| Objective: Constipation is a very common disease. The main symptoms of constipation include straining, sensation of anorectal blockage, sensation of incomplete evacuation, lumpy or hard stools and reduced stool frequency.Functional constipation (FC)can be diagnosed when structural abnormalityand medical conditions have been excluded. More and more people complain of one or more symptoms associated with chronic constipation. It have become an important factor that have an serious impact on people's life quality. It may indicate a higher risk of colon malignancy and may be related to the incidence of hepatic encephalopathy, mammary diseases, Alzheimer's disease,caducity,and other diseases. So appropriate prevention and treatment of chronic constipation means a lot to the therapeutic efficacy of many diseases. Whereas, current approaches to FC often fail to control the patient's symptoms adequately, produce problematic side effects, or loss effectiveness with time,thus new therapies are needed.There has been a long history for clysis with Traditional Chinese Medicine(TCM)to be used for treatment of constipation, prevention of diseases,keeping fit and lengthening life-span in China. Colon hydrotherapy is a method which is developed on the basis of clysis. It is easier and can scour the enteric cavity more adequately. It has been widely used in treatment of constipation,deficiency of kidney fuction and some other fields. However, it is scarce ofsystemic research on the therapeutic effect of colon hydrotherapy on FC's different subtypes of TCM and Western Medicine. The reports on the therapeutic effect of combining colon hydrotherapy with clysis of herbs solution are few as well. In order to evaluate the therapeutic effect of combination of colon hydrotherapy and clysis of herbs solution, we designed this research.Methods: In this research, 120 cases(including 40 males and 80 females) with FC were included which were divided into two groups. Group I, was treated with combination of colonrectal hydrotherapy and clysis with solution of disengage constipation powder for injection and group II was treated with colorectal hydrotherapy alone. Both groups are treated once every three days for five times. Evaluate the total effective rate and effects of both therapies on the subtypes of TCM and western medicine according to the improvement of symptoms.Results:The total effective rate of group I is 87%, and the efficiency on slow transit constipation (100%)is higher than that on outlet obstructed constipation (81%) and mixed constipation (78%).The results of the effects on the subtypes of TCM indicate that it is more efficient on cases with marked symptoms of pathogenic heat (100%) and stagnation of Qi (100%) than on those caused by deficiency of Yang (25%) or Qi and blood (91%).Though there is no statistic significance between the results of the two groups with or without clysis (the total effective rate of group II is 65%, the effective rates on STC, OOC and MC are 80%, 60%, 43% respectively and on cases caused by pathogenic heat, stagnation of Qi, deficiency of Yang or Qi and blood are 80%, 63%, 33%and 56% respectively).The uptrend indicates that the therapeutic efficiency with clysis is better than without clysis, especially in the treatment of cases with more symptoms of deficiency of Yin and blood or stagnation of Qi and the improving of such concomitant symptoms as irritation and insomnia and anorexia.There are statistic significance between the two groups in above aspects. But to those whose symptoms were caused by deficiency of Yang, the effect is reduced by combining with clysis.Conclusion:Colon hydrotherapy has a good effect on FC and better effects appear in cases caused by pathogenic heat or concerned to the type of STC.Clysis with solution of disengage constipation powder for injection appears a synergetic effect with colon hydrotherapy on FC, which indicates that hemostasis is of mechanisms of FC and it's reasonable to treat FC with the method of activating blood circulation and dispelling thrombi. Significant effects appeared in the cases with marked symptoms of pathogenic heat,stagnation of Qi and deficiency of Qi and blood treated by combining colon hydrotherapy and clysis. Especially to the cases caused by stagnation of Qi and deficiency of Qi and blood, combining therapy is markedly better than treatment only with colon hydrotherapy. The effects both with and without clysis on cases caused by deficiency of Yang are unideal. But the downtrend appeared in the group I which was treated with combination of both therapies.Besides, combining the two therapies can get better effect in improving the following symptoms such as irritation, insomnia and anorexia. Colon hydrotherapy and clysis with solution of disengage constipation powder for injection is safe. No side-effects were found in both colon hydrotherapy combining clysis of groups. As a result,disengage constipation powder for treat those deficiency injection is worthy to be with solution introduced to treat FC, especially towhich are concerned with pathogenic heat, stagnation of Qi of Qi and blood. |
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