Clinical observation of Fuyang Canshou statutory point combined with traditional Chinese medicine to treat primary dysmenorrhea with cold coagulation and blood stasis
扶阳罐手法定穴联合中药塌渍治疗寒凝血瘀型原发性痛经临床观察

摘要

目的 讨论在原发性痛经（PD）患者（寒凝血瘀型）中采取扶阳罐手法定穴与中药塌渍联合治疗的临床价值。方法 选取医院在2022年7月至2023年1月期间收治的寒凝血瘀型PD患者60例，将其根据随机数表法分组，西医组（布洛芬缓释胶囊治疗，30例），中医组（扶阳罐手法定穴+中药塌渍，30例）。对比两组治疗前后患者的中医症候积分、经期VAS疼痛评分，以及患者治疗后的中医症候治疗效果、痛经复发情况。结果 ①两组治疗之前的中医症候积分与VAS评分在对比上无统计差异（P＞0.05）；在治疗3个月后中医组患者的中医症候积分更低，且经期VAS疼痛指数更低（P＜0.05）；②经过治疗后中医组患者的中医症候疗效率比西医组高，且痛经复发率比西医组低（P＜0.05）。结论 在寒凝血瘀型PD患者的临床治疗中采取扶阳罐手法定穴与中药塌渍联合治疗，能够有效改善患者的症状，降低患者的痛经疼痛程度，具有较高的临床价值。

Abstract

Objective To discuss the clinical value of Fuyang Guanshou legal point combined with traditional Chinese medicine for the treatment of primary dysmenorrhea (PD) patients (cold coagulation and blood stasis).
Methods A total of 60 PD patients with cold coagulation and blood stasis treated in the hospital from July 2022 to January 2023 were selected and divided into Western medicine group (ibuprofen sustained release capsule treatment, 30 cases) and traditional Chinese medicine group (Fuyang Guanshou legal point + Traditional Chinese medicine Taofan, 30 cases) according to random number table method. The scores of TCM symptoms, menstrual VAS pain scores, the therapeutic effect of TCM symptoms and the recurrence of dysmenorrhea were compared between the two groups before and after treatment.
Results ① There was no statistical difference between the scores of TCM symptoms and VAS before treatment (P > 0.05); After 3 months of treatment, the TCM symptom score and menstrual VAS pain index were lower in the TCM group (P < 0.05). ② After treatment, the efficacy rate of TCM syndromes in TCM group was higher than that in western medicine group, and the recurrence rate of dysmenorrhea was lower than that in Western medicine group (P < 0.05).
Conclusion   In the clinical treatment of PD patients with cold coagulation and blood stasis, the combination of Fuyang Guanshou legal point and traditional Chinese medicine can effectively improve the symptoms of patients, reduce the degree of dysmenorrhea pain, and has high clinical value.