[1]蒋红根,林真静,许学兵.加味温脐化湿汤联合毫针刺法治疗寒湿凝滞型原发性痛经临床研究[J].陕西中医,2025,46(5):694-697.[doi:DOI:10.3969/j.issn.1000-7369.2025.05.026]
　JIANG Honggen,LIN Zhenjing,XU Xuebing.Clinical efficacy of modified Wenqi Huashi decoction combined with Bo acupuncture in the treatment of primary dysmenorrhea of cold-dampness stagnation type[J].,2025,46(5):694-697.[doi:DOI:10.3969/j.issn.1000-7369.2025.05.026]
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加味温脐化湿汤联合毫针刺法治疗寒湿凝滞型原发性痛经临床研究
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年5期
页码:
694-697
栏目:
针灸经络
出版日期:
2025-05-05

文章信息/Info

Title:
Clinical efficacy of modified Wenqi Huashi decoction combined with Bo acupuncture in the treatment of primary dysmenorrhea of cold-dampness stagnation type
作者:
蒋红根; 林真静; 许学兵
(成都市龙泉驿区中医医院针灸康复科,四川 成都 610100)
Author(s):
JIANG Honggen; LIN Zhenjing; XU Xuebing
(Department of Acupuncture and Rehabilitation,Longquanyi District Traditional Chinese Medicine Hospital,Chengdu 610100,China)
关键词:
原发性痛经;  加味温脐化湿汤;  毫针刺法;  疼痛介质;  子宫动脉;  β-内啡肽;  血清前列腺素E2;  一氧化氮;  子宫动脉血流动学指标
Keywords:
Primary dysmenorrhea;  Modified Wenqi Huashi decoction;  Bo acupuncture;  Pain mediators;  Uterine arteries;  β-endorphin;  Serum prostatic E2;  Nitric oxide;  Uterine arterial blood flow indexes
分类号:
R 271.113
DOI:
DOI:10.3969/j.issn.1000-7369.2025.05.026
文献标志码:
A
摘要:
目的:研究加味温脐化湿汤联合毫针刺法治疗寒湿凝滞型原发性痛经的临床疗效,并探讨联合治疗对患者外周血疼痛介质、子宫动脉血流动力学和β-内啡肽水平的影响。方法:回顾性分析寒湿凝滞型原发性痛经患者82例,分为对照组和研究组,各41例。对照组给予加味温脐化湿汤治疗,研究者给予加味温脐化湿汤联合毫针刺法治疗。比较两组患者临床治疗疗效,治疗前后血清前列腺素E2、一氧化氮、β-内啡肽以及子宫动脉血流动学指标。结果:研究者治疗后总有效率显著高于对照组(92.68%与70.73%,P<0.05)。治疗后,两组血清前列腺E2、一氧化氮和β-内啡肽均显著升高(P<0.05),中医症候积分以及子宫动脉搏动指数和阻力指数均显著下降(P<0.05)。研究组治疗后血清前列腺E2、一氧化氮和β-内啡肽均显著高于对照组患者(P<0.05),而中医症候积分及子宫动脉搏动指数和阻力指数均低于对照组(P<0.05)。结论:加味温脐化湿汤联合毫针刺法治疗寒湿滞型原发性痛经具有较高的临床疗效,改善患者临床症状、提高镇痛介质表达和改善子宫动脉血流状况。
Abstract:
Objective:To study the clinical efficacy of modified Wenqi Huashi decoction combined with Bo acupuncture in the treatment of cold-damp stagnation primary dysmenorrhea,and to explore the effects of combined therapy on peripheral blood pain mediators,uterine artery hemodynamics and β-endorphins levels.Methods:A retrospective analysis of 82 patients were divided into control and study groups,with 41 patients each.The patients in the control group were treated with Jiawei Wen Umbilical Cord Wet Soup,while the investigator patients were treated with modified Wenqi Huashi decoction combined with Bo acupuncture.The clinical efficacy of the two groups was compared,and the serum prostatic E2,nitric oxide,β-endorphins and uterine arterial blood flow indexes before and after treatment were compared.Results:The total effective rate of the investigator patients was higher than that of the control group(92.68% vs 70.73%,P<0.05).After treatment,the serum prostate E2,nitric oxide and β-endorphins were significantly increased in the two groups(P<0.05),while the TCM symptom scores,and uterine artery pulse index and resistance index were significantly decreased(P<0.05).The serum prostatic E2,nitric oxide and β-endorphins in the study group were significantly higher than those in the control group(P<0.05),while the TCM symptom scores and the uterine artery pulse index and resistance index were lower than those in the control group(P<0.05).Conclusion:Modified Wen Nai Huashi Decoction combined with Bo acupuncture has a high clinical efficacy in the treatment of primary dysmenorrhea of cold-dampness stagnation type,improving the clinical symptoms of patients,increasing the expression of analgesic mediators,and improving the uterine artery blood flow.

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备注/Memo

备注/Memo:
[基金项目]四川省中医药管理局科学技术研究专项课题(2023MS157)
更新日期/Last Update: 2025-05-08