Clinical Study On Treatment Of Slow Depression Type Constipation With Spleen And Spleen Deficiency Treated By

Functional disease is a kind of disease of body and mind, and slow both transmissive constipation is one of the common diseases, especially with the change of the life habits and eating habits, the incidence of the disease is obviously rising trend. At present modern medicine to the pathogenesis of slow both transmissive constipation have a certain understanding, but still unable to fully understand its causes, and in the curative effect of treatment is still poor. Have long profound understanding of the motherland medicine for constipation, also accumulated rich experience in clinical treatment, both from the etiology and pathogenesis and comprehensive treatment, has its unique characteristics and advantages.objectivechronic functional constipation is a common digestive system disease, clinical performance for less defecation, stool stem node, defecation disorder, such as painfully slow generally divided into both transmissive constipation, outlet obstruction constipation and mixed constipation three types. With the change of the diet and living habits, the incidence of constipation increases year by year, the person that weigh can affect the patient’s life and work, constipation is becoming more and more cause the attention of people. Slow both transmissive constipation is made up of medical Proton and Lennard Jonors is put forward in 1986, ruled out the physiological anatomy, organic and colon colon caused by external causes of constipation and outlet obstructive constipation, caused by colon transmission conduction function slows stubborn sex constipation, extend the time of clinical characteristics for constipation, colon through and poor response to treatment such as cellulose, sugar-refining characterized, at the same time accompanied by abdominal distension abdominal pain, irritability, anxiety, depression, insomnia and other physical and mental symptoms. Slow both transmissive constipation seriously affected people’s physical and mental health, to account for around 16% to 40% of all patients with constipation, high incidence in our country. Follow mentor outpatient service when the author found that patients with constipation in the majority with young and middle-aged women, combining with the characteristics of its pathogenesis is given priority to with slow both transmissive constipation, complex due to constipation, diagnosis is relatively difficult, early treatment, not in time treatment, severe disorder with thirsty medicine problem, often delayed or aggravating illness, has also led to poor clinical effectiveness, the recurrence rate is high. More than western medicine treatment of chronic shows constipation to improve gastrointestinal dynamics, HuanXie is given priority to, the existence of drug resistance and dependence, easy to repeated faults, while Chinese medicine overall adjustment, step by step, can effectively reduce the drug dependence. By studying the definite technique tonga subtraction clinical treatment of colon slow both transmissive constipation curative effect observation and evaluation, to clarify to change affect gastrointestinal transfer function to the the development of the etiology and pathogenesis of constipation, so as to improve the efficient of slow both transmissive constipation treatment, [methods] all patients from 2014.12 to 2015.12 years in spleen and stomach diseases for the first hospital affiliated to guangzhou university of Chinese medicine outpatient service, conform to the (excluding outflow obstruction constipation) of Chinese and western medicine diagnosis, prognosis and willing to cooperate with tracking and treatment of 90 cases of patients. Western medicine USES conform to the standard of Rome III and anorectal established in 2007 in yangzhou the experts V’guidelines for the diagnosis and treatment of chronic constipation in China\", the standard. According to the formulation of disease diagnosis curative effect of traditional Chinese medicine standard of traditional Chinese medicine, constipation commonly clinical manifestation is:the most three 5th row a move bowels, or even longer to defecation time, or every day all can defecate, but discharge, dry as dung, some have patients defecate, gooey soft, hard, meaning is frequency, but it is hard to clean or cannot successful eduction of them at once. According to the standard of diagnosis of disease and curative effect of traditional Chinese medicine V’issued by the ministry of state administration of TCM, the standard for the cure a solution when defecate unobstructed, within two days, then turn soft and in a short period of time without recurrence constipation; Better for not hard mass, bowel movement at least once three days or so, but sometimes shit owe chang; Invalid is not significantly before and after improvement. Cases admission standards, shall conform to the change type constipation primary symptom, TCM symptom of disease diagnostic criteria, and included in the four standards, medical record of 9. Research methods from the sample size estimation, randomization, dosing method and dialectical liquid form preparation, add and subtract one by one, to perfect. Dosage regimen for:(1). The control group A:citrate moser will be 5 mg, dispersible tablet pot dar.(2). Control group B:citrate moser will be 5 mg, dispersible tablet pot dar, Diane force new 10.5 mg qd;(3). The observation group (Chinese traditional medicine group):an agent (200 ml), traditional Chinese medicine (TCM) day each 100 ml,1 hour after lunch early warm clothing.Observation methods:ask before taking the medicine what medicines treating constipation patients used, fill in constipation watch list of syndromes. Patients visit once a week, in the process of observation and record any changes: such as the presence of shorten defecation interval, asked whether difficult defecation, discomfort after using the bathroom, before and after medication for change shape, degree of hardness and softness, stool, etc., whether any adverse reactions associated with abdominal distention, lack of power, and not feeling, tongue and pulse condition changes before and after treatment two weeks, four weeks later according to the statistical methods. Result data statistics according to\"Chinese medicine new medicine clinical research guiding principles of the symptoms of chronic constipation classification standard integral assessment, respectively from the symptom integral, the total outcome score, anxiety depression scale scores before and after treatment were analyzed, and the statistical data processing is to measure data normality distribution to test and homogeneity of variance test, if the variance of qi, the normal distribution, Observation group effective rate was 86.7%, control group A was 70%, against B is 73.3%, the t test, otherwise line’t test, using the count chi-square test information.resultslook from age, disease in middle-aged and old women,34%; On STC in the long course of disease, recurrent over 1 years of close to 69%; After the total treatment, observation group total effective rate was 90%, Control group A total effective rate 65.5%, control group B total effective rate 86.7%, total integral contrast before and after treatment, respectively is:Observation group 18.02+/-6.34,6.34+/-1.21, control group A plus or minus 6.21,8.35,18.25+/-6.89, control group B 17.93+/-6.53,5.54 5.43 mm; From their respective points of view, nature feces, defecation time, defecate frequency, abdominal symptoms, belching, fatigue, irritability and other symptoms are improved, the abdominal symptoms in the observation group, belch, fatigue and so on to improve the more obvious that western medicine and stay in, such as depression, irritability, its symptoms integral and control group B is more close to. From anxiety and depression scale statistical results can be seen, observation group and control group B for anxiety, depression and other emotional intervention, and contrast the role of group B was poor.Conclusionthe definite technique tonga taste is professor Xu Xinmei compatibility and under the guidance of the theory of treatment on STC, with spleen and replenishing qi, liver resolve depression, facilitating laxative effect, at the same time asters medicine has make the finishing point, namely can runchang, play a pot of peel, XuanChang lung qi, after clinical curative effect observation, according to definite tonga taste in improving operation on STC symptoms at the same time, to adjust the psychological mood has a good effect, clinical curative effect.