Clinical Study On The Treatment Of Irritable Bowel Syndrome (Weakness Of Spleen And Stomach) Mainly By Palm Vibration Shenque

Objective: To evaluate the clinical efficacy of the main methods of treatment with vibrate Shenque in diarrhea type irritable bowel syndrome(IBS-SSS),irritable bowel syndrome quality of life scale(IBS-QOL),and traditional Chinese medicine(TCM)scale.Methods: This study included 64 patients with diarrhea predominant irritable bowel syndrome(gastrosplenic Asthenia Type)who were randomly divided into two groups of 32 patients each.The treatment group was treated with a vibrate Shenque combined with routine Tuina treatment,and the control group was treated with routine Tuina treatment.Two weeks(6 sessions)for 1 session,and the irritable bowel syndrome quality of life scale,irritable bowel syndrome symptom severity score,and TCM Syndrome Scale were applied for analytical evaluation after 2 sessions to observe the clinical efficacy of the palmar vibrate Shenque method.Results: A total of 64 patients were included in this study,with 61 patients actually completing the subject,3 shedding patients,30 in the final treatment group,and 31 in the control group.1.Efficacy comparison:In the post-treatment contrast between the two groups,the total effective rate of the treatment group(93.33%)was higher than that of the control group(74.19%),and the difference was statistically significant(P<0.05),which indicated that the treatment group had better efficacy than the control group.2.TCM syndrome score comparison: In the post-treatment contrast between the two groups,the treatment group showed lower symptom scores of fecal traits,defecation frequency,post-feeding abdominal distension,burnout fatigue,shensloth speech,and abdominal pain than the control group,with significant differences between the two treatment groups(P<0.05).Showed that the treatment group was superior to the control group in improving patients’ clinical symptoms.3.IBS-SSS scale comparison: The post-treatment contrast between the two groups,in terms of the degree and frequency of abdominal pain,was especially significant(P<0.01).All symptom scores were significantly lower in the treatment group than in the control group(P<0.05).It suggested that the treatment group was more effective than the control group in improving patient symptoms,especially the degree and frequency of abdominal pain.4.IBS-QOL scale comparison: In the post-treatment contrast between the two groups,the overall score of the treatment group was lower than that of the control group,and the difference was significant(P<0.01).It suggested that the treatment group had a significantly better effect on the improvement of patients’ quality of life than the control group.5.Comparison of relapse rate: The relapse rate of the treatment group(16.67%)was lower than that of the control group(54.84%),and the difference was significant(P<0.01),which indicated that the combination of the palmar vibrate Shenque and conventional Tuina had a better long-term outcome for the treatment of diarrhea predominant irritable bowel syndrome(spleen and stomach Asthenia Type).Conclusions: Tuina can improve the clinical symptoms of diarrhea type irritable bowel syndrome(asthenic type of spleen and stomach),in which the palmar vibration Shenque has more remarkable efficacy in the improvement of fecal traits,defecation frequency,postprandial abdominal distension,lassitude fatigue,shenfatigue sloth,abdominal pain and other symptoms,which can be further promoted in the clinic.