Clinical observation on combined warming needle and patented Chinese medicine for irritable bowel syndrome
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To evaluate the clinical efficacy and quality of life of combined warming needle and patented Chinese medicine for patients with irritable bowel syndrome (IBS) due to liver-qi stagnation with spleen deficiency.
Sixty IBS cases were randomized into a treatment or control group by single-blind method. Warming needles on Tianshu (ST 25) and Dachangshu (BL 25) combined with patented Chinese medicine were adopted for cases in the treatment group, whereas the patented Chinese medicine alone was adopted in the control group.
The therapeutic efficacies in the two groups did not show substantial differences. The main symptoms were significantly improved after the treatment (P<0.01). After 2 weeks of treatment, the cases in the treatment group obtained a better improvement than the control group (P<0.01, P<0.05) in the severity or frequency of abdominal pain, abdominal distension, restlessness, insomnia, anxiety, suspiciousness, and loose stools with a sense of incomplete emptying. The patient’s quality of life was improved in both groups (P<0.01).
Both treatment methods could improve the clinical symptoms and increase the patient’s quality of life. The total effective rate in the treatment group was slightly higher than the control group. Also, the combined warming needle and Chinese herbs could improve the main symptoms in a faster way.
Key WordsAnterior-posterior Point Combination Acupuncture Medication Combined Warming Needle Moxibustion Points, Tianshu (ST 25) Points, Dachangshu (BL 25) Irritable Bowel Syndrome
将符合纳入标准的60 例患者, 按单盲法随机分入治疗组或对照组。 治疗组以温针灸天枢、 大肠俞为主, 同时配合中成药治疗, 对照组仅给予相同的中成药治疗。
治疗后两组疗效比较, 差异无统计学意义, 患者主要症状均较治疗前有显著改善(P<0.01); 治疗2 星期后, 治疗组在腹痛程度与频度、 腹胀、 心烦失眠、 焦虑多疑、 大便溏而不爽改善方面优于对照组(P<0.01, P<0.05)。 在患者生存质量方面, 两组较治疗前均有改善(P<0.01)。
两种治疗方案均能较好地改善临床症状和提高患者生存质量, 治疗组总有效率略高于对照组, 并能较快地改善多数主要 症状。
关键词前后配穴法 针药并用 温针灸 穴, 天枢 穴, 大肠俞 肠易激综合征
- JIANG Han-long, ZHONG Shi-shun, ZHANG Zhen-shu. Clinical Screening of 312 IBS Cases. World Chinese Journal of Digestology, 2005, 13(3): 411.Google Scholar
- WANG Wei-an, HE Jian-qin, HU Pin-jin, et al. Psychological Effect on Quality of Life of IBS Cases. World Chinese Journal of Digestology, 2004, 12(7): 1626.Google Scholar
- FU Huai-dan, CAI Guo-wei. Syndrome Differentiation & Treatment for 40 IBS Cases. Chinese Acupuncture & Moxibustion, 1993,13(3): 11.Google Scholar
- WU Huan-gan, WANG Jing-hui, CHEN Han-ping, et al. Therapeutic Efficacy and Immunological Mechanism of Herbal-partitioned Moxibustion for IBS. Chinese Acupuncture & Moxibustion, 1996, 16(2): 43–45.Google Scholar
- Chinese Medical Association, Branch Society of Gastroenterology. Common Agreements on IBS. Chinese Journal of Internal Medicine, 2003, 42(9): 669–670.Google Scholar
- Ministry of Health of the People’s Republic of China. Guiding Principles for Clinical Study of New Chinese Medicines. Beijing: China Medicine and Drugs Technology Press, 1993: 96–98.Google Scholar
- ZHOU Fu-sheng, WU Wen-jiang, HUANG Zhi-xin. Effect of Shunji Mixture in Treating Irritable Bowel Syndrome. Journal of Guangzhou University of Traditional Chinese Medicine, 2002, 19(4): 269–271.Google Scholar
- ZHOU Fu-sheng, ZHANG Qing-hong, HUANG Zhi-xin, Effect of Shunji Decoction on Quality of Life of Those with Gastrointestinal Diseases. Chinese Journal of Integrated Traditional and Western Medicine on Digestion, 2002, 10 (5): 296–297.Google Scholar
- ZHOU Fu-sheng, ZHANG Qing-hong, HUANG Zhi-xin, et al. TCM Efficacy Evaluation on Functional Gastrointestinal Diseases and Investigation on the Patient’s Quality of Life. Chinese Journal of Integrated Traditional and Western Medicine, 2001, 21(10): 738.Google Scholar
- LAI Xin-sheng, LUN Xin. Practical Acupuncture Formula. Beijing: People’s Medical Publishing House, 2004: 8–9.Google Scholar
- LI Wen-bo, LIU shi. Research Advance on Acupuncture and Functional Intestinal Disorders. World Chinese Journal of Digestology, 2006, 14(2): 197–199.Google Scholar