Clinical research of postpartum pantalgia treated with individualized moxibustion

Autor: Wan-yu Zhang, Bai-pu Xu, Ying Ding
Rok vydání: 2022
Předmět:
Zdroj: World Journal of Acupuncture - Moxibustion. 32:26-32
ISSN: 1003-5257
DOI: 10.1016/j.wjam.2021.05.004
Popis: Objective To evaluate the clinical therapeutic effect and safety of individualized moxibustion in treatment of postpartum pantalgia. Methods A total of 99 patients with postpartum pantalgia were divided into three group at the ratio of 1: 1: 1 according to random number table, i.e. an individualized moxibustion group, a quantitative moxibustion group and a voltaren group. The same acupoints were selected in the individualized moxibustion group and the quantitative moxibustion group. With the patient in supine, Zhōngwan (中脘CV12),Guānyuan (关元CV4), bilateral Tiānshū (天枢ST25), bilateral Xuehai (血海SP10), bilateral Yanglingquan (阳陵泉GB34), bilateral Zusānlĭ (足三里ST36) and bilateral Sānyīnjiāo (三阴交SP6) were selected. With the patient in prone, Dazhuī (大椎GV14), bilateral Geshū (膈俞BL17), bilateral Pishū(脾俞BL20), bilateral Shenshū (肾俞BL23), Mingmen 命门(GV4), bilateral Wĕizhōng (委中BL40) and bilateral Yŏngquan (涌泉KI1) were selected. In the individualized moxibustion group, the moxibusion dose was determined by patient's constitution and conditions as well as no occurrence of dry throat, thirst and local skin lesion. In the quantitative moxibustion group, the moxibustion dose was fixed as 1 cone at each acupoint in treatment. In these two groups, the treatment was given once every two days, three times a week and the treatment for 2 weeks was as 1 course. Totally, 2 courses of treatment were required. In the voltaren group, voltaren ointment was used externally at the pain area, once a day, for 4 weeks totally. Separately, before treatment, at the end of treatment course and in follow-up, the symptom score of traditional Chinese medicine (TCM), pain score of visual analogue scale (VAS) and patient's treatment satisfaction score were observed in the patients of the three groups. Results In comparison within group, TCM symptom score, VAS score and the treatment satisfaction score at the end of treatment were all reduced obviously as compared with those before treatment in each of the three groups (P 0.05). In the voltaren group, these data were not different as compared with those at the end of treatment in 4 weeks of follow-up (all P > 0.05), but these data were all increased as compared with those at the end of treatment in 12 and 24 weeks of follow-up (all P Conclusion Individualized moxibustion and quantitative moxibustion improve the short-term and long-term therapeutic effect on postpartum pantalgia as compared with the external application of voltaren ointment. The therapeutic effect and patient's satisfaction of individualized moxibustion for replenishing kidney and nourishing blood are better than the quantitative moxibustion. The individualized moxibustion therapy for replenishing kidney and nourishing blood achieves a satisfactory effect on postpartum pantalgia and is excelled to voltaren ointment that is strongly recommended in modern medicine. Individualized moxibustion is an external therapy of TCM with optimal short-term and long-term therapeutic effect and reliable safety. Hence, it deserves to be promoted in practice.
Databáze: OpenAIRE
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