Dysménorrhée primaire : protocole de points

Spécificité d’un protocole acupunctural dans la dysménorrhée primaire

Gynécologie 29 juillet 2019 Affichages : 2555

L’acupuncture fournit une analgésie efficace dans la dysménorrhée primaire. Une étude basée sur l’exploration de données de la littérature a permis de sélectionner les points les plus généralement utilisés dans les essais cliniques avec ou sans randomisation, avec ou sans groupe témoin, publiés en anglais ou en chinois de janvier 1978 à avril 2014. Cette étude a pour intérêt d’examiner les principes de sélection des points d’acupuncture et leurs caractéristiques. 67,24% des points d’acupuncture utilisés étaient des points d’acupuncture spécifiques selon les théories de différenciation des syndromes, points de croisement, points shu antiques, points yuan et points shu et mu. Il en résulte donc une spécificité des points les plus fréquemment travaillés : sanyinjiao (RA6), guanyuan (VC4), qihai (VC6), diji (RA8), ciliao (VE32) etc.. Les méridiens les plus souvent utilisés étaient renmai (Vaisseau Conception), zutaiyin (Rate-Pancréas) et zutaiyang (Vessie). Les points des membres inférieurs ont été les plus fréquemment puncturés. En conclusion, l’’exploration de données est une approche possible afin d’identifier les caractéristiques de la sélection des points d’acupuncture. Cette étude indique ainsi que les protocoles d’acupuncture moderne du traitement de la dysménorrhée primaire sont basés sur une sélection des points d’acupuncture spécifiques mettant en pratique les théories de la médecine traditionnelle Chinoise.

Pourcentage d'utilisation des dix combinaisons de points les plus usités. La combinaison la plus courante est le VC4 et RA6 (60,97% ) ou RA6 et VC6 (28,6%), RA6 et VE32 (27,4%) etc.

Voir en ligne : Yu S, Yang J, Yang M, Gao Y, Chen J, Ren Y, Zhang L, Chen L, Liang F, Hu Y. Application of acupoints and meridians for the treatment of primary dysmenorrhea : a data mining-based literature study. Evid Based Complement Alternat Med. 2015

Méridiens Medline du 09 novembre 2014 au 10 mai 2015 (Essais contrôlés randomisés, méta-analyses, revues systématiques et recommandations)

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