Observation On Therapeutic Effect Of Modified Danggui Shaoyao Powder Combined With Acupuncture Of Sanyuan Qixue Combination On Primary Dysmenorrhea

ObjectiveThis study observed and evaluated the clinical efficacy of Danggui Shaoyao Powder combined with acupuncture of Sanyuan Qixue combination for primary dysmenorrhea patients,in order to further explore the feasible special acupuncture methods in the treatment of dysmenorrhea,and to provide new clinical ideas and rigorous scientific research materials for the treatment of dysmenorrhea by Troditional Chinese Medicine,and to make the treatment of dysmenorrhea more scientific and standardized with Chinese medicine combined with acupuncture.MethodsThis project collected 70 patients with primary dysmenorrhea recruited from Jan.2020 to Dec.2020 from the classicla Chinese medicine department and gynecology department of Shenzhen Bao’an hospital of Traditional Chinese Medicine,which were randomly divided into two groups through SPSS program:experimental group and control group,each with 35 patients.In the control group,ibuprofen sustained-release capsules(mainly 0.3g ibuprofen)were taken orally,one tablet at a time,twice a day.Start from the day of the onset of dysmenorrhea for 3 consecutive days and stop taking it if the pain is relieved.One menstrual cycle is one course of treatment.In the experimental group,modified Danggui Shaoyao Powder combined with acupuncture of Sanyuan Qixue Combination were given.Chinese herbal medicine were provided by the pharmacy of Shenzhen Bao’an Hospital of Traditional Chinese Medicine;In the acupuncture group,bilateral qi hai,san yin jiao,nv fu and taichong were selected.With the method of mild reinforcing-attenuaing,and the needle were left for 20 minutes each time.Course of treatment:3 times of acupuncture treatment 1 week before each menstruation,acupuncture treatment can be added for any discomfort during menstruation,One menstrual cycle is one course of treatment,and the research needs continuous treatment for 3 mensreatrual cycles.The VAS score,COX Dysmenorrhea Symptom Score Scale(CMSS)and Dysmenorrhea Patient Health Status Survey Scale(SF-36)were recorded before and after treatment to evaluate the clinical efficacy of the patients.ResultsThere were 70 participants in this survey,and 60 participants were effectively analyzed.1.Before treatment:There was no statistically significant difference between the two groups in age,the course of disease,syndrome scores,VAS scores,COX severity scores,COX duration scores,and SF-36 quality of life scores,which were comparable(P>0.05).2.Before and after treatment:TCM syndrome scores,VAS scores,COX severity scores,COX duration scores,and SF-36 quality of life scores were made pairwise comparison in each group.The results showed that after treatment,the syndrome scores,VAS scores,COX severity scores,and COX duration scores of the two groups decreased compared with the previous ones,and the SF-36 quality of life scores increased compared with the previous ones.The difference in effective variable scores between the two groups was statistically significant(P<0.05).3.After treatment:the experimental group and the control group are effective in reducing the TCM syndrome scores,VAS scores,COX severity scores,COX duration scores and increasing SF-36 quality of life scores in patients with dysmenorrhea,indicating that the two treatment options are both effective.It can improve TCM syndrome scores,VAS scores,COX severity scores,COX duration scores,and SF-36 quality of life scores.The experimental group reduces TCM syndrome scores,VAS scores,COX severity scores,and COX duration scores and increases the SF-36 quality of life score s compared to the control control group,and the differences between the two groups were statistically significant.(P<0.05).4、Comparison of clinical efficacy of TCM syndromes:the effective rate of the experimental group was 93.33%,the effective rate of the control group was 70.00%,and the total effective rate of the experimental group was higher than that of the control group(P<0.05).5.Safety comparison:In clinical observation,all the cases before and after treatment in this study did not have any adverse reactions during the treatment process.During the operation,the patients had good compliance,the collected data were authentic and reliable,the treatment was operability,and the technique could be replicated.The experimental observation indicates that the combination of acupuncture and medicine has definite curative effect and good safety.ConclusionModified Danggui Shaoyao Powder combined with acupuncture of Sanyuan Qixue combination has advantages in reducing syndrome scores,VAS scores,COX severity scores and COX duration scores,and improving SF-36 quality of life scores with primary dysmenorrhea.It is better than pure western medicine,and has a better afety.In addition,it is easy to operate and worthy of further clinical application.