Two cases of urinary retention in patients with Alzheimer's disease with agitation treated by acupuncture

ZONG Guanhua; LI Ran; JIANG Yuhang; CHEN Zehao; YAN Shanshan; YI Zongxi; REN Xinyu; JIA Baohui

doi:10.13703/j.0255-2930.20250804-k0002

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Two cases of urinary retention in patients with Alzheimer's disease with agitation treated by acupuncture

Case Report | 更新时间：2025-12-11

- Two cases of urinary retention in patients with Alzheimer's disease with agitation treated by acupuncture
- Chinese Acupuncture & Moxibustion Vol. 45, Issue 12, Pages: 1822-1824(2025)
- 作者机构：
  
  中国中医科学院广安门医院针灸科，北京　100053
  中国中医科学院广安门医院康复医学科，北京　100053
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20250804-k0002
  CLC：
- Received：04 August 2025，
  
  Online First：20 October 2025，
  
  Published：12 December 2025
- 稿件说明：
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ZONG Guanhua, LI Ran, JIANG Yuhang, et al. Two cases of urinary retention in patients with Alzheimer's disease with agitation treated by acupuncture[J]. Chinese Acupuncture & Moxibustion, 2025, 45(12): 1822-1824.
DOI：

ZONG Guanhua, LI Ran, JIANG Yuhang, et al. Two cases of urinary retention in patients with Alzheimer's disease with agitation treated by acupuncture[J]. Chinese Acupuncture & Moxibustion, 2025, 45(12): 1822-1824. DOI： 10.13703/j.0255-2930.20250804-k0002.

摘要

报道2例阿尔茨海默病伴激越患者因排尿困难接受针刺治疗的情况。根据患者临床症状，明确病因病机，穴取百会、四神聪、神庭，双侧次髎、中髎、风池、太阳等为主针刺，以调神利水，同侧次髎、中髎各为一组连接SDZ-Ⅴ型电针仪的正负极，予连续波，频率15 Hz，电流3~10 mA，以患者耐受为度。留针20 min，隔日1次，每周3次，12次为一疗程。2例患者均针刺治疗1次后自觉有尿意，并于当日拔除尿管；经针刺治疗1~2个疗程后，患者排尿通畅，未再出现排尿困难，且激越行为改善，可为临床治疗阿尔茨海默病伴激越患者尿潴留病提供参考。

Abstract

This article reports 2 cases of urinary retention in Alzheimer's disease with agitation treated by acupuncture. Based on patients' clinical symptoms

the etiology and pathogenesis were determined

and acupuncture was applied to Baihui (GV20)

Sishencong (EX-HN1)

Shenting (GV24)

and bilateral Ciliao (BL32)

Zhongliao (BL33)

Fengchi (GB20)

Taiyang (EX-HN5)

etc. to regulate the mind and promote water metabolism. The positive and negative electrodes of the SDZ-Ⅴ type electroacupuncture device were attached to ipsilateral Ciliao (BL32)

Zhongliao (BL33) respectively

with continuous wave

at the frequency of 15 Hz

and the current of 3 to 10 mA

depending on patients' tolerance. The needles were retained for 20 min. The treatment was delivered once every other day

3 interventions a week and 12 interventions as 1 course. Both patients reported the micturition desire after 1 intervention with acupuncture and the catheter was removed on the same day. The urination was ameliorated without dysuresia after 1-2 courses of treatment

and the agitated behavior was alleviated. It can be the reference for the clinical treatment of urinary retention in patients with Alzheimer's disease with agitation.

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