观察针刺下肢阳性反应点治疗原发性痛经(PD)的临床疗效。

选取24例2018年3月至2018年10月之间招募的PD患者。通过手指循经按压下肢，以痛感较强的阳性反应点作为针刺点。于痛经发作日开始进行连续3日的毫针治疗，连续治疗3个月经周期。观察治疗前后视觉模拟评分法(VAS)的变化并进行疗效评价。

24例患者治疗前VAS评分为(6.17±1.85)分，治疗3个月经周期后VAS评分为(3.52±1.36)分，治疗前后VAS评分比较，差异具有统计学意义(t＝2.093，P<0.05)。24例患者中治愈9例，好转14例，无效1例，总有效率95.83%(23/24)。

针刺下肢阳性反应点治疗PD疗效确切，值得临床推广。

To observe the clinical effect of needling positive reaction points on primary dysmenorrhea.

24 cases of primary dysmenorrhea recruited from March to October in 2018 were selected, and the positive reaction points with strong pain were used as the acupuncture points. On the day of dysmenorrhea, the filiform needling was performed for 3 consecutive days, and 3 consecutive menstrual cycles were covered. The changes of visual analogue scale(VAS) score were observed before and after treatment.

The VAS score of the 24 patients before treatment was (6.17±1.85), and the VAS score was (3.52±1.36) after 3 months of treatment. The difference of VAS scores before and after treatment was statistically significant (t=2.093, P<0.05). Of the 24 patients, 9 were cured, 14 were improved, and 1 was ineffective. The total effective rate was 95.83% (23/24).

Needling positive reaction points in lower limbs in the treatment of primary dysmenorrheal has a proved curative effect and is worthy of clinical promotion.