期刊目次

加入编委

期刊订阅

添加您的邮件地址以接收即将发行期刊数据:

Open Access Article

International Research in Chinese Medicine. 2022; 2: (2) ; 38-40 ; DOI: 10.12208/j.ircm.20220024.

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

作者: 陈冬 *, 陈静, 吴函秋, 程肖芳

深圳市北京中医药大学深圳医院(龙岗)推拿科 广东深圳

*通讯作者: 陈冬,单位:深圳市北京中医药大学深圳医院(龙岗)推拿科 广东深圳;

发布时间: 2022-08-24 总浏览量: 363

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。

关键词: 原发性痛经;浮针;芍胡汤加减

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.

Key words: Primary dysmenorrhea; Floating needle; Shaohu Decoction addition and subtraction

参考文献 References

[1] 夏桂成.中医妇科理论与实践[M].北京:人民卫生出版社,2003:247.

[2] 杨建花.近年来针灸治疗原发性痛经临床概况与思考[J].中国针灸,2004,24(5):364-366.

[3] 李卓梅,欧后玉,唐作珍,吴朝刚,贾瑞莉,李丹虹,刘景洋,黄丹丹.中医治疗原发性痛经研究进展[J] .实用中医药杂志,2019,35(01):124-126.

[4] 曾庆芳,王昕.寒凝血瘀证痛经中医药研究进展[J].辽宁中医药大学学报,2019,21(1):101-103.

[5] 中华人民共和国卫生部.中药新药临床研究指导原则[S] .南京:南京大学出版社,1993:263- 266.

[6] 张玉珍.中医妇科学[M] .北京::中国中医药出版社,2002:124- 129.

[7] Merboth M K,Bamainon S.Managing pain: the fifth vital sign[J] .Nuts Clin North Am,2000,35(2):375-383.

[8] 郑筱萸.中药新药临床研究指导原则(试行) [J].北京:中国医药科技出版社, 2002:101.

[9] 王艳英.原发性痛经发病机制及治疗的研究进展[J].中华中医药杂志,2015,30(7):2447-2449.

[10] 乐杰.妇产科学.7版.北京:人民卫生出版社,2011:318-319.

引用本文

陈冬, 陈静, 吴函秋, 程肖芳, 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[J]. 国际中医药研究, 2022; 2: (2) : 38-40.