The Clinical Efficacy Observation Of Acupuncture Based On Soothing Liver-qi And Regulating The Spirit For Liver Depression Qi Stagnation Type Premenstrual Syndrome

Objective: The acupuncture of soothing the liver-qi and regulating the spirit was used to treat premenstrual syndrome of liver depression and qi stagnation,observing the improvement of symptoms and signs in patients of premenstrual period.Discuss the therapeutic basis of the acupuncture of soothing the liver-qi and regulating the spirit,to provide new ideas for the treatment of this disease.Methods: 72 patients with premenstrual syndrome of liver depression and qi stagnation were randomly divided into treatment group(n=36)and control group(n=36).The two groups were treated with soothing the liver-qi and regulating the spirit acupuncture and conventional acupuncture respectively,starting 7 days before menstruation,once a day,the treatment stopped when menstruation occurred,a total of 3 menstrual cycles.The TCM symptom score scale and premenstrual symptom experience scale(COPE)scores of the two groups before and after treatment were statistically analyzed,and the curative effect was evaluated.Results:1.Comparison of effective rate: After the treatment of 3 menstrual cycles,the total effective rate of the treatment group(the group of acupuncture of soothing the liver-qi and regulating the spirit)was 90.91%,and that of the control group(the group of conventional acupuncture)was81.25%.The difference was statistically significant(P<0.05).2.Comparison of TCM symptom scores: After treatment,the main and secondary symptoms of premenstrual syndrome were improved in both groups(P<0.05).In terms of depression and sadness of the main symptoms and breast pain,dizziness or headache,insomnia,inattention and sigh in the secondary symptoms,the scores of treatment group ware significantly lower than that of control group.The difference is statistically significant(P<0.05).There was no significant difference in the irritability of the main symptoms and chest pain,abdominal distension pain or fullness in the secondary symptoms(P>0.05).3.Comparison of premenstrual symptom scores: After treatment,the premenstrual symptoms were significantly improved in the two groups(P <0.05).The scores of total score,emotional factor and physical factor in the treatment group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion: Both the acupuncture of soothing the liver-qi and regulating the spirit and conventional acupuncture can achieve good clinical effects in the treatment of liver depression qi stagnation type premenstrual syndrome,and improve the scores of TCM symptoms and premenstrual symptoms.But in terms of depression and sadness of the main symptoms and breast pain,dizziness or headache,insomnia,inattention and sigh in the secondary symptoms,premenstrual emotional symptoms and somatic symptoms,the former has more advantages.