| ObjectiveEvaluate moxibustion with needle knife of clinical effect in the treatment of primary dysmenorrhea by shi qi zhui acupoint,curative effect on moxibustion with needle knife and indications were analyzed,to elaborate the advantages of moxibustion with needle knife and discuss its application prospect.In order to apply a theoretical foundation for needle to establish a relatively perfet clinical practices and a better therapy for the primary dysmenorrhea.MethodsIn this study,a randomized controlled clinical trial method was used to randomly divide 80 patients with primary dysmenorrhea that meet the requirements into a warm blade acupuncture test group and a warm acupuncture control group.In the warm needle knife test group,a needle knife was used to treat the shi qi zhui acupoint below the spinous process of the fifth lumbar vertebra.After the needle knife loosened the deep presacral nerve in front of the shi qi zhui acupoint,take out the needle from the affected area,and lighted with a moxa column.Warm acupuncture was performed on the handle of the needle knife;the warm acupuncture control group was treated with acupuncture points,and then a 2cm moxa was used to ignite the needle on the handle for warm acupuncture.Efficacy criteria are established in accordance with the TCM syndrome efficacy evaluation and disease efficacy criteria of the《Guiding Principles for Clinical Research of New Chinese Medicines》.At the same time,the internationally recognized McGill Pain Inquiry Scale is used to evaluate the patient’s PPI score before and after treatment.Perform evaluation;use the visual analog scale(VAS)to evaluate the patient’s VAS score before and after treatment;use the pain grading index to evaluate the PRI score scale;use the anxiety self-rating scale(SAS)and depression self-evaluation The scale(SDS)evaluates the psychological status.All data are statistically processed using SPSS21.0 statistical software.Results1.Before treatment,the two groups of patients were compared with baseline values of various indicators such as age,gender,course of disease,PPI score,VAS score,PRI score,dysmenorrhea score and degree score,TCM syndrome score,SAS score and SDS score.,The difference was not statistically significant(P>0.05),and the two groups were comparable.2.Comparison of disease efficacy standards:After the treatment,13 patients in the warm blade acupuncture test group were cured,15 were markedly effective,10 improved,and 2 was ineffective.The total effective rate was 95.00%;8 patients in the warm acupuncture control group were cured,11 cases were markedly effective,13 cases were improved,and 8 cases were ineffective.The total effective rate was 80.00%.The difference between the two groups of patients was statistically significant(P<0.05).3.Comparison of efficacy evaluation of TCM syndromes:After the treatment,13 patients in the warm-blade acupuncture test group were cured,15 were markedly effective,10 were improved,and 2 was ineffective.The total effective rate was 95.00%;patients in the warm-acupuncture control group were cured.8 patients in the warm acupuncture control group were cured,11 cases were markedly effective,13 cases were improved,and 8 cases were ineffective,The total effective rate was 80.00%.The difference between the two groups of patients was statistically significant(P<0.05).4.Comparison of dysmenorrhea scoring standard scores:Before treatment,the two groups of patients were compared in terms of dysmenorrhea scoring standard points,and the difference was not statistically significant(P>0.05);after the treatment,the dysmenorrhea scores of the two groups were The scoring standard scores decreased to varying degrees compared with before treatment,and the difference was statistically significant(P<0.05);while the dysmenorrhea scoring standard scores of the warm blade acupuncture test group decreased more significantly than those of the warm acupuncture control group.There is statistical significance(P<0.05).5.Comparison of scoring standards for the degree of dysmenorrhea:After the course of treatment,there were 1 cases of severe dysmenorrhea,8 cases of moderate dysmenorrhea,and 31 cases of mild dysmenorrhea in the warm blade acupuncture test group;8 cases of severe dysmenorrhea and 10 cases of moderate dysmenorrhea in the warm acupuncture control group There were 22 cases of mild dysmenorrhea and 11 cases of mild dysmenorrhea.There was a statistically significant difference in curative effect between the two groups(P<0.05).6.Comparison of individual symptom scores of traditional Chinese medicine:Before treatment,there was no significant difference between the two groups of patients in terms of individual symptom scores of traditional Chinese medicine(P>0.05);after the course of treatment,the individual symptom scores of the two groups of patients were compared with those before treatment All showed different degrees of decline,and the difference was statistically significant(P<0.05);while the TCM individual symptom scores in the warm-blade acupuncture test group decreased more significantly than those in the warm-acupuncture control group,and the difference was statistically significant(P<0.05).7.Comparison of PPI scores:Before treatment,there was no significant difference in PPI scores between the two groups of patients(P>0.05);after the treatment,the PPI scores of the two groups of patients decreased to varying’ degrees compared with before treatment.The difference was statistically significant(P<0.05);while the PPI score of the warm blade acupuncture test group decreased more significantly than that of the warm acupuncture control group,and the difference was statistically significant(P<0.05).8.Comparison of VAS scores:Before treatment,there was no statistically significant difference in VAS scores between the two groups of patients(P>0.05);after the treatment,the VAS scores of the two groups of patients decreased to varying degrees compared with before treatment.The difference was statistically significant(P<0.05);while the VAS score of the warm blade acupuncture test group decreased more significantly than that of the warm acupuncture control group,and the difference was statistically significant(P<0.05).9.Comparison of PRI scores:Before treatment,there was no statistically significant difference in PRI scores between the two groups of patients(P>0.05);after the treatment,the PRI scores of the two groups of patients decreased to varying degrees compared with those before treatment.The difference was statistically significant(P<0.05);the PRI score of the warm blade acupuncture test group decreased more significantly than that of the warm acupuncture control group,and the difference was statistically significant(P<0.05).10.Comparison of SAS scores:Before treatment,there was no statistically significant difference in SAS scores between the two groups of patients(P>0.05);after the treatment period,the SAS scores of the two groups were lower than before treatment.The difference was statistically significant(P<0.05);while the SAS score of the warm blade acupuncture test group decreased more significantly than that of the warm acupuncture control group,and the difference was statistically significant(P<0.05).11.Comparison of SDS scores:Before treatment,there was no significant difference in SDS scores between the two groups of patients(P>0.05);after the treatment,the SDS scores of the two groups were lower than before treatment.The difference was statistically significant(P<0.05);while the SDS score of the warm blade acupuncture test group decreased more significantly than that of the warm acupuncture control group,and the difference was statistically significant(P<0.05).ConclusionMoxibustion with blade acupuncture has a significant effect on primary dysmenorrhea in the treatment of shi qi zhui acupoint,can significantly improve the clinical symptoms and signs of primary dysmenorrhea,and has a good therapeutic effect on pain,which is better than traditional warm acupuncture therapy;first of all,it can use blade The cutting effect of acupuncture can loosen the acupuncture meridians of the seventeen vertebrae,and at the same time,it can reduce the tension and decompression of the fascia and nerves around the pelvic cavity.Secondly,the warm blade acupuncture also has the same therapeutic effect as acupuncture,so It exerts the two-way regulating effect of acupuncture and moxibustion,stimulates the circulation of qi and blood in the body’s meridians,so as to achieve the effects of promoting qi and blood circulation,dredging the meridians and relieving pain.However,the needle knife is thicker than the milli-needle,so it can more effectively stimulate the movement of the body’s meridian qi machine and achieve a better needle transport effect.Finally,the moxibustion is used in the warm needle knife to achieve the effect of moxibustion.Moxibustion has warmth.With the effect of supplementing the middle and nourishment,moxibustion with moxibustion can also warm the meridians and dispel cold,promote qi and dredge collaterals,reduce swelling and ulceration,promote qi and relieve pain.Therefore,the warm blade acupuncture can play the complementary role of needle,knife and moxibustion,and the treatment is simple and easy,with less pain,once a week,and has the characteristics of time-saving,economical,safe,good curative effect,long-lasting,and no side effects. |
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