针刺单穴、多穴对轻中度痛经患者止痛作用的比较——六论取穴组方规律研究的重要性

Preliminary Comparison on the Role of Pain-Relieving in the Treatment of Mild and Moderate Dysmenorrhea between Acupuncture of Single Point and Acupuncture of Multipoints——The Importance of Prescription Acupoints Rule(VI)

目的:取穴组方规律研究是针灸学的核心问题之一,但目前的研究并没有获得实质性进展。本文以原发性痛经患者为对象,通过观察针刺单个穴位和多个穴位的止痛效应对这一问题进行了初步探索。方法:符合原发性痛经纳入标准的患者140例随机分为两组,每组各70例,一组为单刺十七椎、另一组为针刺十七椎等多个穴位。中度疼痛病人每组各观察了57人次,轻度疼痛病人每组各观察了45人次。每天针刺1次,每次留针30 min,所有患者均在疼痛发作时接受针刺治疗。采用国际上常用的视觉模拟评分(VAS)法。记录每个患者针刺前即时、进针后5 min、10 min、20 min、30 min及起针后30 min6、0 min、120 min的镇痛效应(VAS)。结果:无论是轻度疼痛病人、还是中度疼痛病人,多穴组在多个时点的止痛效果明显好于单穴组,但多穴组的止痛效应与取穴数量并不成某种比例关系。结论:恰当配穴有利于提高疗效,但取穴数量是有一定限度的,穴位配伍并非都产生协同作用。

Objective：The prescription acupoint rule is one of the core issues of acupuncture.However,the current study does not make substantive progress.This paper discusses the analgesic effect of primary dysmenorrhea by observing a single point and multiple points of acupuncture.Methods：140 patients were divided randomly into two groups.70 patients in each group,one group was treated by acupuncture in 17 vertebra point,the other was acupunctured in multipoints.Observed in each group 57 patients with moderate pain,and mild pain patients in each group for 45 times.Both groups continued to use the needles for 30mins once a day.All patients received acupuncture in the treatment of pain onset.Record respectively the VAS on the point of before acupuncture,needle remaining for 5 min,10 min,20 min,30 min,and 30 min,60 min,120 min after needle withdrawal.Results：Whether patients with mild pain or moderate pain patients,Multi-points group in the analgesic effect of multiple time points significantly better than that in single-point group,but the analgesic effect of multi-points group and the number and proportion between acupoints.Conclusion：Appropriate acupoints can improve efficacy,but there is a limit number of acupoints and the points are not compatible synergy.