Clinical observation on the treatment of primary dysmenorrhea (cold coagulation and blood stasis type)with Fu acupuncture combined with Shaohu Decoction
浮针结合芍胡汤加减治疗原发性痛经（寒凝血瘀型）的临床观察

摘要

目的 观察浮针结合芍胡汤加减对寒凝血瘀型原发性痛经的临床疗效，并探讨其治疗机制。方法 对2020年4月-2021年4月北京中医药大学深圳医院推拿科接诊的寒凝血瘀型原发性痛经病人（n=45）进行随机分组，治疗组23人运用浮针腹部痛点针刺外治法加芍胡汤加减内服综合治疗，对照组22人选取芍胡汤加减口服治疗。两组患者均治疗3个月经周期，观察3个月经周期的治疗效果，评估远期疗效。对两组治疗前后进行临床疗效、腹痛视觉模拟评分（VAS）对比分析。结果 治疗组与对照组临床疗效分别为91.3%， 77.3%，两组对比差异有统计学意义（P＜0.05）。治疗组与对照组治疗期间3个月经周期及治疗结束后第3个月经周期的VAS评分比较，差异有统计学意义（P＜0.05）。结论 浮针结合芍胡汤加减法用于寒凝血瘀型原发性痛经，效果显著，可为临床治疗该病提供一种解决思路。

Abstract

Objective To analyze the value of floating acupuncture therapy for primary dysmenorrhea with cold coagulation and blood stasis, and to explore its therapeutic mechanism.
Methods From April 2020 to April 2021, 45 patients with primary dysmenorrhea of cold coagulation and blood stasis type (n=45) admitted to the Department of Massage, Shenzhen Hospital, Beijing University of Chinese Medicine were randomly divided into the treatment group (n= 23) and the control group (n= 22). Both groups were treated for 3 menstrual cycles, and the treatment effect of 3 menstrual cycles was observed to evaluate the long-term efficacy. The clinical efficacy and visual analogue scale (VAS) of abdominal pain were compared between the two groups before and after treatment.
Results the clinical efficacy of the treatment group and the control group were 91.3% and 77.3% respectively. There was significant difference between the two groups (P < 0.05). There was significant difference in VAS scores between the treatment group and the control group during the three menstrual cycles and the third menstrual cycle after treatment (P < 0.05).
Conclusion   Fu acupuncture combined with Shaohu decoction is effective in the treatment of primary dysmenorrhea of cold coagulation and blood stasis type, which can provide a solution for clinical treatment of the disease.