暖宫宁心汤对原发性痛经寒凝血瘀证的临床研究

发布时间：2018-01-13 14:45

本文关键词：暖宫宁心汤对原发性痛经寒凝血瘀证的临床研究　出处：《南京中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:本研究以中医基础理论为指导原则,对于寒凝血瘀引起的原发性痛经,以暖宫宁心汤为基础方,观察治疗前后经前或经期小腹冷痛拒按、面色苍白、恶心呕吐、头晕乏力、冷汗淋漓、四肢厥冷、腰腿酸痛等症状的变化情况,从而客观地评估暖宫宁心汤治疗原发性痛经寒凝血瘀证的临床疗效,进一步探讨该方法治疗原发性痛经寒凝血瘀证的作用机制。方法:将原发性痛经寒凝血瘀证40例患者,予暖宫宁心汤治疗,治疗3个月经周期后,进行治疗前后自身的对照,观察治疗前后痛经评分、寒凝血瘀症候评分变化情况及讨论暖宫宁心汤温经散寒,祛瘀止痛的作用机制。结果:暖宫宁心汤治疗原发性痛经寒凝血瘀证患者40例,痊愈10例(25.00%);显效18例(45.00%);有效8例(20.00%);无效4例(10.00%),总有效率为90.00%。治疗后与治疗前相比较,痛经评分、寒凝血瘀症候评分均明显下降,差异有统计学意义(P0.05)。在整个治疗过程中及治疗停止后均没有发现明显过敏和不良反应。结论:内服暖宫宁心汤对原发性痛经寒凝血瘀证患者的痛经及中医症状能够有效地消除或缓解,而且毒副作用反应的发生率比较低,能很好地提高患者的生活质量,是一种即安全又有效的治疗方法,在临床上的使用范围较为广泛,值得临床作进一步的推广扩大应用,以及做更深入的研究。
[Abstract]:Objective: To study the TCM basic theory as the guiding principle, due to blood stasis primary dysmenorrhea, to warm house Ningxin Tang, observed before and after treatment in the period before or microgastropods Lengtong refused to press, pale, nausea and vomiting, dizziness, cold sweat, cold limbs, changes low back pain and other symptoms, so as to objectively evaluate the clinical efficacy of Nuangong Ningxin Decoction in the treatment of primary dysmenorrhea of congealing cold and blood stasis syndrome, the mechanism to further explore the methods for the treatment of primary dysmenorrhea of congealing cold and blood stasis syndrome. Methods: primary dysmenorrhea Hanning blood stasis syndrome in 40 patients, to warm Gong Ning the heart decoction treatment, treatment after 3 menstrual cycles, compared the before and after treatment, the dysmenorrhea score were observed before and after treatment, blood stasis symptom score changes and discuss Nuangong Ningxin Tang Wen and cold dispelling, mechanism of removing blood stasis and relieving pain. Results: Nuangong Ningxin Decoction on the treatment of primary Dysmenorrhea in patients with blood stasis in 40 cases, 10 cases were cured (25%); 18 cases (45%); 8 cases were effective (20%); 4 cases (10%), the total efficiency was 90.00%. after treatment compared with before treatment, dysmenorrhea score, blood stasis syndrome score decreased significantly, the difference there was a significant correlation (P0.05). Significant allergies and adverse reactions were not found in stopping the whole course of treatment and after treatment. Conclusion: oral Nuangong Ningxin Decoction on symptoms of primary dysmenorrhea dysmenorrhea and TCM syndrome of cold coagulation and blood stasis patients can effectively eliminate or alleviate the side effects, and reaction rate relatively low, can effectively improve the quality of life of patients, is a safe and effective treatment method used in clinical widely application, worthy of further promotion and expansion of clinical work, to do more in-depth study.

【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R271.113

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