灸神阙、针三阴交治疗原发性痛经的临床研究Clinical study on moxibustion and Acupuncture Sanyinjiao in the treatment of primary dysmenorrhea.pdfVIP

提 要 目的：本研究采用灸神阙、针三阴交和灸大横、针悬钟法治疗原发性痛经，观察 两种治疗方法对原发性痛经患者临床症状和腹痛严重程度的改善，探讨处于相同神经 节段的特异性经穴配伍对胞宫的调控效应的差异。 方法：将36 例原发性痛经患者随机分成两组，其中灸神阙、针三阴交组 18 例， 灸大横、针悬钟组 18 例。观察治疗前与介入治疗四个月经周期后的痛经临床症状和 腹痛严重程度的改善情况，并比较两组之间的差异。 结果：灸神阙、针三阴交和灸大横、针悬钟均能明显减轻痛经患者的临床症状及 腹痛严重程度，与治疗前相比，差异均具有极显著性意义(P0.01)，但灸神阙、针三 阴交的近期及远期疗效均优于灸大横、针悬钟。在对恶心、呕吐、失眠、乏力、腹泻、 易激惹、背（腰骶部）痛持续总时间的改善上灸神阙、针三阴交组明显优于灸大横、 针悬钟组，在对眩晕、面色变化和神经质续总时间的改善上灸大横、针悬钟组优于灸 神阙、针三阴交组；在对恶心、呕吐、失眠、腹泻、眩晕、乏力、全身疼痛严重程度 改善上灸神阙、针三阴交组明显优于灸大横、针悬钟组，在对神经质严重程度改善上 灸大横、针悬钟组优于灸神阙、针三阴交组。 结论：灸神阙、针三阴交和灸大横、针悬钟对改善原发性痛经患者临床症状及腹 痛程度的疗效显著；灸神阙、针三阴交要优于灸大横、针悬钟；处于相同神经节段的 神阙与大横、三阴交与悬钟对胞宫的调控作用有明显的差异，其差异性以经穴–脏腑 相关理论为基础。 关键词 神阙；三阴交；大横；悬钟；原发性痛经；临床研究 Clinical Study on Treatment of Primary Dysmenorrhea by Moxibustion Shenque(RN8) and Needling Sanyinjiao(SP6) Speciality: Acupuncture and Moxibustion Author:Wang Jing Tutor: Ma Yuxia Abstract Objective: This study has two groups involved in the treatment of primary dysmenorrhea,one is moxibustion shenque(RN8) and needling sanyinjiao(SP6) group, another is moxibustion daheng(SP15) and needling xuanzhong(GB39) group. Then obsered the improvement of clinical symptoms and abdominal pain severity of the primary dysmenorrhea patients by the two kinds of treatment methods, to exploring the specificity of acupoints compatibility in the same nerve segment on the regulation effect of uterus. Methods: 36 cases of primary dysmenorrhea patients were divided into two groups randomly.18 cases was treated with moxibustion shenque(RN8) and needling sanyinjiao(SP6) and 18 cases was treated with moxibustion daheng(SP15) and needling xuanzhong(GB39).Then we observed the improvement of clinical symptoms