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Among the salient keyword clusters are primary dysmenorrhea, acupuncture, and neuroimaging. The review of the literature produced a list of 130 possible studies, but only 23 ultimately met the selection criteria for inclusion. Acupuncture studies encompassing 6 moxibustion studies and 17 manual acupuncture studies were integrated, focusing on primary dysmenorrhea. Utilizing functional magnetic resonance imaging (fMRI), perfusion-weighted imaging (PWI), and pos