| Objective By observing the therapeutic effect of Xiaozhi Tongbian Decoction on functional constipation FC Qi stagnation,explore and analyze the rationality of the rationale and prescriptions related to Xiaozhi Tongbian Decoction,and provide Traditional Chinese Medicine with ideas and methods to prevent and treat FC Qi stagnation.Methods A total of 70 outpatients and inpatients who were treated in Wuhan NO.1 Hospital from March 2018 to September 2019 were selected.After various examinations,they were diagnosed as FC,which was Qi stagnation in TCM syndrome classification.After statistical analysis,there was no significant difference in gender,age,and course of disease between the two groups(P> 0.05),and they were comparable.The treatment group was given the decoction of Xiaoying Tongbian Decoction,which was decocted by the Chinese Medicine Pharmacy of Wuhan First Hospital,200 ml / bag,1 dose per day,1 bag / 1 time,2 times / 1 day,30 after breakfast and dinner Oral administration was performed in minutes in the control group,and the Tongtong exhaust gas mixture in the first hospital of Wuhan City was administered once a day,100 ml,2 times / 1 day,30 minutes after breakfast and dinner.Both groups took 4 weeks as a course of treatment.During the treatment,patients were instructed to abstain from spicy stimuli,fat,and cold things,regulate their emotions,arrange their schedules,adhere to regular bowel movements,and prohibit the use of those that affect the efficacy of the medicine.Other similar drugs.Four weeks after the end of the treatment course,the treatment effect was evaluated,and the main symptoms and changes in TCM syndromes of the patients in the treatment group and the control group before and after treatment were observed.Results:1.There were no significant difference in symptom scores between the two groups before treatment(P > 0.05),so they were comparable.Compared with before treatment,the score of TCM symptoms decreased after treatment(P <0.05).After treatment,the frequency of defecation,defecation time,fecal traits,difficulty in defecation,endless defecation,abdominal distension,bowel tingling,chest tightness,Hiccup or frequency of Yaqi,and decrease in appetite were improved.Compared with before treatment,after treatment,the treatment group had obvious TCM symptom scores in terms of stool characteristics,difficulty in defecation,endless defecation,fullness of chest tightness,hiccup or frequency of Yaqi Compared with the control group(P <0.05),there was no significant difference in the five symptom scores of defecation frequency,defecation time,abdominal distension,bowel sounds,and appetite reduction(P > 0.05).2.After one course of treatment,it was observed that the total effective rate in the treatment group was 91.43%,of which 9 were cured,13 cases effective,10 cases effective,3 cases ineffective;the total effective rate of the control group was 82.85%,of which5 cases were cured,9 cases were effective,15 cases effective,6cases ineffective.There was a significant difference in the overall effective rate between the two groups after treatment(P <0.05),indicating that the overall effect of the treatment group was better than that of the control group.3.In the first defecation time,the average onset time of the treatment group was 15.63 ± 7.48 h,and the average onset time of the control group was 23.89 ± 8.83 h.There was a significant difference between the two groups,P <0.05,suggesting that the first defecation time of the treatment group was faster than that of the control group.4.After 4 weeks of discontinuation,all patients were followed up to determine the clinical recurrence rate according to the corresponding results.The results suggest that the long-term efficacy of the treatment group is better than that of the control group.Conclusion Both Xiaozhe Tongbian Decoction and Tongzhe Qifu Mixture can improve the clinical symptoms of FC Qi stagnation,but Xiaozhe Tongpi Decoction is better than Tongqi exhaust mixture.During the trial,no adverse drug events occurred in the two groupscan improve fecal traits,difficulty in defecation,and fewer defecation,Thorax full of chest tightness,hiccups or frequent qi five symptoms.proving that Xiaoying Tongbian Decoction and the formula for treating FC Qi stagnation are reasonable,safe and effective,and can be promoted in clinical application. |
PDF Full Text Request