基于子午流注理论保留灌肠治疗功能性便秘临床观察

Clinical Observation of Retention Enema in Treatment of Functional Constipation Based on Midnight-Noon Ebb-Flow Theory

目的观察基于子午流注理论择时保留灌肠治疗功能性便秘的临床疗效。方法选取2018年8月—2019年6月医院60例功能性便秘患者,随机分成A组、B组、C组,各20例,A、B、C组分别在大肠经、肺经、脾经当令之时予养荣润肠舒合剂保留灌肠,治疗2周。观察治疗前后患者便秘症状积分变化、有效率及复发率。结果治疗2周后,A、B组症状积分无统计学意义(P>0.05),A、C组症状积分有统计学意义(P<0.05),B、C组症状积分有统计学意义(P<0.05);A、B组有效率优于C组有效率,A、B组的复发率也低于C组。结论根据子午流注学说,大肠经最旺时运用养荣润肠舒合剂保留灌肠治疗功能性便秘稍优于肺经最旺时治疗,明显优于脾经最旺时,所以于大肠经最旺时,养荣润肠舒合剂保留灌肠治疗功能性便秘效果明显。

Objective To observe the clinical efficacy of timing-retention enema in the treatment of functional constipation based on midnight-noon ebb-flow theory.Methods Sixty patients with functional constipation from August 2018 to June 2019 were randomly divided into group A,group B,group C,20 cases in each.Group A,B,and C were given the enema of Yangrong Runchangshu Mixture(养荣润肠舒和剂)at the time of the large intestine,lungand spleen,and treated for 2 weeks.We observed changes in constipation symptom scores,effectiveness and recurrence rate in patients before and after treatment.Results After 2 weeks of treatment,there was no statistically significant difference in symptom scores between group A and B(P>0.05).The symptom scores of group A and group C were statistically significant(P<0.05).The scores of symptoms in group B and C were statistically significant(P<0.05).The effective rate of group A and group B was better than that of group C.The recurrence rate of group A and group B was also lower than that of group C.Conclusion According to the midnight-noon ebb-flow theory,when the large intestine meridian is most prosperous,the use of Yangrong Runchangshu Mixture for retention enema to treat functional constipation is slightly better than that used in the most prosperous time of the lung meridian,and obviously better than that used in the most prosperous time of spleen meridian.Therefore,in the most prosperous period of the large intestine,the effect of Yangrong Runchangshu Mixture retention enemain the treatment of functional constipation is obvious.