Sun Li-hong, Li Xin-hua, Li Wen-li, Liu Li, Ma Hong-li, Liang Yu-lei
Zhen Ci Yan Jiu. 2015 Feb;40(1):70-4.
To observe the therapeutic effect of body acupuncture combined with auricular acupressure for treatment of menstrual headache of hyperactivity of "liver fire".
A total of 85 menstrual headache patients with hyperactivity of "liver-fire" were randomly divided into control group (n = 42) and treatment group (n = 43). Patients of the control group were treated by oral administration of Flunarizine Hydrochloride Capsules (Sibelium, 5 mg/time, twice daily) for 5 days beginning at the headache attack in the first menstrual cycle, and for two weeks (except weekends) in the second and third menstrual cycles. Patients of the treatment group were treated by manual acupuncture stimulation of body acupoints Baihui (GV 20), Fengchi (GB 20), Sanyinjiao (SP 6), Taichong (LR 3), Xiaxi (GB 43), Taiyang (EX-HN 5), Hanyan (GB 4), Xuanlu (GB 5) and Shuaigu (GB 8) beginning from the headache attack, and otopoint-pellet pressure of otopoints unilateral Endocrine, Ovaries, Shenmen, Cortex, Liver, Spleen and Kidney (beginning 5 days before menstrual onset) and bilateral Shenmen, Nie, Liver, Gallbladder, Subcortex and Jiaogan during headache attack. Clinical symptom scores were assessed according to the "Guiding Principles for Clinical Research on New Chinese Herbal Drugs" issued by the Chinese Ministry of Health.
After the treatment, of the 42 and 43 cases in the control and treatment groups, 9 (21.43%) and 20 (46.51%) were cured, 12 (28.57%) and 14 (32.56%) had a marked improvement, 13 (30.95%) and 7 (16.28%) were effective, 8 (19.05%) and 2 (4.65%) invalid, with the effective rates being 80.95% and 95.35% , respectively. The curative effect of the treatment group was significantly better than that of the control group (P<0.05). The symptom score and VAS score after the treatment and 3 months post-treatment in the treatment group were significantly lower than those of the control group (P<0.01). The headache scores and VAS scores were significantly reduced following the treatment and 3 months after the treatment in both control and treatment groups (P<0.01). After the treatment for 2-3 therapeutic courses, the headache attack duration during menstruation was markedly and gradually shortened in both groups (P<0.01), and therapeutic effect of the treatment group was significantly better than that of the control group (P<0.01).
Body acupuncture combined with auricular acupressure treatment can effectively relieve menstrual headache in menstrual women with hyperactivity of "liver fire".
观察体针联合耳穴压豆治疗肝火上炎型经行头痛的疗效。
将85例肝火上炎型经行头痛患者随机分为对照组（n = 42）和治疗组（n = 43）。对照组于首个月经周期头痛发作时开始口服盐酸氟桂利嗪胶囊（西比灵，5mg/次，每日2次），连用5天，第二、三个月经周期各连用2周（周末除外）。治疗组于头痛发作时开始针刺体穴百会（GV20）、风池（GB20）、三阴交（SP6）、太冲（LR3）、侠溪（GB43）、太阳（EX-HN5）、颔厌（GB4）、悬颅（GB5）、率谷（GB8），并于月经来潮前5天开始耳穴压豆单侧内分泌、卵巢、神门、皮质下、肝、脾、肾，头痛发作时加双侧神门、颞、肝、胆、皮质下、交感。依据卫生部《中药新药临床研究指导原则》评定临床症状积分。
治疗后，对照组42例与治疗组43例中，治愈分别为9例（21.43%）、20例（46.51%），显效分别为12例（28.57%）、14例（32.56%），有效分别为13例（30.95%）、7例（16.28%），无效分别为8例（19.05%）、2例（4.65%），有效率分别为80.95%、95.35%。治疗组疗效明显优于对照组（P<0.05）。治疗组治疗后及治疗后3个月的症状积分及VAS评分均明显低于对照组（P<0.01）。对照组和治疗组治疗后及治疗后3个月的头痛积分及VAS评分均明显降低（P<0.01）。两组治疗2 - 3个疗程后，月经期间头痛发作持续时间均明显逐渐缩短（P<0.01），且治疗组疗效明显优于对照组（P<0.01）。
体针联合耳穴压豆治疗能有效缓解肝火上炎型经行头痛患者的经行头痛。
