| 摘要: |
| 目的：观察益肠通秘汤联合热敏灸、结肠水疗治疗脾肾阳虚型功能性便秘的临床疗效。方法：将90 例脾肾阳虚型功能性便秘患者随机分为治疗组与对照组，每组各45 例。治疗组采用益肠通秘汤联合热敏灸、结肠水疗治疗，对照组单用结肠水疗治疗，观察2组的排便症状（排便顺畅情况、排便时间、排便不尽感、大便性质）与中医症状（腹胀、食少纳差、神疲乏力、畏寒肢冷）的改善程度，评价综合疗效。结果：总有效率治疗组为95.56%（43/45），对照组为77.78%（35/45），2组比较，差异有统计学意义（P<0.05）。治疗后2组各项排便症状评分、中医症状评分均较治疗前降低（P<0.05），且治疗组降低幅度大于对照组（P<0.01）。结论：益肠通秘汤联合热敏灸、结肠水疗能有效改善脾肾阳虚型功能性便秘患者的便秘症状，提高临床疗效，值得临床推广应用。 |
| 关键词: 功能性便秘 脾肾阳虚型 益肠通秘汤 热敏灸 结肠水疗 |
| DOI： |
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| Clinical effect of Yichang Tongmi decoction combined with heat-sensitive moxibustion and colon hydrotherapy in treatment of functional constipation with spleen-kidney Yang deficiency：An analysis of 45 cases |
| ZHOU Jinbo |
| (Hubei Provincial Hospital of Traditional Chinese Medicine /The Affiliated Hospital of Hubei University of Traditional Chinese Medicine /Hubei Provincial Research Institute of Traditional Chinese Medicine) |
| Abstract: |
| Objective：To investigate the clinical effect of Yichang Tongmi decoction combined with heat-sensitive moxibustion and colon hydrotherapy in the treatment of functional constipation with spleen-kidney Yang deficiency.Methods：A total of 90 patients with functional constipation with spleen-kidney Yang deficiency were randomly divided into treatment group and control group，with 45 patients in each group.The patients in the treatment group were treated with Yichang Tongmi decoction combined with heat-sensitive moxibustion and colon hydrotherapy，and those in the control group were treated with colon hydrotherapy alone.The two groups were observed in terms of the improvement in defecation symptoms (smooth defecation，defecation time，incomplete defecation，and stool form) and traditional Chinese medicine (TCM) symptoms (abdominal distension，poor appetite，fatigue and weakness，chilly sensation and cold limbs)，and overall response was evaluated.Results：There was a significant difference in overall response rate between the treatment group and the control group ［95.56% (43/45) vs 77.78% (35/45)，P<0.05］.After treatment，both groups had significant reductions in each score of defecation symptoms and TCM symptoms (P<0.05)，and the treatment group had significantly greater reductions than the control group (P<0.01).Conclusion：Yichang Tongmi decoction combined with heat-sensitive moxibustion and colon hydrotherapy can effectively improve the defecation symptoms and clinical outcome of patients with functional constipation with spleen-kidney Yang deficiency，and thus it holds promise for clinical application. |
| Key words: functional constipation spleen-kidney Yang deficiency Yichang Tongmi decoction heat-sensitive moxibustion colon hydrotherapy |
