Clinical Observation Of Linggui Bafa Combined With Heat-sensitive Moxibustion In The Treatment Of Primary Dysmenorrhea

Objective: To observe the clinical efficacy of Lingguibfa combined with heatsensitive moxibustion in the treatment of primary dysmenorrhea,and the changes of TCM syndrome score,COX dysmenorrhea symptom scale(CMSS)score and visual analogue score(VAS)before treatment,after treatment and 3months after follow-up in the two groups,the clinical efficacy of Lingguibfa combined with heat-sensitive moxibustion in the treatment of primary dysmenorrhea was evaluated.In order to provide new treatment methods and ideas for clinical treatment of primary dysmenorrhea.Methods: Sixty-two patients with primary dysmenorrhea were randomly divided into a treatment group and a control group,31 cases in each group.In the control group,ibuprofen sustained-release capsules were given orally when the patients had pain in the lower abdomen,0.3g/ time,once in the morning and evening,for 3 consecutive days or the pain was relieved,and the medication time was not more than 5 days.In the treatment group,acupuncture was performed at the acupoints selected according to the treatment time on the same day,and then acupuncture was performed at the acupoints selected dialectical.After acupuncture for deqi,heat-sensitive exploration was performed on the abdomen and heat-sensitive moxibustion was performed.The treatment started from the 24 th day of the menstrual cycle,once a day,continued for 5 days,and the treatment was stopped if menstruation came early during the treatment,for3 consecutive menstrual cycles.After 3 menstrual cycles of treatment,the database was established,and SPSS26.0 statistical software was used for data statistical processing.The changes of TCM syndrome score,COX dysmenorrhea symptom scale(CMSS)score and visual analogue scale(VAS)score before treatment,after treatment,and 3 months after follow-up were compared,and the treatment effect of the two groups was analyzed.Results:(1)VAS score: intra-group comparison: the scores of the two groups after treatment and 3 months after treatment were lower than those before treatment,and the difference was statistically significant(P<0.05).There was no significant difference in VAS score between the two groups after treatment(P>0.05).At follow-up,there was statistically significant difference in VAS score between the two groups(P<0.05).(2)TCM syndrome score and COX dysmenorrhea symptom Scale(CMSS)score: within the group comparison: the scores of the two groups after treatment and at the follow-up of 3 months after treatment were lower than those before treatment,and the difference was statistically significant(P<0.05).The scores of the treatment group were lower than those of the control group,and the difference between the two groups was statistically significant.(3)Clinical efficacy: the total effective rate of the treatment group was 90.00%(27/30),which was higher than 76.67%(23/30)of the control group,the difference was statistically significant(P<0.05).(4)Adverse reactions: there was no adverse reaction in the treatment group,while the adverse reaction rate of the control group was 16.67%,and the difference was statistically significant(P<0.05).Conclusion:(1)Lingguibfa combined with heat-sensitive moxibustion and ibuprofen sustained-release capsule are effective in the treatment of primary dysmenorrhea.(2)The Lingguibfa combined with heat-sensitive moxibustion was superior to ibuprofen sustained-release capsule in reducing the TCM syndrome score,VAS score,COX dysmenorrhea symptom scale(CMSS)score and long-term efficacy.(3)The clinical efficacy of Lingguoba combined with heat-sensitive moxibustion is better than ibuprofen sustained-release capsule.The selection of acupoints is less and precise,the operation is simple,and the green and healthy therapy of moxibustion feeling comfortable is worthy of clinical promotion.