针刺联合便通饮治疗阴虚津亏型便秘患者30例疗效观察

Clinical Observation on Acupuncture Combined with Biantong Yin in Treating 30 Constipation Patients with Yin and Fluid Deficiency Syndrome

目的观察针刺联合便通饮治疗阴虚津亏型便秘的临床疗效。方法将60例阴虚津亏型便秘患者随机分为治疗组和对照组各30例。对照组给予便通饮治疗,每日1剂。治疗组在对照组的基础上针刺大肠俞(双)、天枢(双)、上巨虚(双)、中脘、足三里(双),行平补平泻手法,留针30 min,10 min行针一次,每日1次,每疗程6天,停针1天。治疗两个疗程后观察两组患者排便相关主要症状变化及临床疗效,并于治疗前后评定两组患者中医症状积分。结果治疗组临床疗效总有效率为93.33%,对照组为83.33%,治疗组明显优于对照组(P<0.05)。两组治疗后排便间隔时间,粪便性质,排便费力程度,排便不尽感、紧迫感程度,腹痛腹胀程度积分均较治疗前明显下降(P<0.05),且治疗组除粪便性质外,其他各项症状改善均优于对照组(P<0.05)。结论针刺联合便通饮可显著改善阴虚津亏型便秘患者临床症状,且优于单纯中药口服。

Objective To observe the efficacy of acupuncture combined with Biantong Yin（ BTY） in treating constipation patients with yin and fluid deficiency syndrome. Methods In total 60 constipation patients with yin and fluid deficiency syndrome were randomly divided into a treatment group and a control group,each with 30 cases.Both groups received BTY,one dose a day. The treatment group was added with acupuncture on Points Dachangshu（ BL25）,Tianshu（ ST25）,Shangjuxu（ ST37）,Zhongwan（ RN12） and Zusanli（ ST36） for 30 min each time,with hand-manipulating of needles with mild reinforcing-reducing method every 10 min,once daily. The treatment course was 6 days following one day break. After 2 courses of treatment,the main constipation-related symptoms and clinical efficacy were assessed,and TCM symptom scores were recorded before and after treatments. Results The efficiency rates in the treatment group and control group were 93. 33% and 83. 33%,respectively,with a significant difference between the groups（ P〈0. 05）. The scores of defecation interval,form of the stool,degree of difficulty in defecation,sense of undone and urgency in defecation,and degree of abdominal pain and tension were significantly decreased in both groups after treatments（ P〈0. 05）,especially in the treatment group except for the form of the stool（ P〈0. 05）. Conclusion Acupuncture combined with BTY could notedly improve the clinical symptoms of constipation patients with yin and fluid deficiency,and it showed better results than using Chinese medicine orally alone.