Clinical Observation Of Baijiang Decoction Combined With Wrist Ankle Acupuncture In The Treatment Of Chronic Pelvic Pain Of Damp Heat Stasis Type

Objective:To observe the clinical effect of Baijiang decoction combined with wrist ankle acupuncture on chronic pelvic pain(CPP)of damp heat and blood stasis type,to seek the treatment methods of chronic pelvic pain,and summarize the experience of the mentor.Methods:Ninety patients with chronic pelvic pain due to damp heat and blood stasis type were collected and randomly divided into 3 groups: wrist ankle acupuncture group,Baijiang decoction group,and Baijiang decoction + wrist ankle acupuncture group according to the order of treatment.Starting from the 18 th day of the menstrual cycle,the wrist ankle acupuncture group started to acupuncture twice a day in the lower area 1,then acupuncture for 3 times and then acupuncture once every other day,with 10 times as a course of treatment.On the 18 th day of the menstrual cycle,the women in the Baijiang decoction group took Baijiang decoction orally,1 bag per time,2 times per day,14 days for a course of treatment.Baijiang decoction + wrist ankle acupuncture group combined wrist ankle acupuncture on the basis of oral Baijiang decoction;all three groups were treated for 3 courses.The TCM syndrome score,pelvic pain VAS score and local signs score of the patients in the three groups were recorded before and after the treatment and 1 month after the drug withdrawal.Statistical analysis was used to observe the clinical effect of treating chronic pelvic pain of damp heat and blood stasis type with Baijiang decoction combined with wrist ankle acupuncture.Results:1.Before the treatment,there were no statistically significant differences in ages,course of diseases and fertilities among the three groups(P>0.05),which was comparable.2.Comparison of efficacy: the comprehensive efficacy of the three groups after the treatment were compared,and the differences were statistically significant(P<0.05).The combined curative effect of Baijiang decoction + wrist ankle acupuncture group was better than that of wrist ankle acupuncture group and Baijiang decoction group.There were statistically significant differences in the efficacy of TCM syndromes and local signs between the three groups(P<0.05),and the efficacy of TCM and local signs of Baijiang decoction + wrist ankle acupuncture group were better than that of Baijiang decoction group and wrist ankle acupuncture group.3.Comparison of TCM syndrome points: the comparison of TCM syndrome points between the three groups after treatment and one month after drug withdrawal was statistically significant(P<0.05).The differences of TCM syndrome points between the three groups after treatment and after drug withdrawal were statistically significant(P<0.05),among which,the improvement of TCM syndrome points in Baijiang decoction + wrist ankle acupuncture group were better than that of Baijiang decoction group and wrist ankle acupuncture group.4.Comparison of VAS score of pelvic pain: VAS score of pelvic pain in the three groups after the treatment and 1 month after drug withdrawal was compared with that before the treatment,and the differences were statistically significant(P<0.05).VAS scores of pelvic pain in the three groups after the treatment and 1 month after drug withdrawal showed statistically significant differences(P<0.05),among which Baijiang decoction + wrist ankle acupuncture group was more effective in alleviating pelvic pain in patients.5.Comparison of local signs scores: the scores of local signs in the three groups after treatment and 1 month after drug withdrawal were compared with those before treatment,and the differences were statistically significant(P<0.05).After the treatment,the differences in local physical signs between the three groups were statistically significant(P<0.05).There was no statistically significant difference in local signs scores between the three groups 1 month after drug withdrawal(P>0.05).6.During the treatment,there were no adverse reactions in the Baijiang decoction group,and some patients in the acupuncture and Baijiang decoction + wrist ankle acupuncture group and the wrist ankle acupuncture group suffered from needle sickness and subcutaneous bleeding.But they could all insist on acupuncture.7.There were no abnormalities in blood,urine and feces routine examination,liver and kidney function,electrocardiogram and other safety indicators in the three groups during the treatment.Conclusion: It is better to treat Chronic pelvic pain of damp heat and blood stasis type with the combination of Baijiang decoction and wrist ankle acupuncture than the single wrist ankle acupuncture and oral Baijiang decoction,which can effectively relieve patients’ pelvic pain,improve TCM syndrome score and clinical symptoms.