Abstract
Objective
To observe the effect of Ba Duan ** (Eight-brocade Exercise) plus Tuina (Chinese therapeutic massage) in treating primary dysmenorrhea due to cold-induced blood stasis in female college students and on the score of fatigue scale-14 (FS-14).
Methods
Seventy-two female college students with primary dysmenorrhea due to cold-induced blood stasis were randomized into a Tuina group and a joint group, with 36 cases in each group. The Tuina group only received Tuina manipulations. In the joint group, besides the same Tuina manipulations, patients practiced Ba Duan **. For both groups, the once-daily intervention was conducted from 6 d before the menstrual period until menstrual day 1 for 3 menstrual cycles. Changes in the scores of COX menstrual symptom scale (CMSS), visual analog scale (VAS), and FS-14 after the intervention were observed. Clinical efficacy was also estimated.
Results
During the process, 1 case dropped out in the Tuina group, and 35 cases completed the intervention; 2 cases dropped out in the joint group, and 34 cases completed the intervention. The total effective rate was 94.1% in the joint group, higher than 88.6% in the Tuina group (P<0.05). After treatment, the symptom duration and intensity scores in the scores of CMSS, VAS, and FS-14 declined in both groups (P<0.05 or P<0.01); the CMSS symptom duration score and FS-14 score were lower in the joint group than in the Tuina group (P<0.05).
Conclusion
Tuina manipulations alone or combined with Ba Duan ** practice can effectively treat primary dysmenorrhea due to cold-induced blood stasis in female college students; when combined with Ba Duan ** practice, Tuina manipulations can more significantly improve pain duration and fatigue, suggesting the advantages of combining Tuina Gongfa and manipulations.
摘要
目的
观察八段锦练**联合推拿对女大学生寒凝血瘀型原发性痛经的治疗作用及对疲劳量表-14(FS-14)评分 的影响。
方法
将72例寒凝血瘀型原发性痛经女大学生随机分为推拿组和联合组, 每组36例。推拿组采用单独推拿 手法治疗, 联合组在推拿治疗基础上加用八段锦功法练**。两组均于月经来潮前6 d进行干预, 至月经第1 d停止, 每 天1次, 共治疗3个月经周期。观察两组治疗后COX痛经症状评分量表(CMSS)、视觉模拟量表(VAS)和FS-14的评分变化, 并评价临床疗效。
结果
治疗过程中推拿组脱落1例, 完成35例, 联合组脱落2例, 完成34例。联合组总有效率为94.1%, 高于推拿组的88.6% (P<0.05)。治疗后两组的CMSS症状持续时间、CMSS严重程度、VAS及FS-14评分均较本组治疗前 下降(P<0.05 或P<0.01); 联合组CMSS症状持续时间评分和FS-14评分均低于推拿组(P<0.05)。
结论
推拿手法或推拿手 法联合八段锦练**对寒凝血瘀型女大学生原发性痛经均有治疗作用; 推拿联合八段锦练**在改善疼痛持续时间和 疲劳方面优于单独推拿手法治疗, 体现了推拿功法和推拿手法相结合的优势。
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
LIU Q. On Primary Dysmenorrhea: the Related Factors of TCM Syndrome Type and the Degree of Dysmenorrhea. Harbin: Master Thesis of Heilongjiang University of Chinese Medicine, 2020.
LONG J T, ZHENG W L, WEN X M. Effect of Jiawei Wenqi Huashi decoction on estrogen, progesterone, and hemorheology in patients with primary dysmenorrhea of stagnation and congelation of cold-damp. Shijie Zhongxiyi Jiehe Zazhi, 2023, 18(7): 1433–1438, 1443.
LU C X, DENG X J, CHEN M, XIAO C H, CUI J. Different stimulation methods on auricular points for primary dysmenorrhea: a randomized controlled trial. Zhongguo Zhen Jiu, 2021, 41(7): 737–741.
CHENG F Y, WANG Y, WANG Y. Investigation of the current status of primary dysmenorrhea among female college students in Yancheng area and the related factor analysis. Weisheng Zhiye Jiaoyu, 2020, 38(20): 130–124.
WU S, LIU L L. Observation on therapeutic efficacy of Tuina plus cup** for chronic fatigue syndrome. J Acupunct Tuina Sci, 2020, 18(1): 53–58.
XIE X, KONG B H, DUAN T. Obstetrics and Gynecology. Bei**g: People’s Medical Publishing House, 2018: 351–352.
TAN Y. Gynecology of Chinese Medicine. Bei**g: China Press of Traditional Chinese Medicine, 2016: 102.
FU T T. Intervention Study of Health Qigong Combined with Self-massage on Female Primary Dysmenorrhea. Bei**g: Master Thesis of Bei**g Sport University, 2020.
SONG B L, YU T Y. Tuina Therapeutics. Bei**g: People’s Medical Publishing House, 2016: 309–241.
SHENG S L. Clinical observation of acupuncture and traction plus Ba Duan ** (Eight-brocade Exercise) for improving discogenic low back pain. J Acupunct Tuina Sci, 2020, 18(5): 384–389.
MA Y X, MA H Y, CHEN S Z, GAO S Z. Reliability and validity testing of the Chinese version of the COX menstrual symptom scale. Shandong Zhongyiyao Daxue Xuebao, 2015, 39(1): 5–7.
BI J, CHEN Y Z, ZHU C, XIE X, WANG W. Research of pain assessment and measuring methods. Zhongguo Yiliao Qixie **nxi, 2017, 30(2): 6–8.
Ministry of Health of the People’s Republic of China. Guiding Principles for Clinical Study of New Chinese Medicines. Bei**g: China Medical Science Press, 2002: 86–89.
PAN G X, LEI L M, ZHANG J F, LIANG X F, HUANG Y. Application efficacy of rubbing-manipulation-predominant Tuina therapy for post-stroke hemiplegia rehabilitation. Anmo Yu Kangfu Yixue, 2019, 10(11): 8–29.
JIANG L M, MA Y X, JIANG G N. Observation of curative efficacy of rubbing manipulation in treatment of primary dysmenorrhea. Shandong Zhongyi Zazhi, 2020, 39(10): 1071–1074.
XIAO H, LIU R, CHEN J Y, JIANG Q R, FENG X, LI W, LI J S. The effect of Baduan** exercise on the Yang deficiency constitution of college students. Zhongguo Yundong Yixue Zazhi, 2023, 42(1): 32–36.
YU H R, ZHAO J N, WANG L, YU X H. Current application status and theory research of body-building Qigong in prevention and treatment of diseases. Shandong Zhongyi Zazhi, 2019, 38(2): 11–15.
DAI X H, LU Y Y, ZHENG Z Y, JIANG Q, SHA W, ZHU W X, ZHOU L J, ZHAO H B, ZHENG H Z. Effects of Baduan** and fitness walking on stability and muscle strength of middle-aged and old women. Zhongguo Kangfu Yixue Zazhi, 2023, 38(3): 319–324.
KANG M, WANG B, WU Z K, GONG B M. Improvement of Baduan** (Eight-sectioned Exercise) in treating primary dysmenorrhea of female college students. Shanghai Zhongyiyao Daxue Xuebao, 2018, 32(4): 52–54, 60.
CHEN L Z, JING X H, DAI J G. A review of the mechanism of Taichi and Baduan** for relieving chronic pain. Zhongyi Zazhi, 2021, 62(2): 173–178.
DAI J G, CAO H X. Study of Ba Duan ** in improving Zang-Fu function. Zhongguo Zhongyi Jichu Yixue Zazhi, 2014, 20(4): 440–441, 447.
WANG J J. Effects of Baduan** combined with IMST on exercise tolerance and respiratory function in elderly patients with pneumoconiosis. Huli Yanjiu, 2022, 36(3): 562–564.
LIU F F, GAO H M, CUI Y X. Effect of five-element music plus Ba Duan ** on fatigue and feebleness in hemodialysis patients. Qilu Huli Zazhi, 2022, 28(23): 149–151.
WANG X Y, ZHANG B J, RAN L, XU F, WANG H W, BU H E. The identification of health status by the spirit theory of traditional Chinese medicine. Tian** Zhongyiyao Daxue Xuebao, 2019, 38(4): 341–344.
Acknowledgments
This work was supported by the Undergraduate Innovation Training Program of Jishou University (吉首大 学大学生创新训练计划项目, No. JDCX2020335).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare that there is no potential conflict of interest in this article.
Statement of Human and Animal Rights
This study has been approved by the Biomedical Ethics Committee of Jishou University (Approval No. JSDX-2022-0037). Informed consent was obtained from all individual participants.
Additional information
Co-first Authors: FU Jiali, bachelor, master degree candidate of 2023; TAN **nxin, bachelor, master degree candidate of 2022
Rights and permissions
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits use, duplication, adaptation, distribution, and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provided a link to the Creative Commons license, and indicate if changes were made.
About this article
Cite this article
Fu, J., Tan, X., Li, Y. et al. Efficacy of Tuina plus Ba Duan ** for primary dysmenorrhea due to cold-induced blood stasis. J. Acupunct. Tuina. Sci. 21, 470–475 (2023). https://doi.org/10.1007/s11726-023-1406-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11726-023-1406-0