Observations On The Efficacy Of Acupuncture With Soothing Liver Regulating Shen And Purgating Fu-organs In Treating Constipation-predominan Irritable Bowel Syndrome

Objective:To explore a treatment of constipation-predominan irritable bowel syndrome which is effective and comprehensive for clinical practice based on observe the curative effect of acupuncture with the principle of soothing the liver regulating shen and purgating fu-organs.Method:41 cases of IBS-C conforming to the criteria of this subject were randomly divided into two groups.Treatment group (21 cases) were treated with acupuncture,control group (20cases) were treated by taking fiberform orally.Before treatment,1 week,2 weeks,4 weeks after treatment and 1 month after the end of treatment, the change of two group's IBS-C symptom rating scale scores was observed and compared,which include cardinal symptom (abdomnalgia or abdominal discomfort, abdominal distention,Bristol score,stool frequency)and minor symptom (difficult defecation, non-complet defecation,mucous stool, mental pro-blems),eight projects totally.And observed the changes of IBS-QOL scores(eight items) before and after treatment.Result:(1)In terms of general therapeutic effect,the improvement on general symptom by acupunctrue treatment is better than taking fiberform orally, Follow-up effects of acupuncture can reduce the degree of symptom recurrence, which can bring good prostecdtive efficacy.(2) In terms of Individual symptoms, the improvement of abdominal pain or discomfort, difficult defecation has significant chronergy advantages by Acupuncture treatment,which has advantage of faster onset,better short-term and prostecdtive efficacy.The group treating by acupunctrue has better improvement of non-complet defecation, abdominal distention and mental problems,also has better prostecdtive efficacy on the symptoms of abdominal distention, mucous stool and mental problems.Taking fiberform can improve patients'stool description and stool frequency quickly,which is more effective than acupuncture, but easy to relapse after drug withdrawal.(3) In terms of quality of life, acupuncture treatment can significantly improve and enhance patients' quality of life.Conclusion:Acupuncture treatment with the principle of soothing the liver purgating fu-organs and regulating shen can significantly improve clinical symptoms of patients with constipation-predominant irritable bowel syndrome,also improve their quality of life, shows a good long-term effect.