Acupuntura para el tratamiento de la dismenorea primaria: Principales puntos

Autores/as

DOI:

https://doi.org/10.33448/rsd-v10i15.22897

Palabras clave:

Acupuntura; Puntos de acupuntura; Medicina china; Dismenorrea.

Resumen

Objetivo: Describir los principales puntos de acupuntura utilizados en el tratamiento de la dismenorrea primaria. Método: Esta es una revisión de la literatura narrativa, donde se utilizaron ensayos clínicos, con los siguientes descriptores: Acupuntura, Puntos de acupuntura, Medicina china, Dismenorrea primaria. Las búsquedas se realizaron en las bases de datos SciELO, PubMed, LILACS, PEDro, CAPES Journal Portal, ScienceDirect y Cochrane de 2011 a 2021, con artículos seleccionados de enero de 2016 a diciembre de 2021, en cualquier idioma, que presentó en su objetivo de investigación para describir los principales puntos de acupuntura utilizados en el tratamiento de la dismenorrea primaria. Los artículos duplicados y pagados se consideraron poco hábiles, revisión, metaanálisis y mujeres con patologías asociadas. Resultados: se identificaron 84 artículos, de los cuales 5 cumplieron con los criterios de inclusión, cubriendo un total de 348 pacientes diagnosticados de dismenorrea primaria. Se evaluó el uso terapéutico del bazo 6 (BP-6) en tres de las cinco publicaciones seleccionadas, cumpliendo varios objetivos. El resultado primario más evaluado fue la intensidad del dolor menstrual. Conclusión: Se concluye que la acupuntura puede utilizarse como un método eficaz y seguro para tratar a mujeres con dismenorrea primaria.

Citas

Armour, M., Dahlen, H. G., Zhu, X., Farquhar, C., & Smith, C. A. (2017). The role of treatment timing and mode of stimulation in the treatment of primary dysmenorrhea with acupuncture: An exploratory randomised controlled trial. PLOS ONE, 12(7), Artigo e0180177. https://doi.org/10.1371/journal.pone.0180177

Bu, Y. Q. (2011) Observation on therapeutic effect of acupuncture at Shiqizhui (Extra) for primary dysmenorrhea at different time. Chinese Acupuncture & Moxibustion,31(2), 110-2. https://pubmed.ncbi.nlm.nih.gov/21442807/

Bu, Y.-q., Du, G.-z., & Chen, S.-z. (2011). Clinical study on the treatment of primary dysmenorrhea with preconditioning acupuncture. Chinese Journal of Integrative Medicine, 17(3), 224–227. https://doi.org/10.1007/s11655-011-0671-9

Chen, S. Z., Cong, Q., & Zhang, B. F. (2011). Preliminary comparison on the time-effect rule of pain-relieving in the treatment of moderate dysmenorrhea between acupuncture on single-point and acupuncture on multi-point. Evid Based Complement Alternat Med, 31(4), 305-8. https://pubmed.ncbi.nlm.nih.gov/21528594/

Hang, Y., Zhou, Y., Guo, X., Liu, Y., Li, H., & Chen, X. (2015). Analgesic effect on primary dysmenorrheal treated with conventional and sham acupuncture at San-yinjiao (SP 6). Chinese Journal of Basic Medicine in Traditional Chinese Medicine, 35(4), 318-22. https://en.x-mol.com/paper/article/1212898592878829570

Hu, Y., Lin, Q., Li, Y., & Zheng, X. (2011). Effect on PGF2alpha in plasma in primary dysmenorrhea treated with eye acupuncture. Journal of Traditional Chinese Medicine 2011, 31(8), 683-6. https://pubmed.ncbi.nlm.nih.gov/21894687/

Hu., N, Ma., L, Wang., P, Wu., G, Zhao., M, Hu., S, Sun., J, Wang., Y, Zhang., Z, Zhu., J, & Ma., L. (2019). Influence of the quickness and duration of De Qi on the analgesic effect of acupuncture in primary dysmenorrhea patients with a cold and dampness stagnation pattern. Journal Traditional Chin Med, 39(2), 258-266. https://pubmed.ncbi.nlm.nih.gov/32186050/

Kiran, G., Gumusalan, Y., Ekerbicer, H. C., Kiran, H., Coskun, A., & Arikan, D. C. (2013). A randomized pilot study of acupuncture treatment for primary dysmenorrhea. European Journal of Obstetrics & Gynecology and Reproductive Biology, 169(2), 292–295. https://doi.org/10.1016/j.ejogrb.2013.02.016

Li, CH., Wang, YZ., & Guo, XY. (2008). Acupuncture at Siguan points for treatment of primary dysmenorrhea. The Journal of Alternative and Complementary Medicine, 28(3), 187-90. https://pubmed.ncbi.nlm.nih.gov/18447217/

Li, YM., Bu, YQ., Hou, WJ., Chen, SZ., &Gao, SZ. (2011). Observation on immediate analgesic effect of acupuncture at Shiqizhui (EX-B 8) only or multi-acupoints in patients with dysmenorrhea: a randomized controlled trial. Complementary Therapies in Clinical Practice, 31(3), 199-202. https://pubmed.ncbi.nlm.nih.gov/21644298/

Lin, LL., Liu, CZ., & Huang, BY. (2008). Clinical observation on treatment of primary dysmenorrhea with acupuncture and massage. Journal of Integrated Traditional and Western Medicine. Journal of Integrated Traditional and Western Medicine, 28(5), 418-20. https://pubmed.ncbi.nlm.nih.gov/18672768/

Liu, C.-Z., Xie, J.-P., Wang, L.-P., Liu, Y.-Q., Song, J.-S., Chen, Y.-Y., Shi, G.-X., Zhou, W., Gao, S.-Z., Li, S.-L., Xing, J.-M., Ma, L.-X., Wang, Y.-X., Zhu, J., & Liu, J.-P. (2014). A Randomized Controlled Trial of Single Point Acupuncture in Primary Dysmenorrhea. Pain Medicine, 15(6), 910–920. https://doi.org/10.1111/pme.12392

Liu, C.-Z., Xie, J.-P., Wang, L.-P., Zheng, Y.-Y., Ma, Z.-B., Yang, H., Chen, X., Shi, G.-X., Li, S.-L., Zhao, J.-P., Han, J.-X., Li, J.-D., Wang, Y.-X., Tang, L., Xue, X.-O., Li, M., Wang, Y., Sun, A.-p., Xing, J.-M., … Liu, J.-P. (2011). Immediate Analgesia Effect of Single Point Acupuncture in Primary Dysmenorrhea: A Randomized Controlled Trial. Pain Medicine, 12(2), 300–307. https://doi.org/10.1111/j.1526-4637.2010.01017.x

Liu, Y.-q., Ma, L.-x., Xing, J.-m., Cao, H.-j., Wang, Y.-x., Tang, L., Li, M., Wang, Y., Liang, Y., Pu, L.-y., Yu, X.-m., Guo, L.-z., Jin, J.-l., Wang, Z., Ju, H.-m., Jiang, Y.-m., Liu, J.-j., Yuan, H.-w., Li, C.-h., … Zhu, J. (2013). Does Traditional Chinese Medicine Pattern Affect Acupoint Specific Effect? Analysis of Data from a Multicenter, Randomized, Controlled Trial for Primary Dysmenorrhea. The Journal of Alternative and Complementary Medicine, 19(1), 43–49. https://doi.org/10.1089/acm.2011.0404

Ma, Y.-X., Ma, L.-X., Liu, X.-l., Ma, Y.-X., Lv, K., Wang, D., Liu, J.-p., Xing, J.-m., Cao, H.-j., Gao, S.-Z., & Zhu, J. (2010). A Comparative Study on the Immediate Effects of Electroacupuncture at Sanyinjiao (SP6), Xuanzhong (GB39) and a Non-Meridian Point, on Menstrual Pain and Uterine Arterial Blood Flow, in Primary Dysmenorrhea Patients. Pain Medicine, 11(10), 1564–1575. https://doi.org/10.1111/j.1526-4637.2010.00949.x

Ma, Y.-X., Ye, X.-N., Liu, C.-Z., Cai, P.-Y., Li, Z.-F., Du, D.-Q., Guo, G., Chen, S.-Z., Zhao, J.-P., Liu, J.-J., Yi, H.-Q., & Gao, S.-Z. (2013). A clinical trial of acupuncture about time-varying treatment and points selection in primary dysmenorrhea. Journal of Ethnopharmacology, 148(2), 498–504. https://doi.org/10.1016/j.jep.2013.04.045

Pei, W., Peng, Z., Liangxiao, M., Hongwen, Y., Yuqi, L., Lin, C., Siyuan, X., Nijuan, H., Minyi, Z., & Jiang, Z. (2016). Immediate analgesic effect of needling acupoints (bilateral De Qi vs unilateral De Qi ) on primary dysmenorrhea: a multi-center, randomized, controlled trail. Journal of Traditional Chinese Medicine, 36(6), 711–717. https://doi.org/10.1016/s0254-6272(17)30004-3

Ping, Huyou., Zhang, X., Zhang,LX., Wu, J., Wang, Z., Jia, XF., Tang, Y., & Hui, RT. (2013). Time-effect study on instant analgesic effect of the dragon-tiger fighting needling method on primary dysmenorrhea. . J Tradit Chin Med, 33(11), 1005-9. https://pubmed.ncbi.nlm.nih.gov/24494291/

Ru, SQ., Zhang, P., Li, J., Wang, P., Lin, C., Hu, NJ., Hao, J., Hao, MY., Sun, JJ., Wang, YF., & Zhu, J. (2016). Clinical Trials for Observing the Influence of Acupuncture Needle-stimulation Induced Sharp Pain on Curative Effect in Primary Dysmenorrhea Patients. Medicine Traditional, 41(2),154-8. https://pubmed.ncbi.nlm.nih.gov/27323444/

Shetty, G. B., Shetty, B., & Mooventhan, A. (2018). Efficacy of Acupuncture in the Management of Primary Dysmenorrhea: A Randomized Controlled Trial. Journal of Acupuncture and Meridian Studies, 11(4), 153–158. https://doi.org/10.1016/j.jams.2018.04.001

Shulman, L. P. (2011). Effects of Acupuncture at Sanyinjiao (SP6) on Prostaglandin Levels in Primary Dysmenorrhea Patients. Yearbook of Obstetrics, Gynecology and Women's Health, 2011, 5–6. https://doi.org/10.1016/j.yobg.2011.06.048

Song, JS., Liu, YQ., Liu, CZ., Xie, JP., Ma, LX., Wang, LP., Zheng, YY., Ma, ZB., Yang, H., Chen, X., Shi, GX., Li, SL., Zhao, JP., Han, JX., Wang, YX., Liu, JP., & Zhu, J. (2013). Cumulative analgesic effects of EA stimulation of sanyinjiao (SP 6) in primary dysmenorrhea patients: a multicenter randomized controlled clinical trial. The Cochrane Database of Systematic Reviews, 38(5), 393-8. https://pubmed.ncbi.nlm.nih.gov/24308187/

Sriprasert, I., Suerungruang, S., Athilarp, P., Matanasarawoot, A., & Teekachunhatean, S. (2015). Efficacy of Acupuncture versus Combined Oral Contraceptive Pill in Treatment of Moderate-to-Severe Dysmenorrhea: A Randomized Controlled Trial. Evidence-Based Complementary and Alternative Medicine, 2015, 1–10. https://doi.org/10.1155/2015/735690

Sun, Y. N., Hou, X. S., Wu, J. Y., Tian, H. F., & Zhao, J. P. (2018). Acupuncture Treatment of Primary Dysmenorrhea by Needling Acupoints of the Spleen Meridian with Positive Reactions：A Randomized Controlled Clinical Trial Acupuncture research, 43(5), 307–310. https://doi.org/10.13702/j.1000-0607.170989

Wade, C., Wang, L., Zhao, W. J., Cardini, F., Kronenberg, F., Gui, S. Q., Ying, Z., Zhao, N. Q., Chao, M. T., & Yu, J. (2016). Acupuncture point injection treatment of primary dysmenorrhoea: a randomised, double blind, controlled study. BMJ Open, 6(1), Artigo e008166. https://doi.org/10.1136/bmjopen-2015-008166

Wang, P., Zhang, P., Wu, GW., Hu, SQ., Li, J., Sun, JJ., Wang, YF., Zhao, MY., Hu, NJ., Zhu, J. (2018). Analgesic Effect of Deqi Induced by Needling at Sanyinjiao (SP 6) Acupoint on Primary Dysmenorrheal Patients with Cold Damp Stagnation Syndrome. Acupuncture research, 43(1):49-55. https://doi.org/10.13702/j.1000-0607.170310

Wang, H., Cao, Y., Jin, X., Yan, M., Wang, J., Li, R., & Ji, L. (2019). Effect of an Acupuncture Technique of Penetrating through Zhibian (BL54) to Shuidao (ST28) with Long Needle for Pain Relief in Patients with Primary Dysmenorrhea: A Randomized Controlled Trial. Pain Research and Management, 19, 1–6. https://doi.org/10.1155/2019/7978180

Witt, C. M., Reinhold, T., Brinkhaus, B., Roll, S., Jena, S., & Willich, S. N. (2008). Acupuncture in patients with dysmenorrhea: a randomized study on clinical effectiveness and cost-effectiveness in usual care. American Journal of Obstetrics and Gynecology, 198(2), 166.e1–166.e8. https://doi.org/10.1016/j.ajog.2007.07.041

Wu, L. L., Su, C. H., & Liu, C. F. (2012). Effects of Noninvasive Electroacupuncture at Hegu (LI4) and Sanyinjiao (SP6) Acupoints on Dysmenorrhea: A Randomized Controlled Trial. The Journal of Alternative and Complementary Medicine, 18(2), 137–142. https://doi.org/10.1089/acm.2010.0506

Xiong, J., Liu, F., Zhang, M.-m., Wang, W., & Huang, G.-y. (2011). De-qi, not psychological factors, determines the therapeutic efficacy of acupuncture treatment for primary dysmenorrhea. Chinese Journal of Integrative Medicine, 18(1), 7–15. https://doi.org/10.1007/s11655-011-0857-1

Zhao, M.-y., Zhang, P., Li, J., Wang, L.-p., Zhou, W., Wang, Y.-x., She, Y.-f., Ma, L.-x., Wang, P., Hu, N.-j., Lin, C., Hu, S.-q., Wu, G.-w., Wang, Y.-f., Sun, J.-j., Jiang, S.-z., & Zhu, J. (2017). Influence of de qi on the immediate analgesic effect of SP6 acupuncture in patients with primary dysmenorrhoea and cold and dampness stagnation: A multicentre randomised controlled trial. Acupuncture in Medicine, 35(5), 332–338. https://doi.org/10.1136/acupmed-2016-011228

Zhi L. (2007). Randomised controlled study on superficial needling for treatment of primary dysmenorrhea. Chinese Acupuncture and Moxibustion, 27(1), 18-21. https://pubmed.ncbi.nlm.nih.gov/17378197/

Descargas

Publicado

27/11/2021

Cómo citar

MARQUES, P. R. D. N. .; ALMEIDA, T. A. de .; RODRIGUES, M. P. .; LAURINDO, I. L. da S. .; MONTE, E. J. S. do .; NASCIMENTO, A. F. do .; SILVA, F. C. L. da .; QUEIROZ, H. E. V. .; LEITÃO, S. Q. de S. .; NÓBREGA JÚNIOR, J. C. N. . Acupuntura para el tratamiento de la dismenorea primaria: Principales puntos. Research, Society and Development, [S. l.], v. 10, n. 15, p. e346101522897, 2021. DOI: 10.33448/rsd-v10i15.22897. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/22897. Acesso em: 25 nov. 2024.

Número

Vol. 10 Núm. 15

Sección

Revisiones

Licencia

Derechos de autor 2021 Pablo Rafael De Negreiros Marques; Tayanna Alves de Almeida; Mateus Porfirio Rodrigues; Ingrid Larissa da Silva Laurindo; Eudson José Santos do Monte; Amanda Fonseca do Nascimento; Flávia Carolina Lasalvia da Silva; Harrison Euller Vasconcelos Queiroz; Sidney Queiroz de Sá Leitão; José Carlos Nogueira Nóbrega Júnior

Creative Commons License

Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.

Los autores que publican en esta revista concuerdan con los siguientes términos:

1) Los autores mantienen los derechos de autor y conceden a la revista el derecho de primera publicación, con el trabajo simultáneamente licenciado bajo la Licencia Creative Commons Attribution que permite el compartir el trabajo con reconocimiento de la autoría y publicación inicial en esta revista.

2) Los autores tienen autorización para asumir contratos adicionales por separado, para distribución no exclusiva de la versión del trabajo publicada en esta revista (por ejemplo, publicar en repositorio institucional o como capítulo de libro), con reconocimiento de autoría y publicación inicial en esta revista.

3) Los autores tienen permiso y son estimulados a publicar y distribuir su trabajo en línea (por ejemplo, en repositorios institucionales o en su página personal) a cualquier punto antes o durante el proceso editorial, ya que esto puede generar cambios productivos, así como aumentar el impacto y la cita del trabajo publicado.