Clinical study on Baixiao moxibustion combined with acupuncture for the patients with dysmenorrhea of cold coagulation and blood stasis
10.3760/cma.j.cn115398-20211022-00243
- VernacularTitle:百笑灸配合针刺治疗痛经寒凝血瘀证临床研究
- Author:
Yanhua MA
1
;
Wen XU
;
Suying HUANG
Author Information
1. 上海交通大学医学院附属第九人民医院黄浦分院针灸推拿科，上海 200011
- Keywords:
Dysmenorrhea;
Blood stasis due to coagulated cold;
Baixiao moxibustion;
Symptoms signs and syndrome (TCD);
Uterus;
Hemodynamics
- From:
International Journal of Traditional Chinese Medicine
2022;44(6):641-644
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the efficacy of Baixiao moxibustion combined with acupuncture in the treatment of patients with dysmenorrhea of cold coagulation and blood stasis.Methods:A total of 90 patients with dysmenorrhea of cold coagulation and blood stasis who were treated in Huangpu Branch of Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine and met the inclusion criteria were enrolled between January 2019 and January 2020, and they were divided into observation group (47 patients) and control group (43 patients) according to the random number table method. The control group was treated by acupuncture, while the observation group combined Baixiao moxibustion with acpuncture treatment. Both groups were treated for 3 menstrual cycles. Before and after treatment, TCM syndromes were scored, Visual Analogue Scale (VAS) was used to evaluate pain intensity, and uterine hemodynamics were detected by ultrasonic diagnostic apparatus. The pulsatility index (PI), resistance index (RI) and ratio of peak systole/peak diastole (S/D) were recorded and the clinical efficacy was assessed.Results:The total effective rate was 97.87% (46/47) in observation group and that in control group was 81.40% (35/43), and the difference between two groups were significant ( χ2=6.77, P=0.009). After treatment, the scores of lower abdominal pain, dark blood clots, intolerance of cold and cold limbs and nausea and vomiting as well as VAS scores in the observation group were significantly lower than those in the control group ( t=3.61, 5.60, 6.22, 8.02, 10.36, all Ps<0.01). After treatment, the RI (1.45±0.55 vs. 1.86±0.53, t=3.59), PI (0.61±0.14 vs. 0.77±0.13, t=5.60) and S/D (5.28±1.18 vs. 7.23±1.22, t=7.71) in observation group were significantly lower than those in control group ( P<0.01). Conclusion:Baixiao moxibustion combined with acupuncture can relieve the pain symptoms, improve the TCM syndromes and promote the uterine blood circulation.
