原发性痛经是妇科常见病之一,表现为月经期或月经期前后周期性小腹疼痛或伴有腰骶部疼痛、恶心、呕吐、腹泻等症状,严重者出现晕厥,影响正常的工作及生活状态。目前西医在临床上治疗此病常使用非甾体抗炎药物,此类药物副作用较大,不宜长期服用,且不能从根本上解决问题。祖国医学治疗原发性痛经方面具有独特的优势,该文结合2则病案,论述针药联合治疗在寒凝血瘀型痛经中的应用,扩展了临床治疗寒凝血瘀型痛经的思路,发挥了针药联合治疗原发性痛经的优势。Primary dysmenorrhea is one of the common gynecological diseases, which is manifested as periodic lower abdominal pain or lumbosacral pain, nausea, vomiting, diarrhea and other symptoms during or around menstruation. In severe cases, syncope occurs, affecting normal work and life status. At present, Western medicine often uses non-steroidal anti-inflammatory drugs in clinical treatment of this disease, such drugs have large side effects, should not be taken for a long time, and can not fundamentally solve the problem. Chinese medicine has unique advantages in the treatment of primary dysmenorrhea. Combining two cases, this paper discusses the application of combination of acupuncture and medicine in the treatment of cold coagulation and blood stasis dysmenorrhea, expands the idea of the clinical treatment of cold coagulation and blood stasis dysmenorrhea, and gives full play to the advantages of combination of acupuncture and medicine in the treatment of primary dysmenorrhea.
