Clinical Observation On The Acupuncture Treatment Of Diarrhea-predominant Irritable Bowel Syndrome With Liver Depression And Spleen Deficiency Syndrome By Tiaoshen Shugan Jianpi Therapy

Objective:To evaluate the clinical efficacy of acupuncture for regulating-spirit,soothing-liver and trenthening-spleen in treating diarrhea-predominant irritable bowel syndrome with liver depression and spleen deficiency syndrome.Methods:1.Using the randomized control method,60 patients who met the inclusion criteria were divided into observation group and control group,with 30 cases in each group.2.The observation group was treated with acupuncture for regulating-spirit,soothing-liver and trenthening-spleen,and the selected acupoints included: Taichong(double),Hegu(double),Epang2xian(double),Ezhongxian,Baihui,Zhongwan,Tianshu(double),Zusanli(double)Shangjuxu(double),Sanyinjiao(double),the control group was treated with conventional acupuncture,selectedacupoints included: Zhongwan,Taichong(double),Tianshu(double),Zusanli(double),Shangjuxu(double),Sanyinjiao(double).The two groups were treated 5 times a week,each time being about 30 minutes,and the treatment was continued for4 weeks.Both groups were treated for 1 week for 4 weeks.3.Observe the changes before and after treatment with the main efficacy indicators of patients with abdominal pain and diarrhea,IBS-SSS scale,TCM symptom scores,etc.,and evaluate the clinical efficacy of acupuncture for regulating-spirit,soothing-liver and trenthening-spleen in treating diarrhea-predominant irritable bowel syndrome with liver depression and spleen deficiency syndrome.Results:1.A total of 60 patients were included in this study.A total of 59 patients completed clinical observation and were included in the statistics.There were 0 cases of shedding in the observation group and 1 case of shedding in the control group.The total shedding rate was1.67%.2.Abdominal pain and diarrhea response rate: At the end of treatment,83.33% of patients in the observation group obtained diarrhea response,and 86.67% of patients satisfied the intensity response of abdominal pain,which were significantly higher than the control group(P<0.05).3.Overall efficacy: The IBS-SSS scale was used to assess the improvement of overall symptoms in the two groups of patients.The IBS-SSS individual scores of the two groups were significantly lower than those before treatment(P <0.01);The effective rate was 90.00%,and the total effective rate in the control group was 72.41%.The difference between the two groups was statistically significant(P <0.05).The observation group improved the degree of abdominal pain,the number of days of abdominal pain,the degree of abdominal distension,the degree of defecation satisfaction,and the degree of distress in life.Better than the control group,there was a statistical difference between the two groups(P<0.05).In terms of improving TCM syndromes,the total effective rate in the experimental group was 90.00%,which was better than that in the control group(75.86%(P <0.05).After treatment,the two groups had abdominal pain,diarrhea,irritability,irritability,fatigue,fatigue The scores of oliguria,abdominal distension,and bowel sounds all decreased compared with before treatment(P <0.05),and the improvement in symptoms of abdominal pain,diarrhea,irritability,irritability,and fullness of both threats in the test group was better than that in the control group(P <0.05).There was no significant difference between the two groups in terms of improving food loss,fatigue,abdominal distension,bowel sounds,and belching(P> 0.05).Conclusion:Both Tiaoshen Shugan Jianpi therapy and conventional acupuncture prescriptions are effective in treating diarrhea-predominant irritable bowel syndrome with liver depression and spleen deficiency syndrome,but the use of Tiaoshen Shugan Jianpi therapy in improving the overall efficacy and improving the main TCM syndromes of IBS-D with liver stagnation and spleen deficiency syndrome are better than conventional acupuncture therapy,which is worthy of clinical promotion.