence in patients with overactive bladder [J]. Front Pharmacol , 2019 , 10 : 1618 .
ALI S , PETERSON G M , BEREZNICKI L R , et al . Association between anticholinergic drug burden and mortality in older people:a systematic review [J]. Eur J Clin Pharmacol , 2020 , 76 ( 3 ): 319 - 335 .