Clinical Research On Diarrhea-Predominant Irritable Bowel Syndrome (Spleen Deficiency Type) By Box Moxibustion Therapy Based On The Theory Of Spleen To Time

Objectives:Based on the theory of spleen to time, to observe the curative effect of diarrhea-Predominant irritable bowel syndrome(IBS-D)of Spleen deficiency type by moxibustion therapy on different period, and to compare the curative effect with the last summer group (the group giving treatment in lunar June) and the end of seasons group (the group giving treatment in the end 18 days of autu-mn and winter). To explore and provide the more effective treatments and time for irritable bowel syndrome.Methods:Divide 65 cases of IBS-D patients into the last summer group and the en-d of seasons group by randomized controlled method.31 cases in the last sum-mer group and 34 in the end of seasons group. The master acupoints of both group were same, which were tianshu-ST25(on both sides), shenque-RE8, and zusanIi-ST36(on both sides). The time of treatment for the last summer group was at the turn of summer and fall,36 days in total,6 courses of treatment. The time of treatment for the end of seasons group was at the end 18 days of autumn and winter,36 days in total,6 courses of treatment. Record all the data before and after the treatment respectively by TCM syndrome integral sc-ale and IBS-SSS. Input the data and establish the database, which analyzed by SPSS 19.0 software Package.Results:Compare and analysis the symptoms and the data of TCM syndrome integ-ral scale and IBS-SSS before and after treatment, the curative effect for IBS-D of both group was effective. The clinical symptoms (abdominal pain, abdomi-nal distention, diarrhea, tired, anorexia and defecating unfinished feeling) andfi-ve items(abdominal pain degree, abdominal pain days, abdominal distension de-gree, bowel habit satisfaction and life impact degree of IBS-D)were improved (P<0.05).In addition, there was a better improvement in the last summer grou p than the end of seasons group on abdominal pain, diarrhead, ag-gregate scor e of TCM syndrome integral scale and the abdominal pain degree, abdominal pain days of IBS-SSS(P<0.05).The total effective rate in total of the last summ er group was 93.55% and the other group was 58.62%, which indicated that th e last summer group was better (P<0.05).Conclusions:1.The last summer group and the end of seasons group can improve clinic al symptoms and severity of symptoms of patients with IBS-D. Box moxibusti-on therapy is a safe, simple and effective means for the treatment of IBS-D.2.The last summer group is better than the end of seasons group on abdo-minal pain, diarrhea, and aggregate score. The last summer group has a better and significant improvement than the end of seasons group on the abdominal pain degree, abdominal pain days.3.The clinical effects of the last summer group is better than the end of seasons group.The clinical effects of treating IBS-D in last summer(lunar June) is better.