| Purpose: To conduct literature mining and Meta analysis on the related research results of moxibustion in the treatment of primary dysmenorrhea.Through the literature mining technique,the differences of moxibustion in the treatment of primary dysmenorrhea,the acupoints and the treatment opportunities were understood.Through Meta analysis,the clinical effect of moxibustion on primary dysmenorrhea was clarified.Based on this analysis from multiple perspectives such as acupoint selection,treatment timing and treatment methods,the establishment of moxibustion treatment of primary dysmenorrhea practical system to provide certain help.Materials and methods: China National Knowledge Network,Wanfang Database,VIP database,Cochrane Lirary and other database platforms were searched for published Chinese and English literatures on moxibustion in the treatment of primary dysmenorrhea from 2000 to the end of December 2022.According to the inclusion and screening criteria of relevant literatures,statistical methods such as Revman Manager and Ro B2.0 were used to evaluate the quality of existing literatures.To master the moxibustion treatment of primary dysmenorrhea point selection and treatment methods.Results:1.Statistical results of literature miningFirst,in the difference of moxibustion method.Hanging moxibustion is the main way of moxibustion in the treatment of primary dysmenorrhea,and its total effective rate is94.38%,which is the most effective treatment method of moxibustion alone.Second,the frequency of acupoints.Among the 58 literatures,the points with the highest frequency of acupoints were Guanyuan,Shenque and Sanyinjiao.The frequency of acupoints on Guan Yuan was 37 times;Shenque acupoint frequency was 17 times;The frequency of acupoints on Sanyinjiao was 16 times.Third,in syndrome differentiation and classification.According to the clinical research results of traditional Chinese medicine,the main syndromes of primary dysmenorrhea are cold and dampness stagnation and Qi stagnation and blood stasis.Among them,22 literatures supported the cold-dampness stagnation type.There are 9 literatures supporting qi stagnation and blood stasis.Fourthly,in terms of the intervention timing of moxibustion method,19 literatures believed that treatment 7 days before menstruation was more effective,and another 9 literatures believed that treatment 3days before menstruation was more effective.Fifth,in the end time of moxibustion method.In 17 cases,treatment ended at menstruation;In another eight studies,treatment ended at the end of the period.Sixth,in terms of the treatment duration of moxibustion,15 literatures supported the treatment duration of 7 days;There were 8literatures supporting that 5 days of treatment was appropriate.2.Results of meta-analysisAfter the strict implementation of the literature screening criteria,a total of 29 literatures were included,with a total sample size of 2573,among which 1320 were in the treatment group based on moxibustion.The control group,which was dominated by other treatments,had 1253 samples.In terms of overall efficacy,results were obtained in the following aspects:(1)The total curative effect of moxibustion on primary dysmenorrhea was relatively high,and the analysis results were [RR=1.27,95%CI(1.23,1.32),P<0.0001];(2)After the treatment of primary dysmenorrhea by moxibustion,the VAS score of patients decreased,and the analysis results were as follows: SMD=-1.20,95%CI(-1.48,-0.82),P<0.0001;(3)After the treatment of primary dysmenorrhea by moxibustion,the symptoms of dysmenorrhea were significantly relieved,and the analysis results were as follows: [SMD=-0.72,95%CI(-0.86,-0.59),P<0.0001];(4)Moxibustion in the treatment of primary dysmenorrhea can help patients reduce the duration of dysmenorrhea,the analysis results were[SMD=-0.63,95%CI(-0.76,-0.60),P<0.0001].Conclusion:1.Among various moxibustion methods for treating primary dysmenorrhea,suspension moxibustion has the best therapeutic effect.2.When treating primary dysmenorrhea,selecting the Guanyuan,Shenque,and Sanyinjiao acupoints has the best effect.3.The main types of primary dysmenorrhea are cold dampness stagnation and qi stagnation and blood stasis.4.Moxibustion should be used to treat primary dysmenorrhea from premenstrual to the end of menstruation,with a duration of 7 days for the best effect.5.Moxibustion therapy can effectively regulate the balance of hormone levels and avoid dysmenorrhea.6.Moxibustion therapy can effectively alleviate the symptoms and duration of dysmenorrhea,with significant effects. |
