The Clinical Study Of Treating Functional Constipation Of Spleen And Kidney Yang Deficiency With Spreading Moxibustion

Objective To observe the clinical efficacy of spreading moxibustion in treating functional constipation by comparing with western medicine Lactulose,to explore the advantages of spreading moxibustion in improving the clinical s ymptoms and quality of life of patients with spleen and kidney yang deficiency type of functional constipation,thus to provide a new reference method for clinical treament of this disease.Methods N inety-two patients with functional constipation of spleen and kidney yang deficiency were divided into two groups according to the random method,the treatment group(46 cases)and the control group(46 cases).The treatment group was treated with spreading moxibustion,and the operation scope was long from Jizhong(DU 6)to Yaoyangguan(DU 3)and the width was 2cm from the first lateral line of the Bladder,the acupoints that play a major role in this scope were Pishu(BL 20),Weishu(BL 21),Shenshu(BL 23),Mingmen(DU 4),Yaoyangguan(DU 3)and Dachangshu(BL 25);The treatment was conducted 2 times a week(Monday and Thursday),with 3 zhuang every time,8 times in a row and 4 weeks in total.The control group received the treatment of Lactulose oral solution,once a day,25 ml each time,once taken at breakfast,for 4 weeks.Using TCM syndrome score table and PAC-QOL scale to determine the curative effect and to evaluate the clinical symptoms and quality of life before and after treatment.Results1.General data comparison: There were no statistical differences of the two groups of patients in gender,age and course of disease(P>0.05),all comparable.2.TCM symptoms evaluation results: There were no statistical differences of the two groups of patients before treatment in each degree classification of TCM symptoms(P>0.05),comparable.Comparing between two groups in primary symptoms after treatment,the treatment group was superior to the control group in improving the defecation difficulty,defecation frequency and defecation traits and there were statistical differences(P(27)0.05);in the two groups of minor symptom,the advantage of the treatment group is obvious in improving the abdominal pain,cool limbs and clear abundant urine,and there were significant differences(P(27)0.01).The total curative effect of TCM symptoms between the two groups was statistically significant(P<0.01),with a better efficacy of the treatment group than that of the control group.3.PAC-QOL scale assessment results: There were no statistical differences of the two groups of patients before treatment in quality of life of each dimension and the total score(P>0.05),comparable.Each dimension and the total score of the two groups were compared before and after treatment,showing intra-group significant differences(P(27)0.01),and both methods can improve the quality of life of patients with constipation;The difference was statistically significant in physical discomfort,worries and concerns in this assessment(P(27)0.01),and spreading moxibustion method is superior to lactulose therapy;there were no statistical differences in psychosocial discomfort and satisfaction(P(29)0.05),with the result that two methods have no difference in curative effect;there were significant differences in total score of two groups(P(27)0.01),showing that spreading moxibustion therapy is better than Lactulose method in improving quality of life.4.Safety evaluation results:Examination: Before and after treatment,the two groups of patients with general vital signs and various indicators did not show any significant abnormalities.Adverse reactions: In the control group,2 patients developed mild discomfort,manifested as bloating,but disappeared after 2 days,and did not affect the continuing treatment;Patients in the treatment group showed no untoward effects.Conclusion1.Both spreading moxibustion and Lactulose treatment can improve clinical symptoms and quality of life of patients with spleen and kidney yang deficiency type of functional constipation,but spreading moxibustion is more effective.2.Compared with Lactulose therapy,spreading moxibustion has no adverse reaction,safe and effective.