目的

观察穴位埋线治疗原发性痛经的疗效。

方法

收集2012 年2 月至2013 年5 月山西中医学院第三中医院门诊痛经患者28 例，年龄15～34 岁，平均年龄为24 岁，病程0.5～10 年。 根据原发性痛经的临床表现，采用通过专用埋线针具将医用羊肠线埋入穴位的方法治疗，主穴为中极、次髎、十七椎下、地机、三阴交穴，根据临床证型随症加减配穴，肝郁气滞者加太冲，寒凝血瘀者加关元。采用卫生部药政局制订的《中药治疗痛经的临床研究指导原则》中的疗效判定标准。

结果

痊愈患者8 例（28.6%），显效13 例（46.4%），有效7 例（25%），无效0 例，总有效28 例（100%）。

结论

采用穴位埋线方法治疗原发性痛经见效快，疗程短，安全，不必服用药物，因而不会损伤患者的肝肾功能。

Objective

To observe the curative effect of acupoint catgut embedding therapy for primary dysmenorrhea.

Methods

Twenty-eight outpatients，age 15-34 years old（mean age=24 years）and the course of disease was 0.5 to 10 years，with dysmenorrhea were collected in the third hospital of shanxi university of traditional Chinese medicine from February 2012 to May 2013. Based on the clinical syndromes of dysmenorrheal，acupoint catgut-embedding was used for treatment of primary dysmenorrheal.The main points of acupuncture were zhongji（RN 3），Ciliao（BL 32），Seventeenth Vertebra，Diji（SP 8）and Sanyinjiao（SP 6）. According to the clinical syndromes，acupuncture points were added/subtracted.Taichong of acupuncture point was added in patients with ganqi stagnation. Guanyuan of acupuncture point was added in patients with Hanning Blood Yu. The“Chinese medicine treatment of dysmenorrhea clinical research guidelines”formulated by Ministry of Health Pharmaceutical Council was used as the efficacy criteria.

Results

In this study，8 patients were recovered（28.6%），13 patients were cured（46.4%），7 patients were effective（25%）and 0 ineffective. There were 28 effective cases（100%）.

Conclusion

The therapy of catgut implantation at acupoint for treatment of primary dysmenorrhea is a quick，short course and safe method. There was no any damage in the liver and kidney function in patients without administrating medicine.