Clinical Study On The Treatment Of Functional Constipation In The Elderly With Different Amounts Of Moxibustion Across The Belly Button With Herbs For Kidney Yang Deficiency

Objective:Based on the theory of "if it is deficient,it should be tonified,if it is cold,it should be warmed",moxibustion of Shen Que acupuncture points with herbs was used to help promote Yang,moisten the bowels and open the bowels.The study was conducted to observe the therapeutic effect of moxibustion at different amounts,and to explore the appropriate amount of moxibustion for the treatment of functional constipation of the elderly with deficiency of kidney yang at Shen Que point.Methods:Ninety-eight elderly patients with chronic functional constipation of the kidney-yang deficiency type were included in this study in strict accordance with the inclusion and exclusion criteria.96 patients with constipation were randomly divided into three groups A,B and C using the random number table method,with 32 patients in group A(moxibustion 3 strokes),32 patients in group B(moxibustion 5 strokes)and 32 patients in group C(moxibustion 7 strokes).Moxa cones weighing 2.0g were used to moxibustion the Shenqu acupuncture point(Jichuan Decoction),twice a week,two times for a course of treatment,after four courses of treatment,the clinical symptoms and symptom scores of the three groups were compared within the group,the effectiveness of the three different treatment methods was assessed,and then the indices of the three groups were compared between the groups to determine the treatment plan with the best effect.Results:After treatment,patients in all three groups showed improvement in clinical symptoms and syndromes,effectively increasing the number of bowel movements and improving stool properties,with groups B(moxibustion 5 strokes)and C(moxibustion 7 strokes)showing better improvement than group A(moxibustion 3 strokes).The total effective rates of symptoms in groups A,B and C were 50.00%,93.55%and 90.00%,and the total effective rates of syndromes were 56.67%,96.77%and 93.33%,respectively.There was a significant difference between the three groups(P<0.05).It indicates that when the weight of moxa cone is 2.0g,the efficacy of moxa 5 strong and moxa 7 strong is better than that of moxa 3 strong,but the efficacy of moxa 5 strong compared with moxa 7 strong is comparable.Conclusion:Moxibustion of the Shen Que point can significantly improve the clinical symptoms and symptoms of chronic functional constipation in elderly patients with kidney yang deficiency,increase the number of bowel movements,and significantly improve the fear of cold.As "less fire makes angry,stronger fire eats qi",moxibustion with 5 strokes has the advantages of good efficacy,less time consuming and high patient compliance,and is the best amount of moxibustion to treat this disease.