Homemade Wenyang San Spleen And Kidney Yang Combination Therapy TDP Functional Constipation Clinical Observation

Objective:To observe the effect of the self-made Warming yang powder combined with TDP therapy to spleen kidney yang deficiency type of functional constipation patients’quality of life and the bowel related symptoms. Compared the effect of self made Warming yang powder combined with TDP therapy with Mosapride, to investigate the clinical features of external therapy of traditional Chinese medicine in treatment of functional constipation. In order to develop the characteristics of traditional Chinese Medicine, promote external therapy of traditional Chinese medicine to provide the clinical basis for disease range.Method:Let the90patients with spleen kidney yang deficiency type of functional constipation were randomly allocated to3groups. There are the treatment group (Warming yang powder+TDP therapy)、the control group1(TDP group)and the control group2(Mosapride group). In the treatment group, the self-made Wenyang powder fine grind up, and then use of sesame oil and mix thoroughly as thick paste, applied to the navel, and treatment with TDP instrument uniform heating for about30minutes,1times a day, a week for5consecutive days, rest for2days,2weeks for a cycle. In the control group1:use the TDP treatment instrument uniform heating for about30minutes,1times a day, a week for5consecutive days, rest for2days,2weeks for a cycle. In the control group2:with oral administration of mosapride citrate capsule5mg,3times1days, a half hour before meal. A total of2weeks of medication. Respectively, before treatment, second week,4weeks after completion of therapy at3time points to records of patients with duration of defecation, defecation frequency and character of the stool. In2weeks before treatment, treatment for2weeks and the treatment of4weeks of3time points using barium meal,recording the barium residue rate after24hours,48hours,72hours. Evaluation of colonic transit time and also record the change of bowel sounds. At last, statistics all of data and analysis.Result:1、The duration of defecation, defecation frequency, character of the stool, evaluation of colonic transit time and also record the change of bowel sounds of the treatment group and the control group2after treatment for2weeks were significantly improved (p<0.05); The control group1was not significantly improved before and after treatment (p>0.05).2、There is no obvious change in4weeks of treatment compared with at week2in the treatment group(P>0.05); There are obvious changes in4weeks of treatment compared with at week2in the control group2(P<0.05); There is no obvious change in4weeks of treatment compared with at week2in the control group21(P>0.05). 3、In4weeks after the end of treatment, the duration of defecation, defecation frequency, character of the stool, evaluation of colonic transit time and also record the change of bowel sounds of the treatment group is significantly better than the control group1, control group2(p<0.05).Conclusions:1、The treatment group and the control group2are effective methods for the treatment of Yang deficiency of spleen and kidney functional constipation;2、The treatment group and the control group2have mid-term effect of certain for the treatment of Yang deficiency of spleen and kidney functional constipation; The long term effect of the treatment group is better than the control group2.