The Effect Of Moxibustion CV 8 Point On IRRTM And MBPU Of CV And GV In Patients With Cold Coagulation And Blood Stasis Dysmenorrhea And Its Efficacy Observation

Objective:To observe the effect of moxibustion CV8 on the infrared radiation track(IRRTM)and microcirculation blood perfusion(MBPU)of CV and GV in volunteers with cold coagulation and blood stasis dysmenorrhea,to analyze the changes in the menstrual cycle of volunteers with cold coagulation and blood stasis dysmenorrhea under natural conditions and after treatment with CV8 with moxibustion and to explore its relationship with the curative effect and provide experimental basis for the clinical application of menstrual cycle therapy and moxibustion therapy.Methods:Choose 30 volunteers of primary dysmenorrhea with cold coagulation and blood stasis were selected and observed the dynamic changes of IRRTM and MBPU before,during and after two menstrual cycles with Infrared thermography and three-channel laser doppler flow meter.Results:1.The characteristics of IRRTM and MBPU of CV and GV in the volunteers with cold coagulation and blood stasis in the natural state.(1)In the natural state,the occurrence rate of IRRTM and infrared temperature of each acupuncture point were compared.The occurrence rate of IRRTM was generally higher than that of CV during menstrual period,postmeridian period,intermeridian period and early meridian period,and the average infrared temperature of GV4-GV14 line was generally slightly higher than that of CV4-CV17 line.The infrared temperature of CV4 was lower than that of CV17 and CV12,and the difference was statistically significant(P<0.01,P<0.05).The infrared temperature of GV9 was lower than that of GV14 and GV4,and the temperature from postmeridian period,intermeridian period,and early meridian period GV9 was lower than that of GV14(P<0.05).(2)In the natural state,the infrared temperature characteristics of CV and GV in volunteers with cold coagulation and blood stasis dysmenorrhea at different menstrual periods were determined.The infrared temperature of points of CV and GV in the volunteers with cold coagulation and blood stasis dysmenorrhea presented a periodic change pattern.Compared with the late meridian and early meridian,the CV17,CV4,GV14,GV9 and GV4 all showed low temperature in the intermeridian period,with no statistical significance.Compared with the late period,the intermenstrual period and the early menstrual period,the three points of GV appear a lowest temperature period during menstrual period,and the difference was not statistically significant.(3)MBPU characteristics of CV and GV in volunteers with cold coagulation and blood stasis dysmenorrhea.The average MBPU of the three representative acupoints of CV in volunteers with cold coagulation and blood stasis dysmenorrhea was higher than that of the three representative acupoints of GV,and the difference was statistically significant(P<0.01).The MBPU of CV4 was lower than that of CV17 and CV12,and the difference of MBPU between CV4 and CV17 was statistically significant(P<0.01).The difference of MBPU between CV4 and CV12 in the late period and the intermenstrual period was statistically significant(P<0.01,P<0.05).The MBPU of GV9 was lower than that of GV14 and GV4,the difference of MBPU between GV9 and GV14 in the menstrual period and the late period was statistically significant(P<0.01,P<0.05),and the difference of MBPU between GV9 and GV4 in the late period and the intermenstrual period was statistically significant(P<0.05).(4)MBPU characteristics of CV and GV in volunteers with cold coagulation and blood stasis dysmenorrhea at different menstrual periods were determined.Compared with the menstrual period,the late menstrual period,the intermenstrual period,the average microcirculation of GV9,CV17 and CV12 in the early menstrual period is the highest in the same menstrual cycle,the average microcirculation of CV4 in the period is the lowest in menstrual cycle,the average microcirculation of CV4 in the later menstrual period is the highest in menstrual cycle,there were no statistically significant difference.2?Comparison of IRRTM and MBPU of ren tuo's second pulse during moxibustion treatment(1)Two Comparisons of infrared temperature of CV and GV before and after moxibustion for 30 min.Compared with before moxibustion,first and second the occurrence rate of IRRTM of CV17,CV12 and CV4 after moxibustion significantly increased(CV17P<0.05,CV12?CV4P<0.01),first and second the occurrence rate of IRRTM of GV9 after moxibustion increased,but GV14 and GV4 decreased,the difference was all not statistically significant.(2)Two Comparisons of MBPU of CV and GV before and after moxibustion for 30 min.Compared with before moxibustion,2 times the MBPU of CV4,CV12 and GV4 after moxibustion increased,the MBPU of CV17 decreased after moxibustion;the first time the MBPU of GV14 and GV9 decreased after moxibustion but the second time the MBPU of GV14 and GV9 increased;the difference of MBPU of CV4 and GV9 after the second moxibustion was statistically significant(P<0.05,P<0.05).3.Comparison of IRRTM and MBPU before and after two menstrual cycles treated with moxibustion.(1)Observation on the therapeutic effect of moxibustion CV8 on cold coagulation and blood stasis dysmenorrhea.Compared with before treatment,VAS visual simulation score,dysmenorrhea symptom score and dysmenorrhea time score of patients with cold coagulation and blood stasis dysmenorrhea all decreased after the treatment of two menstrual cycles,with statistically significant differences(P < 0.01).The effective rate of treating abdominal pain was 93.33%,and the effective rate of treating dysmenorrhea was 83.33%.(2)Comparison of infrared temperature of CV and GV before and after moxibustion treatment of two menstrual cycles.Compared with the natural condition,in addition to CV4 at intermenstrual period and GV14 at later menstrual period,the infrared temperature of CV17,CV12,CV4,GV14,GV9 and GV4 all rose after two menstrual cycles of moxibustion at different menstrual periods,and the difference of CV12 at early menstrual period and GV4 at menstrual period had statistical significance(P<0.05,P<0.05).After treatment,the lowest temperature period of points on CV still appeared in the intermenstrual period.After treatment,the temperature rise trend of points on GV was the most obvious during the menstrual period.The infrared temperature of points on GV during the menstrual period was higher than that of the late menstrual period and the intermenstrual period,and the lowest temperature appeared in the late menstrual period,followed by the intermenstrual period.(3)Comparison of MBPU of CV and GV before and after moxibustion treatment of two menstrual cycles.Compared with the natural condition,the average microcirculation of GV9,CV17 and CV12 in the early menstrual period are still the highest in the same menstrual cycle,the average microcirculation of CV4 in the period is also the lowest in menstrual cycle,the average microcirculation of CV4 in the later menstrual period is also the highest in menstrual cycle,there were no statistically significant difference.Conclusion:1.In the natural state,the occurrence rate of IRRTM and the average infrared temperature of the observation section of CV in volunteers with cold coagulation and blood stasis dysmenorrhea is generally lower than that of GV,while the average MBPU of the observation points of CV is higher than that of the observation points of GV.The infrared temperature and MBPU of CV4 and GV9 were lower than the other two observation points of the same meridian.Signs of low temperature on the meridians and acupoints may be the appearance of "cold coagulation" on the body surface.2.In the natural state,the infrared temperature and MBPU of the points on CV and GV in volunteers with cold coagulation and blood stasis dysmenorrhea showed a periodic change in the menstrual cycle,and the trend of the infrared temperature change was basically consistent with the basic body temperature curve.3.The effective rate of the lower abdomen pain of moxibustion CV8 on volunteers with cold coagulation and blood stasis dysmenorrhea was 93.33%,and the effective rate of dysmenorrhea was 83.33%,respectively.4.Moxibustion CV8 may play a role in the treatment of dysmenorrhea by warming CV and GV,Warming trend at menstrual period is more obvious.5.With the increase of the number of moxibustion times,moxibustion immediate the MBPU of CV and GV showed an increasing trend from bottom to top,but non-moxibustion immediate the change of MBPU was not obvious.