| Each value of women before and after menstruation or menstrual, loose stools thin, or thin such as water, several times a day are known as "diarrhea during menstruation" The disease usually begin in the pre menstrual cramps, diarrhea, to the net after the return to normal, there are also a few days after net square ended. Modern medicine belonging to the "The syndromes before and after menstruation", the equivalent of Western medicine,"premenstrual syndrome". The disease is generally no organic disease, but after a long line of diarrhea can seriously affect the physical and mental health of women. Western medicine is currently no clear and unified understandings of the disease, and the medicine from basic theory to clinical research has made great progress. But the specific syndrome differentiation and herbal prescription is not unified. It needs the further research.ObjectiveThe aim of this study is the use of JiaweiTongxieYaofang treatment of spleen deficiency and liver stagnation type diarrhea during menstruation, the establishment of common liver Chinese Medicine-Xiaoyao Powder as control group. To observe the clinical symptoms of two groups score, efficiency, patient with anxiety and depression and other negative emotions changes, explore effective ways to treat, try to find a good effect, short course of treatment with few side effects, and provide scientific basis for clinical.MethodsCollection of clinical liver stagnation and spleen deficiency type60cases of diarrhea, according to a randomized single blind principle, using simple random method, the patients were divided into two groups. Treatment group of30cases, taking subtraction Tongxieyaofang. Control group of30cases taking Xiaoyao Powder treatment. The use of clinical observation table, anxious Chinese professor Zung self-rating scale preparation (Self-Rating Anxiety Scale SAS) and Self-Rating Depression Scale (Self-rating depression scale, SDS) for evaluation of the patient. Two groups of patients were compared before and experimental, before and after the experiment and after the experiment score, so as to distinguish two types of herbs on the line of the therapeutic effect of diarrhea cases.Results1The integrated effect of view (Table2), Tongxieyaofang group therapy more patients; improved patients; healed cases; total effective rate Xiaoyao Powder patients were cured; improved patients; healed cases; total effective rate. The total effective rate was significant difference statistically compare tips, the total effect prompted Tongxieyaofang is better than Xiaoyao Powder’s.2The two groups of patients’total symptom score (Table3) before the experiment was not statistically significant comparison, that the two are comparable. After the experiment Tongxieyaofang group and the control group Xiaoyao Powder total symptom scores was not statistically significant, suggesting that the consolidated improvement of symptoms, the two drugs is not very different.3Two groups of patients with diarrhea score (Table4) showed no significant difference before the experiment, comparable. After the experiment comparing the two have significant differences, suggesting that pain laxative side to improve the symptoms of diarrhea was significantly better than Xiaoyao Powder.4The two groups of patients anorexia symptom score (Table5) showed no significant difference before the experiment, comparable. There was a significant difference between the experimental comparisons, suggesting that the pain made laxative effect on improving the symptoms of anorexia is superior to Xiaoyao Powder.5The two groups of patients physical fatigue symptom score (Table5) showed no significant difference before the experiment, comparable. After a relatively significant difference test, suggesting that pain laxative side in terms of improving the patient’s limb fatigue better than Xiaoyao Powder.6The two groups of patients chest swelling, nausea symptom score (Table7) showed no significant difference before the experiment, comparable. There was a significant difference between the two after the experiment. Tip Xiaoyao Powder in improving the symptoms of chest swelling, nausea is better than the pain laxative side.7Two groups of patients belching uncomfortable symptom score (Table8) showed no significant difference before the experiment, comparable. There was a significant difference between the two after the experiment. Tip Xiaoyao Powder uncomfortable in improving the symptoms of belching is better than the pain laxative side.8Two groups of patients with emotional situations like score (Table9) showed no significant difference before the experiment, comparable. There was no significant difference between the latter two experiments. Tips Xiaoyao Powder and Tongxieyaofang no difference in symptom improvement in patients with negative emotions that effect.9Two groups of patients with SDS and SAS scores (Table10,11) before comparing the experimental results were not significantly different and experimental, suggesting Tongxieyaofang and Xiaoyao Powder in improving depression, anxiety situation in the considerable effect. But two groups of patients SDS, SAS scores before and after the experiment compared the results have significant differences, suggesting that the two sides could change the situation by the line of depression and anxiety symptoms in patients with diarrhea.10Two groups of patients before and after the experiment the incidence of depression, anxiety, incidence, severity of depression, anxiety (Table12,13,14,15), the results were significant differences, suggesting that pain laxative side and Xiaoyao Powder to improve The line of diarrhea in patients with anxiety, depression incidence and severity are valid.Conclusion1To the consolidated effect on Tongxieyaofang group therapy liver and spleen deficiency diarrhea treatment through the line more cases; improved patients; healed cases; total effective rate. Xiaoyao Powder patients were cured; improved patients; healed cases; total effective rate. The total effect Tongxieyaofang is better than Xiaoyao Powder’s. 2On the line of diarrhea symptoms improved, the Tongxieyaofang and Xiaoyao Powder have a significant effect. But Tongxieyaofang in improving patient with diarrhea, abdominal pain, physical fatigue, loss of appetite is better than several symptoms Xiaoyao Powder; Xiaoyao Powder in improving patient chest swelling, nausea, belching better uncomfortable aspect effects.3On the line of negative emotions in patients with symptoms of diarrhea, anxiety, depression improve the situation, Tongxieyaofang Xiaoyao Powder efficacy and considerable.Chinese medicine treatment of diarrhea through the line system is not much research on the line of diarrhea treatment, medication, pathogenesis need further study. But the good efficacy of Chinese medicine to treat the disease, short course, a small recurrence rate of side effects has been recognized by the majority of the advantages of clinicians. Tongxieyaofang and Xiaoyao Powder liver and spleen are drug conditioning, but Tongxieyaofang to Spleen first in the line up soil diarrhea wood of the law. Xiaoyao Powder to cure liver and heavy, accompanied by the spleen. However, the pathogenesis of diarrhea through the line to spleen liver Wang for many, it is better integrated effect Tongxieyaofang. Both in terms of improving symptoms have their own advantages; the drug can be selected according to the patient. Tongxieyaofang fewer drugs in clinical use, and the wide variety of sources. Subtraction medication side also has a simpler, more flexible, relatively cheaper drug for clinical use. |
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