基于中医外治法的原发性痛经干预规律探究

Study on Intervention Rule on Traditional Chinese Medicine External Treatment of Primary Dysmenorrhea

目的:分析总结中医外治法干预原发性痛经规律,为其临床治疗提供理论依据。方法:利用中国知网数据库(CNKI),检索2014年1月1日—2017年1月1日国内外公开发表的关于中医外治法治疗原发性痛经的文献,将符合要求的文献建立成数据库,按照标准筛选后,进行频数分析、聚类分析、关联规则分析。结果:针灸疗法在中医外治法治疗原发性痛经的研究中数量最多,且远超过其它中医外治法。其中,单纯针刺疗法和单纯灸法的理论研究都远远超过临床试验。原发性痛经辨证针刺治疗穴位出现频次最高的是三阴交,第二位和第三位分别为关元、地机,并确定了22条经典的穴位配对(组)。结论:中医外治法干预原发性痛经,以针灸疗法为主要治疗手段,且以三阴交、关元、地机为主要穴位,共有22条经典穴位配对(组)。

This study was aimed to analyze and summarize the intervention rule on traditional Chinese medicine （TCM） external treatment of primary dysmenorrhea, in order to provide theoretical evidences for clinical treatment. Articles on TCM external treatment of primary dysmenorrhea published both at home and abroad were search in the CNKI from January 1^st, 2014 to January 1^st, 2017. After standard screening, the frequency analysis, cluster analysis and association analysis were conducted. The results showed that acupuncture was the mostly used TCM external treatment of primary dysmenorrhea, which was far more than other types of TCM external treatments. Theoretical studies on single usie of acupuncture or single use of moxibustion were far more than clinical trials. The acupoint used with the highest frequency in primary dysmenorrhea treatment was SP-6 Sanyinjiao. RN-4 Guanyuan was the second and SP-8 Diji was the third. A total of 22 classic acupoint combinations were identified. It was concluded that the main external intervention method of primary dysmenorrhea was acupuncture with SP-6, RN-4 and SP-8 as its main acupoints. There are a total of 22 classic acupoint combinations