Clinical Research Of Primary Dysmenorrhea Of Cold-damp Coagulation Type With Ginger-Separated Moxibustion And Aconite Cake-Separated Moxibustion

ObjectiveTo observe the clinical effect of ginger-separated moxibustion and aconite cake-separated moxibustion on the treatment of primary dysmenorrhea of cold-damp coagulation type,compare the difference of the curative effect,and discuss its theoretical basis and mechanism of action,to provide reference for the clinical sandwiched moxibustion on primary dysmenorrhea.MethodsThe 60 cases of primary dysmenorrheathe patients of cold-damp coagulation type who accorded with the inclusion criteria were randomly splited into the ginger-separated moxibustion group(30 cases)and the aconite cake-separated moxibustion group(30 cases).During the treatment,there were 29 cases in the ginger-separated moxibustion group.We selected the guan yuan,zhong ji and uterine points of the patients,and then carried out ginger-separated moxibustion or aconite cake-separated moxibustion-Treatment began on the 7th day before the onset of menstruation,and then once every other day,until menstruation stopped,continuous treatment for 3 menstrual cycles.To record the visual analogue score(VAS)and dysmenorrhea symptom score before treatment and in each menstrual period,and use SPSS21.0 to analyze these data.Then,to observe the comprehensive efficacy and safety of the treatment in the two groups,and to evaluate the difference in efficacy.Results1.Comparison of VAS:Before treatment,VAS was 6.48±1.79 in the ginger-separated moxibustion group and 6.27±1.64 in the aconite cake-separated moxibustion group,no statistical significance and could be compared.After three menstrual cycles of moxibustion,the statistical results showed that the ginger-separated moxibustion group was 2.41±1.90,and the aconite cake-separated moxibustion group was 3.20±1.58.So scores of the two groups decreased significantly,with statistically significant difference(p<0.01).Comparison among groups,the ginger-separated moxibustion group was more obvious,with statistically significant(p<0.01).This show that both two therapies can relieve the pain of patients with primary dysmenorrhea of cold-damp coagulation type,and the ginger-separated moxibustion group is more obvious.2.Comparison of the dysmenorrhea symptom score:Before treatment,the score was 12.10±2.04 in the ginger-separated moxibustion group and 11.60±1.98 in the aconite cake-separated moxibustion group.The difference was not statistically significant,and two groups could be compared.After treatment,the total score in ginger-separated moxibustion group was 5.89±3.05,and that in aconite cake-separated moxibustion group was 7.15±2.73.Before and after treatment,scores of two groups decreased,with statistically significant difference(p<0.01).Comparison among groups,the ginger-separated moxibustion group was more obvious,with statistically significant(p<0.05).This show that both two treatments could relieve symptoms in patients with primary dysmenorrhea of cold-damp coagulation type,and the ginger-separated moxibustion group better than the aconite cake-separated moxibustion group.3.Comparison of clinical efficacy:After three menstrual cycles of treatment,in the ginger-separated moxibustion grou,5 patients were recovery,7 were markedly improved,14 were resultful,3 were invalid,and the overall response rate was 89.66%.In the aconite cake-separated moxibustion group,3 patients were cured,2 showed obvious effect,18 were resultful,7 were noneffective,and the overall response rate was 76.67%.According to statistical processing,the clinical efficacy of ginger-separated moxibustion group was higher than that of the aconite cake-separated moxibustion group(p<0.05).This indicate that ginger-separated moxibustion has a better clinical effect on patients with primary dysmenorrhea of cold-damp coagulation type.Conclusion1.Both ginger-separated moxibustion and aconite cake-separated moxibustion could relieve the pain,improve the accompanied symptoms of primary dysmenorrhea patients of cold-damp coagulation type.2.The ginger-separated moxibustion group is better than the aconite cake-separated moxibustion group in the overall effect,whcih could provide a reference for the clinical treatment for patients with primary dysmenorrhea of cold-damp coagulation type.