Clinical Observation On The Treatment Of Primary Dysmenorrhea With Cold Coagulation And Blood Stasis Type By Acupuncture Combined With Aconite Cake Moxibustion

Objective: By observing the clinical efficacy of acupuncture combined with aconite cake-separated moxibustion in the treatment of primary dysmenorrhea due to cold coagulation and blood stasis,the safety and therapeutic effect of this treatment were explored,so as to provide a new idea for the clinical treatment of this disease.Methods: In this study,64 patients with primary dysmenorrhea due to cold coagulation and blood stasis were randomly divided into the treatment group and the control group,with 32 cases in each group.The treatment group was treated with acupuncture combined with cake-separated moxibustion with Radix Aconiti Lateralis Preparata.The acupoints of Baliao,Geshu,Sanyinjiao and Diji were selected by acupuncture and the needle was retained for 30 minutes.After the completion of acupuncture,moxibustion at Shenque point with aconite cake is given,and each moxibustion is 4 strong.The treatment group started treatment 5～7 days before menstruation,once a day,and one menstrual cycle lasted for 5 days without interruption.The patients in the control group were orally administrated with ibuprofen sustained release capsules(one capsule each time,once every morning and evening).They were started to take ibuprofen sustained release capsules 1～2 days before menstruation when abdominal pain occurred and taken until pain relief(the total number of days of continuous administration was less than 5 days).Both groups received continuous treatment for three menstrual cycles.Before and after treatment,the two groups of subjects were scored according to VAS,dysmenorrhea symptom score,and TCM syndrome score criteria.Finally,they were statistically analyzed to compare and evaluate the clinical efficacy of the two groups.Results: During the treatment,the treatment group and the control group dropped out one case each.Therefore,the final statistical analysis of the total number of cases was 62 cases,the treatment group and the control group had 31 cases each.1.Baseline comparison: Data analysis and statistics were performed on the age,course of disease,VAS score,dysmenorrhea symptom score and TCM symptom score of the two groups when the patients were enrolled.The results showed that there was no significant difference in the baseline data and observation index scores before treatment between the two groups(P>0.05),indicating that they were comparable.2.VAS score comparison: VAS scores of two groups decreased significantly after treatment for three menstrual cycles compared with those before treatment,and the difference was statistically significant in the two groups(P<0.05).The comparison between groups showed that there was no significant difference in VAS scores of patients between the two groups after treatment(P>0.05).3.Comparison of dysmenorrhea symptom scores: After treatment,dysmenorrhea symptom scores of both groups were improved(P<0.05),and the treatment group was better than the control group in improving dysmenorrhea symptom scores(P<0.05).4.Comparison of TCM syndrome scores: After treatment,the TCM syndrome scores of the two groups were lower than those before treatment in the intra-group comparison(P<0.05),and the treatment group was superior to the control group in reducing the TCM syndrome scores(P<0.05).5.Clinical efficacy analysis: After treatment for three menstrual cycles,the total effective rates of the treatment group and the control group were 93.55% and 83.87% respectively.According to statistical analysis,the clinical efficacy of the treatment group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion: In the treatment of primary dysmenorrhea,acupuncture combined with aconite cake moxibustion can significantly improve the pain degree of patients,which is equivalent to oral ibuprofen sustained release capsules in pain relief,but superior to western medicine in improving the clinical symptoms and TCM syndroms of patients with dysmenorrhea.The overall clinical efficacy is accurate,high safety,and can be popularized in clinical application.