Observation On The Clinical Efficacy Of Acupuncture And Moxibustion For Soothing The Liver And Relieving Stagnation And Warming In The Treatment Of Diarrhea-type Irritable Bowel Syndrome (liver Stagnation And Spleen Deficiency Type)

Background:Irritable bowel syndrome(IBS)is one of the most common functional gastro intestinal disorders(FGIDs),the pathogenesis hypothesis remains unproved,the clinical symptoms ramain diverse.Patients always visit the hospital,because of abdominal discomfort,Defecation difficulty,etc.And symptoms are more likely to be repeated,and often associated with psychological fluctuations,emotional factors.According to RomeⅣcriteria,IB S is defined as:recurrent abdominal pain with frequent bowel movements or changes in fecal traits.And according to the patient’s main abnormal bowel habits,divide it into four subtypes:Irritable bowel syndrome with Constipation(IBS-C),Irritable bowel syndrome Diarrhea(IBS-D),Irritable bowel syndrome Mixed(IBS-M),Irritable bowel syndrome Unsubtyped(IBS-U).In the clinic,the major IBS subtype is IBS-DChinese medicine has certain advantages in the treatment of IBS-D.Regarded the causes of IBS mainly include exogenous invasion,weak body unhealthy diet,emotional injury,etc Syndrome treatment adopt the therapy of soothing liver and relieving depression and strengthening the spleen and warming zhongJiao,on the basis of the obtained clinical data,it is considered that the treatment method is effective in treating the clinical symptoms of IBS-D and improving the quality of life of the patient,and has good safety,less adverse reactions This topic uses shu gan jian pi needle warming therapy.The points included Danzhong,Neiguan,Taichong to sooth Liver and relieve depression,regulate emotion.Zhong wan,Tian shu,Zusanli,Shangjuxu to strengthen Spleen and warm zhongJiao.Now to further verify the clinical symptoms and emotional adjustment of patients with IBS-D(liver spleen deficiency type)Objective:To observe the clinical efficacy of shu gan jian pi needle warming therapy on Irritable bowel syndrome Diarrhea(liver stagnation and spleen deficiency)and to compare the clinical efficacy and the quality of life with Pinaverium Bromide,to vertify that the method of shu gan jian pi needle warming therapy has a significant effect on the improvement of the quality of life of patients with Irritable bowel syndrome Diarrhea(liver stagnation and spleen deficiency)and the improvement of adverse emotional conditions such as anxiety and depression,to provide a reference for the treatment of clinical diseases Methods:This study included 60 patients with Irritable bowel syndrome Diarrhea(liver stagnation and spleen deficiency)from the Third Affiliated Hospital of Beijing University of Chinese Medicine..They were randomly divided into 2 groups,30 in each of the treatment group(warm acupuncture group)and the control group(pibebronium bromide group).Among them,1 case was lost in the treatment group,29 cases were completed,2 cases were lost in the control group,28 cases were completed.Totally,57 cases were completed.Patients in the treatment group received shu gan jian pi needle warming therapy.The treatment was conducted forth a week,Continuous four weeks,in total sixteen times.While the control group received the drug of Pinaverium Bromide,50mg,three times one day,2 hours after meals,warm water delivery service.The efficacy of both groups was observed in three times,before the treatment,after the treatment,1 month after the end of treatment.Use the TCM syndrome score scale to assess the severity of clinical symptoms The Irritable bowel syndrome quality of life(IBS-QOL)scale was used to assess the patient’s quality of life performance.the hospita,anxiety and depression(HAD)was used to assess the patient’s mental state of mind.Evaluate the patient’s clinical efficacy,quality of life and emotional improvement through data from various scales.Establish the database and analyze them by SPSS20.0 software PackageResults1.General comparison:There were no significant differences of the two groups of patients before treatment in gender,age,course of disease(P>0.05),comparable2.TCM syndrome effect comparison:The cure rate of the treatment group:27.59%,the total effective rate:93.10%;the cure rate of the control group;17.86%,and the total effective rate:82.14%.There were significant differences between the two groups of patients(P<0.05)3.TCM symptom scores comparison:According to the statistical results,(1)before the treatment,there were no significant differences between the two groups of patients(P>0.05),comparable.(2)After the treatment,all symptoms scores were decrease significantly in both groups(P<0.05),and in symptoms of abdominal pain、bloating,fecal diarrhea,chest pain,emotional depression in the treatment group were significantly lower than in the control group(P<0.05);(3)Follow-up examination after treatments,all symptoms scores were decreased in both groups(P<0.05),in symptoms of Abdominal pain,bloating,Fecal diarrhea,chest pain,emotional depression,weak body fatigue in the treatment group was significantly higher than in the control group(P<0.05)3.IB S-QOL scores comparison:according to the statistical results,(1)before the treatment,there were no significant differences between the two groups of patients in the IBS-QOL scores(P>0.05),comparable.(2)After treatment,all distensions were significantly increased in both groups(P<0.05).In distentions of dysphoria,Interference with activity and body imagine in the treatment group were significantly higher than in the control group(P<0.05);(3)Follow-up examination after treatments,all distensions were increased in both groups(P<0.05),in distensions of dysphoria,interference with activity,body imagine and health worry in the treatment group were significantly higher than in the control group(P<0.05).4.HAD survey comparison:according to the statistical results,(1)before the treatment,there were no significant differences between the two groups of patients(P>0.05),comparable(2)After the treatment,the scores were significantly decreased in both groups(P<0.05).and the treatment group was more lower than the control group(P<0.05),(3)Follow-up examination after treatments,the scores were decreased in both groups(P<0.05),and the treatment group was significantly lower than in the control group(P<0.05)Conclusion1.Both shu gan jian pi needle warming therapy and Pinaverium Bromide can improve the symptoms and life quality of IBS-D patients(liver stagnation and spleen deficiency)2.But shu gan jian pi needle warming therapy is better than the Pinaverium Bromide in the improvement of short-term and long-term clinical symptoms,quality of life and emotion regulations.