Clinical Observation Of The Recipe For The Operation Of The Spleen And The Spleen To Regulate The Liver In The Treatment Of Spleen Deficiency And Liver Failure In Selected Type Of Functional Constipation In The Elderly

Objective: To observe the clinical efficacy and safety of the recipe for the operation of the spleen and the spleen to regulate the liver in the treatment of functional constipation of the elderly patients with spleen deficiency liver dysfunction,and provide a basis for clinical use.Method: 1.From 03 months 2017 to 01 months of 2018,60 patients who were diagnosed in the outpatient department of the aged cadres and the digestive department of the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine were divided into 30 and 30 cases in the treatment group and the control group according to the random digital table method.2.Tell patients to establish good habits,avoid hunger and overeating,and try to do three meals regularly.Moderate intake of dietary fiber,moderate drinking water,avoid long-term high-energy,high protein,too spicy to stimulate food intake.At the same time,we need to maintain good mood,adequate sleep and proper exercise.The treatment group was teated with the recipe for the operation of the spleen and the spleen to regulate the liver(Cinnamon branch20 g,Paeonia lactiflora 30 g,Cannon ginger 10 g,Radix Glycyrrhiza 15 g,Radix Atractylodes 30 g,Fructus aurantii trifoliate 15 g,Bupleurum 15 g and Poria 20 g,3 times a day,one bag.The control group used Mosapride Citrate Dispersible Tablets(Chengdu Kang Hong Pharmaceutical Group Limited by Share Ltd production,Chinese medicine H20031110),three times a day,each time 5mg.The two groups were taken half an hour after the meal.At the same time,blood,urine,stool routine and liver,kidney function and electrocardiogram were tested to evaluate the safety of the experiment.3.After four weeks of treatment,the clinical efficacy,main symptom scores,TCM symptom scores,major symptom scores and TCM symptom scores of the two groups were compared.4.Use SPSS21.0 statistical software to analyze and process data.The rank sum test with count data,measurement data with the "standard deviation",namely(x ±s).The measurement data need to be tested in normality first,and the homogeneity of variance is tested.If the variance is homogeneous and satisfies the normal distribution at the same time,the t test is used,and vice versa,the rank sum test is used.Results: 1.Comparison of clinical curative effect:After four weeks of treatment,the main symptoms of the two groups were improved,of which the total effective rate of the treatment group was 93.33%,the total effective rate of the control group was 83.33%,and the treatment group was superior to the control group(P < 0.05).Two groups of patients with TCM symptoms were improved,the total effective rate of the treatment group was 96.67%,the total effective rate of the control group was 73.33%,the treatment group was significantly better than the control group(P < 0.01).2.Comparison of the total score of the main symptoms:After treatment,the total symptom scores of the two groups were significantly decreased,and the treatment group was significantly better than the control group(P < 0.01).3.Comparison of the total score of TCM Syndrome:After treatment,two groups of patients with TCM symptom scores all decreased,the treatment group was significantly better than the control group(P < 0.01).4.An integral comparison of the main symptoms:After treatment,the scores of all major symptoms decreased significantly.The paired t test showed that all P were < 0.01,indicating that all the two groups had obvious symptoms.After treatment,the frequency of defecation and the time of defecation in the two groups were P < 0.05,the difference was significant,and the difference was comparable;the defecation laborious,(falling,not exhausted,distension),defecation characters and abdominal distention were compared to P > 0.05,and there was no statistical difference.It is obvious that the treatment group is superior to the control group in improving the frequency of defecation and the time of defecation.5.Comparison of TCM syndrome scores:After treatment,TCM syndrome scores all decreased significantly.The paired t test P all < 0.01,indicating that two groups of treatment drugs can significantly improve all TCM symptoms.After treatment,the scores of pain,fatigue,depression or irritability of the two groups were compared to P < 0.01,the difference was significant,and the difference was compared with that of P = 0.809 > 0.05,and there was no statistical difference.It is obvious that the treatment group is better than the control group in improving chest pain,weakness and emotional problems.6.Comparison of security:Two groups of patients after treatment,the three major routines,liver,kidney and electrolyte showed no abnormality,which proved that the two groups were safe.Conclusion: The recipe for the operation of the spleen and the spleen to regulate the liver can improve the conduction function of the large intestine through invigorating the spleen and invigorating the spleen,transporting the spleen and dredge the liver,alleviating the main symptoms of functional constipation and TCM syndrome of the elderly with spleen deficiency,with few adverse reactions and good clinical value.