Page 193 - 北京京煤集团总医院第十届·2022学术年会论文集

北京京煤集团总医院 第十届·2022 学术年会论文集

Guanyuan point with hot ironing and simulated encapsulation, once a day, for 2 hours each time.

VAS scores and dysmenorrhea scores were evaluated before, during and after treatment for three

consecutive menstrual cycles. RESULTS: Before treatment, VAS score and dysmenorrhea
symptom score of 2 groups were roughly the same, and the difference was not statistically

significant (P>0.05). After 1 menstrual cycle, the pain VAS score and dysmenorrhea symptom score
in 2 groups were lower than those before treatment (P < 0.05), and the decrease in experimental

group was more obvious than that in control group, the difference was statistically significant (P <

0.05). After 2 menstrual cycles, the pain VAS score and dysmenorrhea symptom score in 2 groups

were lower than those before and after 1 menstrual cycle (P < 0.01), and the experimental group

was more significantly lower than the control group, the difference was statistically significant (P <

0.01). After 3 menstrual cycles, the pain VAS score and dysmenorrhea symptom score in 2 groups

were decreased compared with those before and after 1 and 2 menstrual cycles (P < 0.01), and the

decrease in experimental group was more obvious than that in control group, the difference was

statistically significant (P < 0.01). Conclusion: Chinese medicine encapsulation and hot iron

external application can effectively treat primary dysmenorrhea, which is worth popularizing

clinically.

[Key words] Primary dysmenorrhea; Syndrome of cold coagulation and blood stasis; Chinese

medicine encapsulation treatment
痛经分为原发性痛经和继发性痛经。据调查全球接近 80% 的女性均患有不同程度的痛

经，其中青春期女生原发性痛经的发病率持续增长达 69%-84%，对生活和工作质量有很大

[1]
的影响 。
现代医学对原发性痛经的发病机制尚未完全明确，但大多数学者认为原发性痛经的发生

与子宫因素、前列腺素、缩宫素、雌孕激素等有关，目前公认的较好治疗原发性痛经的药物

分为三大类:非笛体抗炎药、避孕药、Ca2+通道阻滞剂等。中医认为原发性痛经的发病机制

[2]
有二：“不通则痛”寒凝经脉或者冲任瘀阻；“不荣而痛”胞宫和冲任失于濡养 。病位：在胞
[3]
宫和冲任，内在变化主要为气血 。临床表现为痛证。中医治疗本病主要手段有中药内服、
中药外敷、针灸治疗、穴位注射、推拿治疗等。中药封包外敷是指将一定配方的中药材装入

药袋，置于施治部位，通过外源加热促使药物有效成分释放被局部皮肤吸收后发挥治疗作用。

中药封包外敷属于外治法，既没有西药的不良反应，也没有中药口服的苦涩；封包外敷属于

无创操作，简单易行，较针刺治疗易于被患者接受；封包外敷热度不及艾灸治疗，但不易发

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