| To observe the self-made Xingqi ZhuYu Decoction treatment combined acupuncture and moxibustion treatment of primary dysmenorrhea Qi stagnation blood stasis type clinical efficacy, and conduct systematic evaluation of its clinical application provide a scientific basis.Collected from September 2008 to October 2009 in Hubei Province during the Chinese medicine hospital out-patient clinic and diagnosed as having primary dysmenorrhea is Qi stagnation blood stasis type of patients, a total of 62 cases were randomly divided into two groups:treatment group 33 cases in the control group 29 cases. The treatment group were given xingqi ZhuYu Decoction combined acupuncture treatment, since the proposed composition of Xingqi ZhuYu Decoction treatment Recipe for:Cyperus rotundus 15g, Health Puhuang 15g, Salvia miltiorrhiza 15g, Corydalis 15g, Fructus Toosendan 6g, white peony root 12g,9 incense insect 10g, Poria 8g addition and subtraction according to symptoms, one day one prescription, Cooked decoction twice and draind the solution about 300ml, took it twice for the morning and evening. One week before the beginning of menstruation by medication, the first day to stop menstruation. Acupuncture acupoints:Guan Yuan, zhongchong, Qi Hai, Zusanli, Sanyinjiao, Taichong, gongsun. After routine disinfection, using filiform needle acupuncture needle in the above, Using Ping reinforcing-reducing method, may air after 1 cm-1.5cm long needle moxa fixed on the handle fire, moxibustion 2 Zhu, about 30 min after needle injection.3d begin treatment by the former to the first day of menstruation to stop needle. Control group:to be diclofenac sodium suppositoryⅡon menstrual cramps before the 1-2 d, or rectal administration began to have symptoms, daily one time, each one, used in conjunction 3-5d, or to the relief of symptoms. Two groups of patients were three menstrual cycle treatment. Dysmenorrhea symptom score based on standards, grading standards and the severity of dysmenorrhea Chinese individual symptom score standard score.Observe the degree of dysmenorrhea, and duration of pain, menstrual menstruation, by volume, color and other clinical symptoms, tongue, pulse changes, and patients with blood, urine routine, liver and kidney function tests such as safety testing, the data obtained measurement data using t inspection, count data usingχ2test, grade data using Ridit analysis.1. The total effect of two groups of patients compared to treatment group qi stagnation and blood stasis type primary dysmenorrhea markedly clinical total effective rate:90.63%; control group:85.71%; by rank test, the clinical efficacy of the two groups compared with a statistically significant difference (P<0.05). Note the treatment group the total clinical efficacy is superior to the control group.2. TCM symptoms between the two groups of clinical efficacy of the treatment group compared the total effective rate:90.63%; the control group, the total efficiency:52.72%; by rank test, two groups of patients with symptomatic efficacy of traditional Chinese medicine comparison, there is a very significant difference (P <0.01). Note the treatment group of Chinese medicine in improving the symptoms of primary dysmenorrhea are obviously superior to the control group.3. The two groups before and after treatment in patients with more treatment of dysmenorrhea points after a menstrual cycle between the two groups score by the t test points between the two groups of treatment have no significant difference (P>0.05); treatment of two menstrual cycles between the two groups score by the t test between the two groups of treatment points are significantly different (P<0.05); treatment of three menstrual cycles between the two groups score by the t test points between the two groups of treatment there was a very significant difference (P<0.01). Description With the increase in treatment cycles, the efficacy of the treatment group significantly better than the control group.4. follow-up of the treatment group at the end of treatment (three menstrual cycles) and the follow-up of the situation (6 menstrual cycles) to compare the difference was not statistically significant (P>0.05); while the control group compared to the situation in both periods, the difference was statistically significant (P<0.05); shows long-term efficacy of the treatment group than the control group.5. related factors, the results show that the longer duration and more severe illness, the patient worse effects, which also explains the importance of early treatment.Xingqi ZhuYu Decoction combined acupuncture and moxibustion treatment of primary dysmenorrhea Qi stagnation blood stasis type effect is significant, worthy to be popularized. |
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