Clinical Observation On The Therapeutic Effect Of Umbilical Moxibustion Combined With Jingtong Decoction In The Treatment Of Primary Dysmenorrhea (Yang Deficiency And Blood Stasis Syndrome

Objective: Adopt umbilical moxibustion combined with Jingtong decoction to treat patients with primary dysmenorrhea(syndrome of Yang deficiency and blood stasis),so as to relieve their clinical symptoms and reduce the recurrence rate,analyze the changes in the effect before and after treatment,so as to evaluate the treatment methods,efficacy and feasibility,provide new ideas for the treatment of dysmenorrhea patients,and enrich and improve the methods of traditional Chinese medicine for the treatment of dysmenorrhea.Materials and METHODS: 60 patients with primary dysmenorrhea with Yang deficiency and blood stasis were included and randomly divided into control group and experimental group,with 30 cases in control group and 30 cases in experimental group.Control group began to take mentor’s experience prescription Jingtong Decoction 14 days before menstruation,and continued to take for 14 days;The experimental group was treated with umbilical moxibustion on the basis of oral decoction.The treatment course of both groups lasted for 3 menstrual cycles.The dysmenorrhea VAS scores,TCM syndrome scores,CMSS dysmenorrhea scale scores and uterine artery blood flow(PI,RI and A/B)were observed before treatment and after 3 consecutive menstrual cycles and 3 months after drug withdrawal.The therapeutic effects of the control group and the experimental group were compared and analyzed by statistical software.Results:1.Baseline analysis: There were no statistically significant differences in age and course of disease,visual analog scores of dysmenorrhea(VAS),TCM syndrome scores,CMSS dysmenorrhea scale scores and uterine artery blood flow(PI,RI and A/B)monitoring between the two groups before treatment(P > 0.05),indicating comparability.2.Curative effect analysis:(1)Visual analog scale(VAS)of dysmenorrhea: there were significant differences between the two groups before and after treatment(P < 0.05);After treatment,there was a significant difference between the groups(P < 0.05).After 3 months of follow-up,there was no statistical significance in intra-group comparison between the two groups(P > 0.05),while there was statistical significance in inter-group comparison(P < 0.05).(2)CMSS dysmenorrhea scale score: There were significant differences between the two groups before and after treatment(P < 0.05),with statistical significance;After treatment,there was a significant difference between the two groups(P < 0.05),with statistical significance.After 3 months of follow-up,there was no statistical significance in intra-group comparison between the two groups(P > 0.05),while there was statistical significance in inter-group comparison(P < 0.05).(3)TCM syndrome score: there were significant differences between the two groups before and after treatment(P < 0.05),showing statistical significance;After treatment,there was a significant difference between the two groups(P < 0.05),with statistical significance.After 3months of follow-up,there was no statistical significance in intra-group comparison between the two groups(P > 0.05),while there was statistical significance in inter-group comparison(P < 0.05).(4)Uterine artery blood flow(PI,RI and A/B): Before and after treatment,there were significant differences in PI,RI and A/B between the two groups(P < 0.05),with statistical significance;After treatment,there were significant differences in PI,RI and A/B between the two groups(P < 0.05),with statistical significance.3.Curative effect analysisThe total effective rate of the control group was 75%,and the total effective rate of the experimental group was 88.89%.After treatment,there was a significant difference in the efficacy of TCM syndromes between the two groups(P < 0.05),with statistical significance.4.Safety analysis: Both groups had good safety,and no adverse reactions or side effects occurred.Conclusion:Compared with simple oral treatment of Jingtong decoction,combined umbilical moxibustion in the treatment of primary dysmenorrhea(Yang deficiency and blood stasis syndrome)has better efficacy in visual simulation score of dysmenorrhea,CMSS dysmenorrhea scale score,TCM syndrome score,CMSS dysmenorrhea scale score,uterine artery blood flow(PI,RI and A/B)values and total effective rate of TCM,and has good safety.