Wang Guan-Qun, Yi Sha-Sha, Meng Xu, Hou Xue-Si, Sun Yi-Ni, Zeng Wei-Mei, Wang Mei-Hong, Zhao Ji-Ping
Department of Acupuncture and Moxibustion, Dongzhimen Hospital, Beijing University of Traditional Chinese Medicine, Beijing 100700, China.
Qinglong Health Station, Beijing Dongcheng Andingmen Community Health Service Centre, Beijing 100007.
Zhen Ci Yan Jiu. 2023 Jul 25;48(7):686-93. doi: 10.13702/j.1000-0607.20220468.
To observe the meridian-acupoint reactions of foot three yin meridians in primary dysmenorrhea(PD) and secondary dysmenorrhea(SD) patients, so as to summarize the rules of meridian-acupoint reaction and acupoints selection.
Thirty-five patients with PD (PD group), 34 patients with SD (SD group) and 35 healthy subjects (healthy group) were recruited. The compression method was used to examine the lower leg segment of the foot three yin meridians. Positive reactions(palpable skin changes, including cords, nodules, depressions) and tenderness of meridians and acupoints were recorded. The visual analogue scale (VAS) was used to evaluate the tenderness severity of acupoints.
Compared with the healthy group, the probability of positive reactions and tenderness in foot three yin meridians were higher in PD and SD groups (<0.01,<0.05). Compared with the PD group, the probability of positive reactions in Spleen and Liver Meridians were higher in the SD group, with higher probability of tenderness in Liver Meridian(<0.05). The probability of positive reactions and tenderness in the Spleen Meridian of PD and SD groups was significantly higher than that in the Kidney Meridian (<0.01), while the probability of tenderness in the Spleen Meridian of the PD group was significantly higher than that in the Liver Meridian (<0.05). Positive reactions and tenderness were concentrated at Yinlingquan (SP9), Diji (SP8) and Sanyinjiao (SP6) of Spleen Meridian and Xiguan (LR7) and Ligou (LR5) in Liver Meridian of PD and SD groups. In comparison with the PD group, the probability of positive reactions, tenderness and VAS score of SP8 and LR5 of the SD group were higher (<0.05, <0.01).
The positive reaction occurs most frequently in the Spleen Meridian, followed by the Liver Meridian, and least frequently in the Kidney Meridian. The acupoints with positive reaction are different between PD and SD, which suggests that the Spleen Meridian acupoints should be the main acupoints when treating the two kinds of dysmenorrhea, and acupoints should also be selected according to the meridian and acupoint examination results.
观察原发性痛经（PD）和继发性痛经（SD）患者足三阴经的经络穴位反应，总结经络穴位反应规律及选穴规律。
招募35例PD患者（PD组）、34例SD患者（SD组）和35例健康受试者（健康组）。采用按压法检查足三阴经小腿段。记录经络穴位的阳性反应（可触及的皮肤变化，包括条索、结节、凹陷）及压痛情况。采用视觉模拟评分法（VAS）评估穴位压痛程度。
与健康组相比，PD组和SD组足三阴经阳性反应及压痛的发生率更高（<0.01，<0.05）。与PD组相比，SD组脾经和肝经阳性反应的发生率更高，肝经压痛的发生率更高（<0.05）。PD组和SD组脾经阳性反应及压痛的发生率显著高于肾经（<0.01），而PD组脾经压痛的发生率显著高于肝经（<0.05）。PD组和SD组阳性反应及压痛集中在脾经的阴陵泉（SP9）、地机（SP8）和三阴交（SP6）以及肝经的膝关（LR7）和蠡沟（LR5）。与PD组相比，SD组SP8和LR5阳性反应、压痛及VAS评分的发生率更高（<0.05，<0.01）。
阳性反应在脾经出现的频率最高，其次为肝经，在肾经出现的频率最低。PD和SD阳性反应的穴位不同，提示治疗两种痛经时应以脾经穴位为主，同时也应根据经络穴位检查结果选穴。
