痛泻要方内服配合十一方药渣腹部烫疗治疗肠易激综合征腹泻型75例临床观察

Clinical Observation on 75 Cases of Irritable Bowel Syndrome of Diarrhea Type Treated by Internal Administration of Tongxie Yaofang Combined with Scalding Abdomen with Dregs of Shiyi Fang

目的:观察痛泻要方内服配合十一方药渣腹部烫疗治疗肠易激综合征(IBS)的临床疗效。方法:采用痛泻要方内服配合十一方药渣腹部烫疗治疗 IBS 患者75例,并设60例西药对照组。结果:治疗组和对照组总有效率分别为80.00%和51.67%,差异有显著性(P<0.05);治疗组疗效与中医证型有关,差异亦有显著性(P<0.05)。结论:痛泻要方内服配合十一方药渣腹部烫疗治疗 IBS 腹泻型疗效优于西药对照组,无不良反应;且肝郁脾虚型疗效最好,脾胃虚弱型次之,脾肾阳虚型疗效最差。

Ojective：To observe clinical therapeutic effect of internal administration of Tongxie Yaofang combined with scalding abdomen with dregs of Shiyi Fang on irritable bowel syndrome（IBS）. Methods：75 cases of IBS were treated with internal administration of Tongxie Yaofang combined with scalding abdomen with dregs of Shiyi Fang,and 60 cases treated with western medicine were used as control group. Results：The total effective rate was 80. 00% in the treatment group and 51.67% in the control group with a significant difference between the two groups（P〈0.05）;the trerapeutic effect of the treatment group was related with TCM syndrome types （P〈0. 05）. Conclusion：The therapeutic effect of internal administration of Tongxie Yaofang combined with scalding abdomen with dregs of Shiyi Fang on irritable bowel .yndrome of diarrhea type is superior to that of the western medicine,with no adverse reaction ~The patient with stagnation of the liver-Qi and deficiency of the spleen has the best therapeutic effect ,the type of deficiency and weakness of the spleen and stomach being the next ,and the type of Yang-deficiency of the spleen and kidney is the worst.