Clinical Study On Abdominal Acupuncture Combined With Eight Methods Of Linggui For Treating Primary Dysmenorrhea Of Cold Coagulation And Blood Stasis Type

Objective: To observe the changes of VAS score,dysmenorrhea symptom score and TCM syndrome score before and after treatment,and explore the clinical efficacy of abdominal acupuncture combined with Linggui Eight Methods in treating primary dysmenorrhea of cold coagulation and blood stasis type.Methods: 60 cases of primary dysmenorrhea patients with cold coagulation and blood stasis were numbered according to the order of treatment,and divided into treatment group and control group with 30 cases in each group.The treatment group was treated with abdominal acupuncture combined with Linggui eight methods(abdominal acupuncture points: RN12、RN10、RN6、RN4,bilateral Xiafengshi points,Linggui eight methods acupuncture points :according to the time of treatment,bilateral points),2-3 days before menstruation every month,once a day,until the second day of menstruation,continuous treatment for3 cycles;The control group was given ibuprofen sustained-release capsules,0.3g each time,twice a day(once in the morning and once in the evening),after meals,starting from 2-3 days before menstruation every month until the second day of menstruation,for 3 consecutive cycles.Before and after treatment,VAS score,dysmenorrhea symptom score and TCM syndrome score were recorded,and the final statistical data were analyzed to observe the clinical efficacy of abdominal acupuncture combined with Linggui eight methods in treating primary dysmenorrhea of cold coagulation and blood stasis type.Results: No case was rejected or dropped out during the treatment,and60 cases were completed.(1)There was no significant difference in age,course of disease,VAS score,dysmenorrhea symptom score and TCM syndrome score between the two groups(P>0.05),and they were comparable.(2)Score comparison:(1)Intra-group comparison:At the end of treatment and 3 months after treatment,the VAS score,dysmenorrhea symptom score and TCM syndrome score of the two groups were significantly different from those before treatment(P<0.05).Both groups could effectively reduce the relevant scores and improve the pain.(2)Comparison between groups: VAS score,dysmenorrhea symptom score and TCM syndrome score at the end of treatment and 3months after treatment were compared between the two groups,and the difference was statistically significant(P<0.05).The treatment group was superior to the control group in reducing the relevant score.(3)Efficacy comparison:(1)Intra-group comparison:There was a statistically significant difference between the two groups at the end of treatment and3 months after treatment(P<0.05).The clinical efficacy of the treatment group was superior to that of the control group at the end of treatment and3 months after treatment.(2)Comparison between groups: There was no significant difference in clinical efficacy between the two groups at the end of treatment and 3 months after the end of treatment(P<0.05),and the efficacy of both groups was stable within 3 months after the end of treatment.(4)Safety: During treatment,3 patients in the control group had mild gastrointestinal reactions,while no adverse reactions occurred in the treatment group.Conclusion(s):(1)Abdominal acupuncture combined with Linggui Eight Methods and oral ibuprofen sustained-release capsule can effectively treat primary dysmenorrhea of cold coagulation and blood stasis type,can reduce the pain degree of patients,reduce the scores of dysmenorrhea symptoms and TCM syndrome scores,and the curative effect of abdominal acupuncture combined with Linggui Eight Methods is better than oral ibuprofen sustained-release capsule.(2)Three months after the end of treatment,the improvement degree of VAS score,dysmenorrhea symptom score and TCM syndrome score in the abdominal acupuncture combined with Linggui Bafa group was better than that in the oral ibuprofen sustained-release capsule group,and the curative effect of the former was more stable and lasting.(3)Abdominal acupuncture combined with eight methods of Linggui is effective and safe in treating primary dysmenorrhea of cold coagulation and blood stasis type,which is worthy of clinical application.