Clinical observation on premature ovarian failure by warming acupuncture at Zusanli (ST 36) and Guanyuan (CV 4) combined with ginger moxibustion at points / 中国针灸

ABSTRACT

OBJECTIVE@#To observe the clinical effect difference between warm acupuncture at Zusanli (ST 36) and Guanyuan (CV 4) combined with ginger moxibustion at points and western medication for premature ovarian failure (POF).@*METHODS@#Fifty patients with POF were randomly assigned into an acupuncture-moxibustion group and a western medication group, 25 cases in each group. Warm acupuncture (30 min a time) at Zusanli (ST 36) and Guanyuan (CV 4) combined with ginger moxibustion (1.5 h a time) at points were used in the acupuncture-moxibustion group, once a day, 5 times a week. Three courses were given, one month as a course. Climen tablet was prescribed orally from the 5th day of menstruation in the western medication group, one tablet a time, once a day. The medication was given for 3 months, 7 days between the two 21-day medication. Before and after treatment, electrochemiluminescence was used to measure follicle stimulating hormone (FSH) and luteinizing hormone (LH); euzymelinked immunosorbent assay was applied to test estradiol (E); transvaginal color doppler sonography and abdomen ultrasound were applied to determine peak systolic velocity (PSV) of ovarian blood flow, resistance index (RI), pulsatility index (PI), ovarian volume and the number of sinus follicles (AFC). The clinical effect was compared between the two groups.@*RESULTS@#After treatment, FSH and FSH/LH were lower than those before treatment in the two groups (all 0.05).@*CONCLUSION@#Warm acupuncture at Zusanli (ST 36) and Guanyuan (CV 4) combined with ginger moxibustion at points are effective for POF patients, especially in improving FSH/LH, PSV and AFC.