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Study Of The Clinical Observation On The Treatment Of Diarrhea Type Irritable Bowel Syndrome(Liver Qi Stagnation And Spleen Deficiency Syndrome) With Chai Shao Six Jun Zi Tang And Tong Xie Yao Fang Decoction(Traditional Chinese Medicine)

Posted on:2019-03-27Degree:DoctorType:Dissertation
Country:ChinaCandidate:J H LinFull Text:PDF
GTID:1364330548485183Subject:Chinese medical science
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ObjectiveIrritable bowel syndrome((IBS)is a disease with gastrointestinal dysfunction as the main feature,an abdominal pain,abdominal discomfort and altered bowel habits with the main features of the functional bowel disease,and some patients with psychiatric symptoms of insomnia,anxiety,depression and other manifestations of systemic symptoms.The most common type of diarrhoea is the type of diarrhea.At present,although modern medicine has conducted many in-depth studies on its pathogenesis and pathogenesis,it has not been fully clear,so far,there is no effective method and specific drug to treat the disease.Western medicine mainly uses symptomatic treatment.The incidence of this disease is high,and it is easy to relapse.It is difficult to treat.The duration of the disease is long.The incidence rate shows an upward trend year by year.It not only brings different influences to the daily life and work of patients.It has also consumed a great deal of valuable medical resources,which has gradually attracted more and more attention in recent years.Many years of experience in the treatment of constipation in the clinical literature research and mentor that chronic diarrhea type irritable bowel syndrome,liver stagnation and spleen deficiency syndrome is the most common treatment to liver and spleen,dampness and diarrhea as the main treatment,to be "Chaishao Decoction of six noble Tongxie Yaofang to" treat "liver stagnation and spleen deficiency" irritable bowel syndrome,curative effect.This article is to observe the therapeutic effect of its treatment on diarrhea predominant irritable bowel syndrome,and to explore its therapeutic effect,so as to provide scientific basis for the treatment of diarrhea predominant irritable bowel syndrome.Methods1.literature research: from epidemiology report,modern medical pathogenesis mechanism,diagnostic criteria and procedures,drug treatment progress,as well as traditional medicine for the pathogenesis of the disease,pathogenesis,treatment,prescription and prescription,pharmacological therapy,traditional Chinese medicine in various characteristics are discussed deeply system.It has some theoretical research value.According to the relevant clinical research,and according to our test conditions,a scientific and feasible test method was developed.2.clinical research methods: a randomized and controlled method,will meet the standard of Chinese and Western medicine diagnosis of irritable bowel syndrome patients were enrolled and divided into two groups,treatment group to be "Chaishao Decoction of six noble Tongxieyaofang in" water decoction,the control group was given oral pinaverium bromide.To observe the clinical efficacy of "Chai Shao Jun Jun Tang" and "Tong Xie Yao Fang" on diarrhea predominant irritable bowel syndrome,and compare the effect of symptom improvement before and after treatment,and the improvement of curative effect during follow-up.Result1.comprehensive efficacy: two groups of treatment 4 weeks after observation and analysis,the total effective rate of the treatment group was up to 90%,the total effective rate of the control group was 75%.Through the analysis of non parametric rank sum test,the difference between the two groups was statistically significant,P<0.05.The results showed that the treatment group was obviously better than the control group in the comprehensive effect.2.symptoms: the main symptoms such as abdominal pain for diarrhea,diarrhea,pain reduction after stool,stool,chest pain or abdominal distension or fullness of bowel flatus and secondary symptoms such as fatigue,and mucus,treatment group and control group can improve the symptom(P<0.05)after treatment,but,for loss of appetite,anxiety,depression,treatment group curative effect,while the control group had no obvious improvement.Curative effect on the treatment of single symptoms compared(symptom score difference),main symptoms such as abdominal pain for diarrhea,diarrhea,pain reduction after stool,stool,chest pain or abdominal distension or fullness of bowel flatus and secondary symptoms such as anorexia,lassitude,and mucus,emotional anxiety symptoms were eight integral,significant Chinese medicine group than in the western medicine treatment,the difference was statistically significant(P<0.05),but the mood of depression,there was no significant difference between the Chinese medicine group and Western medicine group.3.long-term efficacy: After 2 months of drug withdrawal,the total effective rate of the treatment group was 80%,while the control group was 57.5%.There was a statistically significant difference between the two groups through the nonparametric rank sum test analysis.The difference was statistically significant(P<0.05).The results showed that the treatment group was obviously better than the control group in the long-term effect.ConclusionChai Shao six Jun Zi Decoction and " Tong Xie Yao Fang " is effective in treating diarrhea predominant irritable bowel syndrome with " liver depression and spleen deficiency ".It is not only short term curative effect better than western medicine control group,but also has good long-term curative effect.
Keywords/Search Tags:Irritable bowel syndrome, spleen deficiency, Chaishao Decoction of six noble Tongxieyaofang, pinaverium bromide
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