| ObjectiveTo observe the distribution rule of heat-sensitive acupoints of dysmenorrhea patients with cold syndrome and to investigate the clinical effect of using moxibustion of heat-sensitive acupoints to treat dysmenorrhea patients with cold syndrome.MethodsThe study included 105 dysmenorrhea patients who met the requirements of the research. One third of whom were without medicinal knowledge and the rest were medical students. All of them were students or teachers from Guangzhou University Mega-center and everyone had signed the Consent Document.35 patients without medicinal knowledge were inspected of the distribution rule of heat-sensitive acupoints and accepted traditional heat-sensitive moxibustion.70 patients who were majoring in medicine were divided into two groups randomly and the experimental group accepted heat-sensitive acupoints moxibustion (Premenstrual period:Qihai(RN6) and Ren Meridian; Menstrual period:Zhongji(RN3) Xuehai(SP10) and Du Meridian; Post-menstrual period: Qihai(RN6), Xuehai(SP10) and Ren Meridian; Intermenstrual period: Shuidao(ST28), Qihai(RN6), Sanyinjiao(SP6) and Spleen Meridian of Foot-Taiyin), while the control group accepted regular moxibustion. The dysmenorrhea level and related syndromes of all patients were observed before and after treatment. The observation of the distribution rule of heat-sensitive acupoints included the location of heat-sensitive acupoints, the type of acupuncture feelings, the time when the heat-sensitive reaction happens and so on. As therapeutic evaluation, the primary outcome was dysmenorrhea symptom measuring scale and the secondary outcome was the McGill simplified scale, including PRI, VAS, and PPI.ResultsOneThe rule of heat-sensitive acupoints1. The distribution rule of heat-sensitive acupoints:The most heat-sensitive acupoints of dysmenorrhea patients who were non-medicinal students located in Qihai(RN6) in premenstrual period, Zhongji(RN3) and Xuehai(SP10) during menstrual period, Qihai(RN6), Xuehai(SP10) in post-menstrual period and Shuidao(ST28), Qihai(RN6), Sanyinjiao(SP6) in intermenstrual period. For Qihai(RN6), Xuehai(SP10) in post-menstrual period and Shuidao(ST28), Qihai (RN6) in intermenstrual period, there were significantly statistical differences between the medical student group and the non-medical students(P<0.05), while there were no significantly statistical differences between the two groups for the rest of acupoints. (P>0.05)2. The distribution rule of heat-sensitive meridians:The meridians which had higher occurrence rate of heat-sensitization were Ren Meridian in premenstrual period, Du Meridian during menstrual period, Ren Meridian in post-menstrual period, Spleen Meridian of Foot-Taiyin in intermenstrual period. There were no significantly statistical differences between the medical student group and the non-medical students (P>0.05). Two.The evaluation of clinical curative effect1. Comparison of the dysmenorrhea symptom scaleWithin group:There was a significantly statistical difference before and after accepting treatment (P<0.05)Among groups:There was no significantly statistical difference among the group who accepted heat-sensitive acupoints moxibustion, the group who accepted traditional heat-sensitive moxibustion and the group who accepted regular moxibustion before treatment (P>0.05). After treatment, there was no significantly statistical difference between the group who accepted heat-sensitive acupoints moxibustion and the group who accepted traditional heat-sensitive moxibustion (P>0.05), while there was a significantly statistical difference between the group who accepted heat-sensitive acupoints moxibustion and the group who accepted regular moxibustion (P< 0.05)2. Comparison of the McGill simplified scaleWithin group:There was a significantly statistical difference in the comparison of the McGill simplified scales of Dysmenorrhea Patients with Cold Syndrome before and after treatment (P<0.05)Among groups:Before treatment, there was no significantly statistical difference among the group who accepted heat-sensitive acupoints moxibustion, the group who accepted traditional heat-sensitive moxibustion and the group who accepted regular moxibustion before treatment (P>0.05). After treatment, there was no significantly statistical difference between the group who accepted heat-sensitive acupoints moxibustion and the group who accepted traditional heat-sensitive moxibustion (P> 0.05), while there was a significantly statistical difference between the group who accepted heat-sensitive acupoints moxibustion and the group who accepted regular moxibustion (P<0.05)3. Comparison of the curative effectThe effectiveness ratio of the heat-sensitive acupoints moxibustion group, the traditional heat-sensitive moxibustion group and the regular moxibustion group were 71.43%、68.57%、40% respectively; and there was no significantly statistical difference of the curative effect between the heat-sensitive acupoints moxibustion group and the traditional heat-sensitive moxibustion group (P>0.05), while there was a significantly statistical difference between the heat-sensitive acupoints moxibustion group and the regular moxibustio group (P<0.05).ThreeSafety:All the dysmenorrhea patients with cold syndrome, including the group who accepted heat-sensitive acupoints moxibustion, the group who accepted traditional heat-sensitive moxibustion and the group who accepted regular moxibustion, did not suffer from obvious adverse effects which led to the drop of the experiment.Conclusion:The distribution rule of heat-sensitive acupoints of dysmenorrhea patients with cold syndrome basically accords with the previous study. If the heat-sensitive acupoints moxibustion is adopted to treat dysmenorrhea patients with cold syndrome, it may achieve the same curative effect as the traditional heat-sensitive moxibustion and it can improve the clinical curative effect compared with the regular moxibustion. The heat-sensitive acupoints moxibustion is much more convenient and simpler, and it deserves the clinical expansion. |
PDF Full Text Request