Functional Constipation: The Exploration Of Heat-sensitive Acupoints And The Curative Effect Of Electric Acupuncture Stimulation

Purpose: This research studied patients with functional constipation,explored the distribution pattern of heat sensitive points.The clinical efficacy difference among heat sensitive points with electroacupuncture,He Mu points(Tianshu,Shangjuxu)with electroacupuncture and take moxapali in the treatment of functional constipation was studied.To explore whether heat sensitive points with electroacupuncture has clinical advantages in treating functional constipation.Methods:Firstly,explored the heat sensitive points,and recorded the number,position,expression form and sensitization time of the heat sensitive points,concluded distribution pattern of those.Secondly,there are60 patients who are suffered from functional constipation and divided into three groups randomly(electroacupuncture heat sensitive pointswith electroacupuncture,He Mu acupoints with electroacupuncture and take mosapride).After 2 drop failure,58 patients are tested as valid cases of which 20 cases are for heat sensitive points group,20 cases are for He Mu group,and 18 cases are for medicine test.The heat sensitive points group selected the four points with the most obvious thermal effect for electro-acupuncture treatment.The He Mu group chose two Tianshu acupoints and two Shangjuxu acupoints for electro-acupuncture treatment.The two groups continuous wave stimulation 30 minutes,5 times per week for 1-2 weeks,the 3~4 week treatment was 3 times a week,for 4weeks,a total of 16 times to do treatment.Compared with the first two groups,the treatment group took 5mg mosapride capsules orally 30 minutes prior to every meal for the entire four week testing period.Patient condition was measured before the treatment period,after 2 weeks,after 4 weeks,and one month after the completion of their treatment.Patients condition was rated with the MOS 36-Item Short-Form Health Survey(SF-36).Results: 1.the distribution pattern of heat sensitive points:four heat sensitive points is commonest.It is mainly distributed in the area of Quchi,Tianshupoint,Daheng,Shangjuxu,Xiajuxue.The most common of area is legs,and then is the arms,and the belly is the least.The main moxibustion sensation of arms and legs is heat conduction,and most of them are based on meridians.The main moxibustion sensation of least isdiathermancy.The time of sensitization in each part was about 9 minutes.2.The independent observation,between before and after:of three groups :compared with the baseline period,the feedback data from patients at the 2nd,4th week in treatment period and the 8th week in follow-up period,the number of times of defecation,character of faeces,difficulty degree of defecation and quality of life of three groups have improved,and showed statistically significant(p < 0.05).The comparison of three groups : for the weekly number of times of defecation,two electroacupuncture group was better than that of the drug group(p < 0.05)at the 4th week in treatment period and the8 th week in follow-up period.There is no statistical difference on character of faeces,difficulty degree of defecation(p> 0.05).Conclusion: 1.The heat sensitive points of functional constipation are concentrated near the acupoints which is suggested that heat sensitive points may be the dynamic manifestation of acupoints,but it still needs further test to confirm.2.For patients with functional constipation,the effect of heat sensitive points with electroacupuncture and He Mu points(Tianshu,Shangjuxu)with electroacupuncture are basically same in improving defecation disorders and the quality of life,and that more than take mosapride.