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http://dx.doi.org/10.3831/KPI.2015.18.034

Evaluation of Women with Myofascial Abdominal Syndrome Based on Traditional Chinese Medicine  

Mitidieri, Andreia (Department of Gynecology and Obstetrics of Faculty of Medicine of Ribeirao Preto, University of Sao Paulo)
Gurian, Maria Beatriz (Department of Gynecology and Obstetrics of Faculty of Medicine of Ribeirao Preto, University of Sao Paulo)
Silva, Ana Paula (Department of Gynecology and Obstetrics of Faculty of Medicine of Ribeirao Preto, University of Sao Paulo)
Tawasha, Kalil (Department of Gynecology and Obstetrics of Faculty of Medicine of Ribeirao Preto, University of Sao Paulo)
Poli-Neto, Omero (Department of Gynecology and Obstetrics of Faculty of Medicine of Ribeirao Preto, University of Sao Paulo)
Nogueira, Antonio (Department of Gynecology and Obstetrics of Faculty of Medicine of Ribeirao Preto, University of Sao Paulo)
Reis, Francisco (Department of Gynecology and Obstetrics of Faculty of Medicine of Ribeirao Preto, University of Sao Paulo)
Rosa-e-Silva, Julio (Department of Gynecology and Obstetrics of Faculty of Medicine of Ribeirao Preto, University of Sao Paulo)
Publication Information
Journal of Pharmacopuncture / v.18, no.4, 2015 , pp. 26-31 More about this Journal
Abstract
Objectives: This study used semiology based on traditional Chinese medicine (TCM) to investigate vital energy (Qi) behavior in women with abdominal myofascial pain syndrome (AMPS). Methods: Fifty women diagnosed with chronic pelvic pain (CPP) secondary to AMPS were evaluated by using a questionnaire based on the theories of "yin-yang," "zang-fu", and "five elements". We assessed the following aspects of the illness: symptomatology; specific location of myofascial trigger points (MTrPs); onset, cause, duration and frequency of symptoms; and patient and family history. The patients tongues, lips, skin colors, and tones of speech were examined. Patients were questioned on various aspects related to breathing, sweating, sleep quality, emotions, and preferences related to color, food, flavors, and weather or seasons. Thirst, gastrointestinal dysfunction, excreta (feces and urine), menstrual cycle, the five senses, and characteristic pain symptoms related to headache, musculoskeletal pain, abdomen, and chest were also investigated. Results: Patients were between 22 and 56 years old, and most were married (78%), possessed a elementary school (66%), and had one or two children (76%). The mean body mass index and body fat were 26.86 kg/cm2 (range: 17.7 - 39.0) and 32.4% (range: 10.7 - 45.7), respectively. A large majority of women (96%) exhibited alterations in the kidney meridian, and 98% had an altered gallbladder meridian. We observed major changes in the kidney and the gallbladder Qi meridians in 76% and 62% of patients, respectively. Five of the twelve meridians analyzed exhibited Qi patterns similar to pelvic innervation Qi and meridians, indicating that the paths of some of these meridians were directly related to innervation of the pelvic floor and abdominal region. Conclusion: The women in this study showed changes in the behavior of the energy meridians, and the paths of some of the meridians were directly related to innervation of the pelvic floor and abdominal region.
Keywords
acupuncture evaluation; chronic pelvic pain; myofascial abdominal syndrome; trigger points;
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1 Campbell F, Collett BJ. Chronic pelvic pain. Br J Anaesth. 1994;73(5):571-3.   DOI
2 Gelbaya TA, El-Halwagy HE. Focus on primary care: chronic pelvic pain in women. Obstet Gynecol Surv. 2001;56(12):757-64.   DOI
3 Howard FM. The role of laparoscopy in chronic pelvic pain: promise and pitfalls. Obstet Gynecol Surv. 1993;48(6):357-87.   DOI
4 Broder MS, Kanouse DE, Mittman BS, Bernstein SJ. The appropriateness of recommendations for hysterectomy. Obstet Gynecol. 2000;95(2):199-205.   DOI
5 Gambone JC, Mittman BS, Munro MG, Scialli AR, Winkel CA. Consensus statement for the management of chronic pelvic and endometriosis: proceedings of an expert-panel consensus process. Fertil Steril. 2002;78(5):961-72.   DOI
6 Grace V, Zondervan K. Chronic pelvic pain in women in New Zealand: comparative well-being, comorbidity, and impact on work and other activities. Health Care Women Int. 2006;27(7):585-99.   DOI
7 Mathias SD, Kuppermann M, Liberman RF, Lipschutz RC, Steege JF. Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates. Obstet Gynecol. 1996;87(3):321-7.   DOI
8 Zondervan KT, Yudkin PL, Vessey MP, Jenkinson CP, Dawes MG, Barlow DH, et al. Chronic pelvic pain in the community-symptoms, investigations, and diagnoses. Am J Obstet Gynecol . 2001;184(6):1149-55.   DOI
9 Steege JF. Office assessment of chronic pelvic pain. Clin Obstet Gynecol. 1997;40(3):554-63.   DOI
10 Prendergast SA, Weiss JM. Screening for musculoskeletal causes of pelvic pain. Clin Obstet Gynecol. 2003;46(4):773-82.   DOI
11 Farina S, Casarotto M, Benelle M, Tinazzi M, Fiaschi A, Goldoni M, et al. A randomized controlled study on the effect of two different treatments (frems and tens) in myofascial pain syndrome. Eura Medicophys. 2004;40(4):293-301.
12 Sharp HT. Myofascial pain syndrome of the abdominal wall for the busy clinician. Clin Obstet Gynecol. 2003;46(4):783-8.   DOI
13 Alvarez DJ, Rockwell PG. Trigger points: diagnosis and management. Am Fam Physician. 2002;65(4):653-60.
14 Yap EC. Myofascial pain: an overview. Ann Acad Med Singapore. 2007;36(1):43-8.
15 Luna SPL. [Emprego da acupuntura em anestesia]. In: Fantoni DT, editors. Cortopassi SRG. anestesia em caes e gatos. Sao Paulo: Roca; 2002. p. 337-43. Portuguese.
16 Lin YC. Perioperative usage of acupuncture. Paediatr Anaesth. 2006;16(3):231-5.   DOI
17 Maciocia G. [Os fundamentos da medicina Chinesa]. Sao Paulo: Roca; 1996. 658 p. Portuguese.
18 Tellez LF, Chang YP. [Efectividad de la acupuntura em pacientes com sacrolumbalgia aguda. policlinico de urgencias florida, 2001]. Arch Med Camaguey. 2004;8(4):1-9. Spanish.
19 Dulcetti O. [Pequeno tratado de acupuntura tradicional Chinesa]. Sao Paulo: Andrei; 2001. 256 p. Portuguese.
20 Sussmann DJ. [Acupuntura, teoria y pratica]. Buenos Aires: Kier; 2005. 368 p. Portuguese.
21 Li SM, Darella ML, Pereira OA. [Acupuntura e medicina tradicional Chinesa]. Florianopolis: Ed. Ipe/MTC. 2000. 222 p. Portuguese.
22 Sanchez HM, Morais EG, Luz MM. [Acupuntura fisioterapeutica no tratamento da fibromialgia]. uma revisao: Rer Soc Bras Fis Acup; 2004. p. 1-3. Portuguese.
23 Wen ST. [Acupuntura classica Chinesa]. Sao Paulo: Cultrix; 1987. 226 p. Portuguese.
24 Lee EW. [Manual de acupuntura medica]. Sao Paulo: Esperanca; 1987. 424 p. Portuguese.
25 Auteroche B, Navailh P. [Diagnostico na medicina Chinesa]. Sao Paulo: Andrei. 1992. 422 p. Portuguese.
26 Pin ST. [Atlas de semiologia da lingua: instituto de medicina tradicional Chinesa da Beijing]. Sao Paulo: Roca; 1993. 288 p. Portuguese.
27 Longbottom J. The treatment of pelvic pain with acupuncture. JCM. 2009;91:1-15.
28 Yamamura Y. [Acupuntura tradicional: a arte de inserir]. Sao Paulo: Roca; 2001. 919 p. Portuguese.
29 Gardner E, Gray DJ, O'Rahilly R. [Anatomia-estudo regional do corpo humano]. Rio de Janeiro: Guanabara; 1988. 828 p. Portuguese.
30 Dangelo JG, Fattini CA. [Anatomia humana sistemica e segmentar]. Sao Paulo: Atheneu; 2007. 800 p. Portuguese.
31 Hwang YC. Anatomy and classification of acupoints. Probl Vet Med. 1992;4(1):12-5.
32 Melzack R, Stillwell DM, Fox EJ. Trigger points and acupuncture points for pain: correlations and implications. Pain. 1977;3(1):3-23.   DOI
33 Kendall DE. A scientific model for acupuncture. part I. Am J Acupuncture. 1989;17(3):251-68.
34 Peng ZF. [Comparison between western trigger point of acupuncture and traditional acupoints]. Zhongguo Zhen Jiu. 2008;28(5):349-52. Chinese.
35 Rubi-Klein K, Kucera-Sliutz E, Nissel H, Bijak M, Stockenhuber D, Fink M, et al. Is acupuncture in addition to conventional medicine effective as pain treatment for endometriosis? a randomised controlled cross-over trial. Eur J Obstet Gynecol Reprod Biol. 2010;153(1):90-3.   DOI
36 Draehmpael D, Zohmann A. [Acupuntura no cao e no gato. principios basicos e pratica cientifica]. Sao Paulo: Roca; 1997. 254 p. Portuguese.
37 Povolny B. Acupuncture and traditional Chinese medicine: an overview. Tech Reg Anesth Pain Manag. 2008;12(2):109-10.   DOI