Effect of modified turtle shell moxibustion through meridian pushing and ironing on primary dysmenorrhea due to cold congelation and blood stasis
Objective To explore the clinical outcome of modified turtle shell moxibustion along the meridian for patients with primary dysmenorrhea caused by cold congelation and blood stasis.Methods Sixty patients with primary dysmenorrhea caused by cold congelation and blood stasis who were treated in Fuyang Women and Children's Hospital from August 2020 to August 2021 were included in this study.The patients were divided into test group and control group according to the random number table method,with 30 cases in each group.The control group was treated with ibuprofen granules,and the test group was treated with modified soft-shelled turtle moxibustion along the meridian pushing and ironing in addition to the treatment of the control group.Both groups were treated for 3 menstrual cycles.The Traditional Chinese Medical symptom scores,pain duration,visual analogue scale(VAS)score,clinical efficacy,serum prostaglandin E2(PGE2),prostaglandin F2a(PGF2a)and adverse reactions were compared between the two groups.Results The scores of cold pain in lower abdomen,chills in extremities,lumbosacral soreness,and dark menstrual blood with blood stasis,as well as the VAS score after treatment were significantly lower than those before treatment in both groups(P＜0.05),and these scores in the test group were significantly lower than those in the control group after treatment(P＜0.05).The duration of pain was significantly shortened after treatment in both groups,and the duration of pain in the test group was significantly shorter than that in the control group(P＜0.05).The total effective rate of the test group was significantly higher than that of the control group(P＜0.05).After treatment,serum PGE2 level was significantly increased and the PGE2a level was significantly decreased in both groups(P＜0.05),and the test group had higher level of PGE2 and lower level of PGF2a than the control group after treatment(P＜0.05).No gastrointestinal reactions or bleeding occurred.Conclusion The modified turtle shell moxibustion through meridian pushing and ironing is a safe and effective treatment for primary dysmenorrhea due to cold blood stasis syndrome.It can improve clinical symptoms and regulate the level of prostaglandins.
Modified turtle shell moxibustionPushing and ironingCold congelation and blood stasisPrimary dysmenorrhea
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