中藥藥物穴位外敷治療痛經之療效初探

The Therapeutic Effect of Topical Application with Traditional Chinese Medicine on Acupuncture Points to Treat Dysmenorrhea-A Preliminary Study

高銘偵(Ming-Chen Kao) ； 鍾瑩慧(Ying-Hui Chung) ； 楊淑齡(Shu-Ling Yang)

《中醫藥雜誌》 24卷1期 (2013/06) Pp. 85-96

https://doi.org/10.6940/JCM.201306_24(1).07

摘要

Dysmenorrhea is a common clinical gynecological disease, had been reported from 51% to 85% of women, and also a frequent cause of absenteeism from school or restriction of daily activity. The aim of this study was to evaluate the clinical effect on dysmenorrhea with the use of Traditional Chinese Medicinal herbal paste onto acupoints. The Traditional Chinese Medicinal herbal paste were made with Radix Angelicae Sinensis, Rhizoma Ligustici Chuanxiong, Cyperi rhizome, Corydalis tuber, Typhae Pollen, Trogopterori Faeces, Zingiberis Cutis, Evodia rutaecarpa. The selected acupoints were Shenque (RN8) and Guanyuan (RN4). The paste was placed on 2 acupoints for 8 hours once a day, beginning from 5 day before the start of menstruation until 3 day after the start of menstruation. The total course of treatment was three consecutive menstrual cycles. The present study used the Visual Analog Pain Scale (VAS) and Menstrual Distress Questionnaire (MDQ) to measure the functional outcome, which were assessed by the patients before and after treatments. This study subjects included 28 patients who received completed treatment at Chang Gung Memorial Hospital, Taiwan. The results indicated dysmenorrhea can be managed effectively by the use of Traditional Chinese Medicinal herbal paste onto selected acupoints. The intensity of menstrual discomfort, fatigue, fullness and cramps in the lower abdomen was significantly decreased. (P＜0.01) The mechanism of its efficacy needs further study.

關鍵字

痛經 ； 中藥穴位敷貼 ； 疼痛視覺類比量表（VAS） ； 經期生理不適量表（MDQ）

並列摘要

Dysmenorrhea is a common clinical gynecological disease, had been reported from 51% to 85% of women, and also a frequent cause of absenteeism from school or restriction of daily activity. The aim of this study was to evaluate the clinical effect on dysmenorrhea with the use of Traditional Chinese Medicinal herbal paste onto acupoints. The Traditional Chinese Medicinal herbal paste were made with Radix Angelicae Sinensis, Rhizoma Ligustici Chuanxiong, Cyperi rhizome, Corydalis tuber, Typhae Pollen, Trogopterori Faeces, Zingiberis Cutis, Evodia rutaecarpa. The selected acupoints were Shenque (RN8) and Guanyuan (RN4). The paste was placed on 2 acupoints for 8 hours once a day, beginning from 5 day before the start of menstruation until 3 day after the start of menstruation. The total course of treatment was three consecutive menstrual cycles. The present study used the Visual Analog Pain Scale (VAS) and Menstrual Distress Questionnaire (MDQ) to measure the functional outcome, which were assessed by the patients before and after treatments. This study subjects included 28 patients who received completed treatment at Chang Gung Memorial Hospital, Taiwan. The results indicated dysmenorrhea can be managed effectively by the use of Traditional Chinese Medicinal herbal paste onto selected acupoints. The intensity of menstrual discomfort, fatigue, fullness and cramps in the lower abdomen was significantly decreased. (P＜0.01) The mechanism of its efficacy needs further study.

並列關鍵字

Dysmenorrhea ； Visual Analog Pain Scale (VAS) ； Menstrual Distress Questionnaire (MDQ) ； topical application with traditional Chinese medicine on acupuncture points

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