| ObjectiveDysmenorrhea is the occurrence of dynamic painful in lower abdomen or waist before,during or after menstruation.There are also chances for dysmenorrhea to happen with other symptoms such as sour in waist,dragging and distending discomfort,nausea,vomiting,cold extremities,diarrhea and headache.Patients might also experience much heavier symptoms such as faint which affect their daily life seriously.Primary Dysmenorrhea is a very common illness in Gynecology.It is also named as functional dysmenorrhea.75%patients start to have primary dysmenorrhea within 1 year of their first menstruation cycle.According to the research[1]done in China in the 80s,The probability of having dysmenorrhea is 33.19%.In which 36.06%is primary dysmenorrhea.Among the patients,44.6%suffered minor dysmenorrhea,38.81%suffered moderate dysmenorrhea and 14%suffered serious dysmenorrhea which affected their daily life.Han Yi moxibustion is a type of moxibustion similar to traditional moxibustion and pressured moxibustion.Due to the smaller size of Artemisia argyi stick used in Han Yi moxibustion,the effective position could be more accurate.Heat can penetrate through acupunctural point and arrive main and collateral channels as well as different organs giving a much higher efficacy than other types of treatment.Objective:This clinical observational research used Hai Yi Moxibustion to cure primary dysmenorrhea with haemorrheological nature blood stasis syndrome.It mechanism and cure ability were assessed throughout the clinical observation.MethodsPatient cases are taking between Jan 2015 until Feb 2017 in GuanzhouUniversity of Chinese Medicine with the request of the students who were diagnosed to have primary dysmenorrhea with haemorrheological nature blood stasis syndrome.There were a total number of 90 diagnosed primary dysmenorrhea with haemorrheological nature blood stasis syndrome cases.It was randomly divided into 3 groups,the experimental group,comparable group and control group,with 30 cases per group.Patients in all 3 groups started to take treatment after one week of their menstruation cycle.Experimental group patients were treated with Han Yi moxibustion for 3 consecutive menstruation cycles.Treatment medicine and equipment were provided by Mr Cheung Ciu Hon.Treatment time:2-3 treatments per week.Treatments were given when patients experienced dysmenorrhea for three consecutive period of treatment.The treatment result was reordered after 3 consecutive treatments.All patients in the comparable group were treated only with Nuangong sticker for 3 consecutive menstruation cycles.Nuangong stickers were provided by Guanzhou University of Chinese Medicine.Treatment time:2-3 treatments per week,use Nuangong stickers when patient feels dysmenorrhea their during menstruation cycle for 3 consecutive months.Treatment results were analyzed after 3 months.No treatment was given to patients in control group.Observation time:5 months(one menstruation cycle before treatment,three months during treatment and one month after treatment).Painful level index,dysmenorrhea symptom level index and Chinese medical symptom level index were then recorded,analyzed and compared before and after treatment.Patients in all three groups were followed the pre-set schedule for their relevant treatments.Results.1.Comparison in painful level index:1.1Painful level index were compared for 3 groups in the third month of treatment.P<0.001 indicated significance of the result.Painful level index for experimental group was smaller than comparable group and control group;Painful level index for comparable group is smaller than control group.1.2 Painful level index were also compared for 3 groups one month after treatment.P<0.001 indicated significance of the result.Painful level index for experimental group was smaller than comparable group and control group;Painful level index for comparable group is smaller than control group.1.3 Painful level index before treatment and in the third month of treatment for both experimental and comparable group were also compared.P<0.05 indicated significance of the result.Painful level indexes in the third month of treatment were smaller than before treatment.1.4 Painful level index in the third month of treatment and one month after treatment for both experimental and comparable group were also compared.P<0.001 for experimental group indicated significance of its result.Painful level indexes one month after treatment were smaller than before treatment.1.5 Difference in value of painful level indexes for experimental and comparable group before treatment and in the third month of treatment were also compared.P<0.001 indicated significance of the result.Difference in value of painful level indexes of experimental group was larger than comparable group.2.Dysmenorrhea symptom level index:2.1 Dysmenorrhea symptom level index were compared for 3 groups in the third month of treatment.P<0.001 indicated significance of the result.Dysmenorrhea symptom level indexes of experimental group were smaller than comparable and control group.Dysmenorrhea symptom level indexes of comparable group are smaller than control group.2.2 Dysmenorrhea symptom level index were compared for 3 groups one month after treatment.P<0.001 indicated significance of the result.Dysmenorrhea symptom level indexes of experimental group were smaller than comparable and control group.Dysmenorrhea symptom level indexes of comparable group were equal control group.2.3 Dysmenorrhea symptom level index before treatment and in the third month of treatment for both experimental and comparable group were also compared.P<0.001 indicated significance of the result.Dysmenorrhea symptom level index were smaller after treatments.2.4 Dysmenorrhea symptom level index in the third month of treatment and one month after treatment for both experimental and comparable group were also compared.P<0.001 indicated significance of the result.Dysmenorrhea symptom level indexes for experimental group one month after treatment were smaller than in the third month of treatment.Dysmenorrhea symptom level indexes for comparable group one month after treatment were larger than in the third month of treatment.2.5 Difference in value of dysmenorrhea symptom level indexes for experimental and comparable group before treatment and in the third month of treatment were also compared.P<0.001 indicated significance of the result.Difference in value of dysmenorrhea symptom level indexes of experimental group was larger than comparable group.3.Chinese medical symptom level index:3.1Chinese medical symptom level index were compared for 3 groups in the third month of treatment.P<0.001 indicated significance of the result.Chinese medical symptom level indexes of experimental group were smaller than comparable and control group.Chinese medical symptom level indexes of comparable group are smaller than control group.3.2Chinese medical symptom level index were compared for 3 groups one month after treatment.P<0.001 indicated significance of the result,Chinese medical symptom level indexes of experimental group were smaller than comparable and control group.Chinese medical symptom level indexes of comparable group were equal control group.3.3Chinese medical symptom level index before treatment and in the third month of treatment for both experimental and comparable group were also compared.P<0.05 for Chinese medical symptom level index before treatment and in the third month of treatment for experimental group indicated the significance of its result.Chinese medical symptom level was smaller when compared to before treatment.3.4Chinese medical symptom level index in the third month of treatment and one month after treatment for both experimental and comparable group were also compared.P<0.05 for Chinese medical symptom level in the third month of treatment and one month after treatment for experimental group indicated the significance of its result.Chinese medical symptom level was smaller when compared to 3 months in treatment.3.5Difference in value of Chinese medical symptom level indexes for experimental and comparable group before treatment and in the third month of treatment were also compared.P<0.001 indicated significance of the result.Difference in value of Chinese medical symptom level indexes of experimental group was larger than comparable group.3.6Difference in each symptom index in experimental and comparable before and in the third month of treatment:Indexes differences’ between the two groups of before menstruation/Menstrual period alvine be afraid of cold,heat gain can slow,before menstruation/Menstrual period of the lower abdomen pain、menstrual blood less、menstrual color in the dark、clip blood clot、breast pain、hand and foot is not warm.nausea and vomiting of the difference value in experimental group is larger than comparable group,P-values of all these indexes difference were smaller than 0.05 indicated results were significant.Differences in these symptom indexes of experimental group were larger than comparable group.4.Clinical outcomes between 3 groups:Result indicating the differences between clinical outcomes between 3 groups was significant(P<0.001).Clinical outcome in experiment group is more positive than comparable and control group.There were 12 cases shown positive in experimental group with 13 cases of effective.Total efficacy of experimental group was 100%.There were 29 cases of non-effective in comparable group with 1 case of positive.Total efficacy of comparable group was 3.3%.There were 29 cases of non-effective in control group with 1 case of positive.Total efficacy of control group was 3.3%.5.Painful treatment outcome between 3 groups:Result indicating the differences between painful treatment outcomes between 3 groups was significant(P<0.001).Painful treatment outcome in experiment group is more positive than comparable and control group.There were 4 cases shown cured in experimental group with 5 cases of effective,14 cases of positive and 2 cases of non-effective.Total efficacy of experimental group was 92%.There were 21 cases of non-effective in comparable group with 9 case of positive.Total efficacy of comparable group was 30%.There were 26 cases of non-effective in control group with 4 case of positive.Total efficacy of control group was 13.3%.ConclusionThe result of this research indicated the following:1.Han Yi moxibustion have the effect of warming channels and dispel cold.It can stimulate fast blood flow and clot absorption.It is found that Han Yi moxibustion can reduce painful level when used on primary dysmenorrhea with haemorrheological nature blood stasis syndrome.2.Han Yi moxibustion have the effect of regulating amount of blood during menstruation cycles together with other Chinese medical symptoms.3.Han Yi moxibustion can warm body channel so that eventually body channels could be regulated and smoothened.To sum up,it was found in this research that Han Yi moxibustion has a significant positive effect on primary and secondary symptoms of dysmenorrhea with haemorrheological nature blood stasis syndrome.It can also improve or cure other serious symptoms associated with dysmenorrhea with haemorrheological nature blood stasis syndrome.Han Yi moxibustion have the effect of warming channels and dispelling cold as well as warming and smoothening body channels.Acupuncture points are stimulated with heat in Han Yi moxibustion.Heat also initiates the effect of the medicine.The medicine is then penetrated and channeled via all body channels and collaterals into other body organs.The finger pressure used in Han Yi moxibustion enhanced the effect for days. |
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