Observation On The Clinical Efficacy Of Different Moxibustion Doses For Treating Primary Dysmenorrhea Of ​​Qi Stagnation And Blood Stasis Syndrome With Medicine-separated Moxibustion

Purpose:This paper conducted a small sample clinical test on the treatment of primary dysmenorrhea of qi stagnation and blood stasis syndrome with herb-partitioned moxibustion in order to observe the clinical efficacy of Spiritual Shrine and conception vessel four in the treatment of primary dysmenorrhea of qi stagnation and blood stasis syndrome and to seek the optimal dose-effect ratio.Material and method:72 patients with primary dysmenorrhea of qi stagnation and blood stasis syndrome were selected and randomly divided into two groups,with 36 patients in each group.Group A was treated with moxibustion for 4 columns every time;Group B was treated with moxibustion for 8 columns every time.Both groups were continuously treated with moxibustion for seven days,seven days for a course of treatment,lasting three courses.Venous blood was collected before treatment and 3 menstrual cycles after treatment to detect serum prostaglandin within 48 h of menorrhagia.Changes in abdominal VAS score,TCM syndrome score,dysphoria symptom score and serum prostaglandin content were observed before and after treatment in the two groups,and the efficacy was compared between the two groups.They were followed up after 3 menstrual cycles to evaluate the efficacy.Results:1.Baseline analysis of pre-treatment age,VAS score,TCM syndrome score,dysmenorrhea symptom score and serum prostaglandin content in the two groups showed that all P>0.05,indicating no significant difference between the two groups.2.Comparison in the two groups:before and after treatment,abdominal VAS score,TCM syndrome score,dysmenorrhea symptom score and serum prostaglandin PGF2α level,PGE2 level and PGF2α/PGE2 ratio in the two groups were statistically analyzed,all P<0.05,which was statistically significant.In addition,VAS score,TCM syndrome score,dysmenorrhea symptom score,PGF2α score and PGF2α/PGE2 value all decreased after treatment,while PGE2 value after treatment increased compared with the value before treatment.3.Comparison between the two groups:VAS score,TCM syndrome score,dysmenorrhea symptom score,serum prostaglandin content(PGE2,PGF2α score),PGF2α/PGE2 score and efficacy were statistically analyzed between group A and B after treatment,all P>0.05,with no statistical significance and no significant difference.After treatment,the total effective rate of group A was 91.7%,and that of group B was 88.9%,and P>0.05.Conclusion:1.Two kinds of herb-partitioned moxibustion methods of 4 columns 7 days and 8 columns 7days can both improve the symptoms of dysmenorrhea,and both of them have obvious therapeutic effects on the primary dysmenorrhea of qi stagnation and blood stasis syndrome,and can effectively treat the primary dysmenorrhea of qi stagnation and blood stasis syndrome.2.There was no significant difference in the therapeutic effect of 4 columns 7 days and 8columns 7 days on dysmenorrhea.Based on the principle of simple and inexpensive test,the best curative effect was obtained with the shortest treatment time and the lowest cost.