Clinical efficacy observation on treatment of primary dysmenorrhea with ginger-partitioned moxibustion at Zigong(EX-CA 1)

Objective： To investigate the clinical effect of ginger-partitioned moxibustion at Zigong（EX-CA 1） for primary dysmenorrhea. Methods： A total of 112 patients with primary dysmenorrhea were randomized into an observation group and a control group according to their visiting sequence, 56 cases in each group. Patients in the observation group received ginger-partitioned moxibustion at Zigong（EX-CA 1）, while patients in the control group received oral intake of analgesic. For both groups, treatment started 1 week before menstruation and lasted for 3 menstrual cycles, continued by a 3-month follow-up visit, then the clinical efficacy was evaluated. Results： By the end of treatment, symptom score in the observation group was lower than that in the control group, showing a statistical significance（P〈0.05）. After 3 months of treatment, the value of prostaglandin F2 a（PGF2α）, systolic-to-diastolic peak velocity ratio（S/D）, resistance index（RI） and pulsatility index（PI） in the observation group were significantly higher than those in the control group, showing statistical significances（all P〈0.01）.The recovery rate in the observation group was higher than that in the control group, showing a statistical significance（P〈0.05）. Conclusion： Ginger-partitioned moxibustion at Zigong（EX-CA 1） for primary dysmenorrhea is a combination of the merits of warming function of moxibustion, dissipating function of ginger and stimulation of acupoint, and is better than oral intake of analgesic.

子宫穴治疗妇科疾病的古代文献分析

通过对子宫穴治疗妇科疾病的古代文献的分析研究,探讨子宫穴的定位、主治、刺灸法、配伍穴位。检索到相关古籍23本,相关条文46条,子宫穴定位频次最高为中极旁开三寸,主治涉及不孕症、胎元不固、阴挺、癥瘕、崩漏、带下、腹痛,治疗时应大剂量艾灸、深刺,常和中极、肓俞、三阴交等穴位配伍使用。

子宫穴上采用音频透药法治疗输卵管堵塞、伞端粘连所致不孕症的效果

目的探讨子宫穴上采用音频透药法治疗输卵管堵塞、伞端粘连所致不孕症的效果。方法选取2008年11月~2015年11月江西省高安市人民医院的90例患者随机分为对照组、观察组和治疗组,对照组30例患者采用单纯的音频电疗法治疗;观察组30例患者采用音频透药法治疗;治疗组30例患者在患者子宫穴上采用音频透药法进行治疗,对比各组患者的治疗效果。结果治疗组妊娠率均明显高于对照组和观察组(50.0%,30.0%和33.3%,均P<0.05),流产率显著低于对照组和观察组(10.0%,40.0%和20.0%,均P<0.05);治疗组痊愈率显著高于对照组和观察组(60.0%,46.7%和50.0%,均P<0.05);无效率显著低于对照组和观察组(10.0%,20.0%和20.0%,均P<0.05)。结论在子宫穴上使用音频透药法对输卵管堵塞、伞端粘连所致不孕症具有明显疗效,与单纯的音频透药法比较,在疗效、症状改善以及妊娠率和生育率上均有显著差异。

Therapeutic observation on herbal cake-partitioned moxibustion for dysmenorrhea due to deficiency cold

Objective:To observe the clinical efficacy of herbal cake-partitioned moxibustion for dysmenorrhea due to deficiency cold.Methods:A total of 70 patients with dysmenorrhea who met the inclusion criteria were randomized into a mild moxibustion group and a herbal cake-partitioned moxibustion group by the random number table,with 35 cases in each group.Shenque(CV 8),Zhongji(CV 3)and bilateral Zigong(EX-CA 1)were selected for both groups.The treatment continued for 3 menstrual cycles.The visual analog scale(VAS)and COX menstrual symptom scale(CMSS)were scored in both groups before treatment,after treatment and at the end of the 3rd menstrual cycle after treatment.The clinical efficacy was evaluated at the end of the 3rd menstrual cycle after treatment.Results:After treatment,the clinical efficacy of the herbal cake-partitioned moxibustion group had the tendency to be superior to that of the mild moxibustion group,while there was no statistically significant difference in the overall efficacy between the two groups(P>0.05).The VAS and CMSS scores after treatment and at the follow-up were significantly lower than those before treatment in both groups(all P<0.05).At the follow-up,the VAS scores in both groups had no significant intra-group differences from those after treatment(both P>0.05).The CMSS scores in both groups were significantly lower than those after treatment(both P<0.05).The VAS scores at the follow-up of both groups had no statistical differences from those after treatment(both P>0.05).After treatment,the CMSS score in the herbal cake-partitioned moxibustion group was significantly lower than that in the mild moxibustion group(P<0.05).At the follow-up,there were no statistical differences in the CMSS score between the two groups(P>0.05).Conclusion:The herbal cake-partitioned moxibustion has the same therapeutic efficacy for dysmenorrhea as the mild moxibustion;the two moxibustion methods can significantly improve the concomitant symptoms of dysmenorrhea,and the herbal cake-partitioned moxibustion is little better.

香薰疗法联合穴位皮内阻滞注射在第一产程中的效果观察

目的观察香薰疗法联合子宫穴、八髎穴皮内阻滞注射在第一产程中的临床疗效。方法将255例足月自然分娩初产妇随机分为3组,各85例。临产后A组采用自由体位,B组在A组的基础上给予香薰疗法,C组在B组的基础上给予穴位皮内阻滞注射。第一产程结束后分别计算3组在潜伏期及活跃期的视觉模拟评分法(VAS)评分、焦虑自评量表(SAS)评分及第一产程持续时间。结果与同组镇痛前比较,A,B组潜伏期及活跃期VAS评分均显著升高(P<0.01),C组潜伏期VAS评分显著降低(P<0.01),活跃期VAS评分显著升高(P<0.01);与同组潜伏期比较,3组活跃期VAS评分均显著升高(P<0.01);与A,B组比较,C组活跃期及潜伏期VAS评分均显著降低(P<0.01)。与同期A组比较,B,C组潜伏期与活跃期SAS评分均低于A组(P<0.01)。与同期A组比较,B,C组潜伏期与活跃期持续时间均短于A组(P<0.01)。A组活跃期重度疼痛产妇占100.0%,B组占100.0%,C组占29.4%,C组明显低于A,B组(P<0.01)。A组焦虑比例为96.4%,B组为42.2%,C组为38.8%,B,C组焦虑比例明显低于A组(P<0.01)。结论香薰疗法联合子宫穴、八髎穴皮内阻滞注射,能有效缓解产妇焦虑紧张的情绪、降低分娩疼痛、缩短第一产程、促进自然分娩。