A Retrospective Study On The Treatment Of Functional Constipation And Insomnia In The Elderly With The Method Of "treating Constipation With Tonic

Purpose: To retrospectively evaluate the general data,symptoms and syndromes and clinical efficacy of the treatment of senile functional constipation combined with insomnia with the method of "tonifying and treating constipation".It will provide objective basis and help for the treatment of senile functional constipation with insomnia with traditional Chinese medicine based on the method of "tonifying and treating constipation" in the future.Material and method: Collect the basic information of the elderly patients with functional constipation treated by Yangrong Runchangshu Mixture in the Third Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from December 2021 to November 2022,strictly screen the cases according to the inclusion and exclusion criteria,study the electronic medical records that meet the standards,extract and collect the general information of patients,functional constipation symptoms,insomnia symptoms before and after the treatment of 2 courses,and other information,Summarize into Excel table,and use SPSS26.0 to analyze the symptom change and curative effect before and after treatment.Results:1.General information: A total of 64 patients who met the criteria were included in this study,of which 29.69% were male and 70.31% were female;The average age was 71.92 ± 0.98 years old,concentrated in 60-69 years old(43.75%);The course of disease is mostly 5-9 years(45.31%).2.Constipation effect: after treatment,the total effective rate of functional constipation was85.94%.The defecation effort,defecation frequency,defecation time,sense of incomplete defecation and stool characteristics were improved compared with those before treatment(P<0.05).3.Efficacy of functional constipation with insomnia: after treatment,the total effective rate of functional constipation with insomnia was 71.88%.The time to fall asleep and the easy to wake up with multiple dreams were significantly improved compared with those before treatment(P<0.05),but there was no significant change in sleep time(P>0.05).Conclusion: Guided by the idea of "tonifying and treating constipation",taking Yangrong Runchangshu Mixture has considerable therapeutic effect on functional constipation combined with insomnia in the elderly,which can effectively relieve constipation related clinical symptoms,improve sleep quality,and improve the related deficiency symptoms of traditional Chinese medicine.