Study On The Dual-sensitive Acupoints Distribution And Clinical Effect Of Primary Dysmenorrhea Patients

Objective:To study the distribution of dual-sensitive acupoints on the body surface of patients with primary dysmenorrhea(PD).In addition,three different treatment methods of dual-sensitive acupoints were selected to treat PD patients,and the differences in clinical efficacy were observed,to explore the appropriate stimulation methods of PD patients with dual-sensitive acupoints.Method:1.Test an object of study to meet the discharge standard of 120 patients with PD,probing force-sensitive and heat-sensitive acupoints,will probe the sensitization of acupoints location,quantity,drawing the unified human nerve skin section diagram,at the same time,mark appear dual-sensitive acupoints,and its entry to Excel 2010,dual-sensitive acupoints statistical PD patients of acupoints occurrence rate,the dual-sensitive acupoints frequency of traditional meridians and acupoints nerve segments,analyze its dual-sensitive acupoints of acupoints distribution rule.2.The subjects of trial 2 were 70 PD patients with two identical,high incidence of dual-sensitive acupoints,randomly divided into 3 groups.The treatment group was treated by combining the two treatment methods of force-sensitive acupuncture and heat-sensitive moxibustion.The intervention measures of control group 1 was treated with force-sensitive acupuncture,control group 2 was treated with heat-sensitive moxibustion.Two identical high-incidence dual-sensitive acupoints were selected for treatment in each group for 5 consecutive days each month for a total of 3 menstrual cycles and followed-up periods before,after treatment and 3 months after the end of treatment.Each group used pain visual analogue scale(VAS)and cox pain meridian symptom scale(CMSS)for more objective clinical efficacy evaluation,and observed and compared the clinical efficacy differences between the three groups,and use SPSS 25.0 statistical software for data analysis.Results:1.The results of Experiment 1 showed that the occurrence rate of double sensitivity acupoints in PD patients was about 48.33%,and a total of 28 dual-sensitive acupoints were detected,with an average of about6.29 dual-sensitive acupoints per patient.The top ten acupoints with high incidence of dual-sensitive are Guan Yuan(RN4),Sanyinjiao(SP6),Yin Lingquan(SP9),Ciliao(BL32),Zigong(EX-CA1),Shiqizhui(EX-B7),Guilai(ST29),Diji(SP8),Shenshu(RN8),and zhongji(RN3);The top five meridians in the distribution frequency of dual-sensitive acupoints are Foot-Taiyin Splenic Meridian,Renmai Meridian,Foot-Sun Bladder Meridian,Foot-Yangming Stomach Meridian and Foot-Jueyin Liver Meridian.The overlap rate of the positions of the dual-sensitive acupoints and the traditional meridian acupoints in PD patients was about 82.14%,and they were mainly distributed in the control areas of the nerve segments of T10-T12 and L2-S2.2.Results of trial 2 showed that there was no significant difference in age,course of disease,degree of illness and VAS、CMSS scale score between the three groups before treatment(All P>0.05).After treatment and follow-up period,VAS and CMSS scores of the three groups were significantly lower than those before treatment(All P<0.01).Compared with control group 1 and control group 2,the VAS and CMSS scores of the treatment group decreased more significantly(All P<0.05),and there was no statistical difference in the score improvement between control group1 and control group 2(P>0.05).The short-term total effective rate of the treatment group was 95.45%,the control group 1 was 77.27%,and the control group 2 was 81.82%.The short-term efficacy of the treatment group was better than that of the control group 1 and control group 2(All P<0.05),and the short-term efficacy of the control group 1 and control group 2 was similar without statistical difference(P>0.05).In the follow-up period,the long-term total effective rate of the treatment group was 86.36%,the control group 1 was 68.18%,and the control group2 was 72.73%.The long-term efficacy of the treatment group was better than that of the control group 1 and control group 2(All P<0.05).The long-term clinical efficacy of the control group 1 and control group 2was similar,and the difference was not statistically significant(P>0.05).Conclusion:1.From the distribution law of dual-sensitive acupoints: There is a certain overlap rate between force-sensitive acupoints and heat-sensitive acupoints,and the distribution of dual-sensitive acupoints in PD patients is closely related to the nerve segments of the uterus and the traditional meridians.2.From the clinical curative effect analysis: All the three groups of treatment methods can effectively treat PD,dual-sensitive acupoints have high efficiency.The short-term and long-term efficacy of force-sensitive acupuncture combined with heat-sensitive moxibustion therapy in the treatment of PD patients is better than force sensitive acupuncture and heat-sensitive moxibustion therapy.Force sensitive acupuncture combined with heat-sensitive moxibustion therapy is a more suitable stimulation method for dual-sensitive acupoints of PD patients.