| Objective: To observe the clinical effect of Wentong Chongren abdominal massage in the treatment of primary dysmenorrhea with cold-stagnation and to explore the theoretical basis of viscera massage in the treatment of primary dysmenorrhea.Methods: The subjects were selected as primary dysmenorrhea with cold-stagnation and blood-stasis,a total of 60 patients,in the first affiliated hospital of tianjin university of traditional Chinese medicine(TCM)during March 2019 to December 2019.According to the principle of randomized and controlled,the patients can be divided into Wentong Chongren abdominal massage group(observation group)and western medicine control group(control group),30 cases in each group.The control group was treated with ibuprofen sustained-release capsules,given orally,one pill at a time,two times a day.The drug was taken when pain occurred for 3 consecutive days.The observation group was treated with Wentong Chongren abdominal massage 7 days before menstruation on alternate days.The treatment lasted for 3 times in 1 menstrual cycle.The control group and the observation group were treated for 3 courses of treatment.Before treatment and after 1or 2 or 3 course of treatment of end of Menstrual period,we observed two groups' s effective with pain Visual analog scale assessment(Visual analogue score,VAS),COX dysmenorrhea Symptom Scale(the COX Menstrual Symptom Scale,CMSS)(including CMSS average severity score and CMSS total onset time score),cold-stagnation and blood-stasis of TCM symptoms scale,compared between groups and compared before and after the group itself.Results: 1.General situation of cases: a total of 60 cases of primary dysmenorrhea with cold-stagnation and blood-stasis were included in this study,among which 2 cases were dropped in the observation group and 58 cases were effective.2.General conditions before treatment: there was no statistically significant difference between the two groups in age,menarche age,average menstrual cycle,average menstrual days and disease course(P>0.05),which were comparable.There was no statistically significant difference in VAS score,average CMSS severity score,CMSS total onset time score and TCM syndrome score between the two groups before treatment(P>0.05),suggesting comparability.3.Main evaluation indicators: With the increase of the treatment course,VAS scores of two group both decreased,and the difference was statistically significant(P<0.05).At the same observation point,there was no statistically significant difference in VAS scores between two group(P>0.05).The results showed that Wentong Chongren abdominal massage had better effect.With the increase of the treatment course,the score of CMSS average severity of two group decreased,and the difference was statistically significant(P<0.05).After the third course of treatment,the difference in CMSS average severity between two group was statistically significant(P<0.05).The observation group was superior to the control group.The results showed that two group could reduce the average severity of abdominal pain and other accompanying symptoms.After the third course of treatment,Wentong Chongren abdominal massage was more effective than ibuprofen sustained-release capsule.With the increase of the treatment course,the score of CMSS total onset time of two group decreased,and the difference was statistically significant(P<0.05).After the first,second and third courses of treatment,there were statistically significant differences in two group(P<0.05),and the observation group was superior to the control group.The results showed that both Wentong Chongren abdominal massage and ibuprofen sustained-release capsule could shorten the total onset time of lower abdomen pain and other accompanying symptoms.After the first,second and third treatment courses,the effect of Wentong Chongren abdominal massage was better than ibuprofen sustained-release capsule.4.Secondary evaluation index: With the increase of the treatment course,the score of TCM symptoms of two group decreased,and the difference was statistically significant(P<0.05).After the third course of treatment,the difference in TCM syndromes score of two group was statistically significant(P<0.05),and the observation group was superior to the control group.This indicated that both Wentong Chongren abdominal massage and ibuprofen sustained-release capsule could improve the symptoms related to cold-stagnation and blood-stasis.After the third course of treatment,Wentong Chongren abdominal massage was more effective than ibuprofen sustained-release capsule.5.Clinical efficacy: In the observation group,there were 0 cases of recovery,0 cases of obvious effect,25 cases of effectiveness,and 3 cases of failure,with a total effective rate of 89.29%.In the control group,there were 0 cases of recovery,0 cases of obvious effect,15 cases of effectiveness,and 15 cases of failure,with a total effective rate of 50%.Conclusion: 1.Wentong Chongren abdominal massage can effectively treat primary dysmenorrhea of cold coagulation and blood stasis type.The analgesic effect is equivalent to that of ibuprofen sustained-release capsule.It is better to improve the specific symptoms of cold coagulation and blood stasis syndrome than ibuprofen sustained-release capsule.2.Wentong Chongren abdominal massage is safe and effective in the treatment of primary dysmenorrhea of cold coagulation and stasis type,and has no obvious side effects,so it is worth popularizing. |
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