目的:研究原发性痛经的中医证候分布及其特点。方法:按入选、排除标准收集原发性痛经的患者240例,分析在不同年龄、病程、婚姻状况、痛经疼痛程度、痛经疼痛持续时间方面的中医证候分布及各证候的特点。结果:本病实证多于虚证,实证中以寒湿凝滞证最常见,其次是气滞血瘀证,而虚证中以气血虚弱证为多,中医证候在不同的年龄、病程、VAS、疼痛时间,均有不同的特点。结论:重视原发性痛经的年龄、病程、疼痛程度与持续时间,治疗时,及时根据病情,加用活血化瘀行气温经的药物。

We studied the TCM syndrome distributions and characteristics of dysmenorrhea. In the study, 240 patients were investigated of their dysmenorrheal history,including age, course, marriage status, pain, and duration. We found that excess syndrome is more commonly seen than deficiency syndrome. Cold -dampness concentrated stagnancy syndrome is prevailing in excess syndromes, followed by qi stagnancy and blood stasis syndrome. In the context of deficiency syndromes, deficiency of qi and blood syndrome prevails. Syndromes show different characteristics based on age, course, pain, and duration. We advise that therapeutic principles of promoting blood circulation, removing blood stasis, promoting qi, warming channels be followed, in line with age,course, pain and duration of dysmenorrhea.