| Objective:Through the differentiation and treatment of symptoms and signs in Mongolian medicine,the clinical observation of Diarrhoeal Irritable Bowel Syndrome(IBS-D,Olgaiyin Obsolete Fever Badagan Heyi Type)is conducted,data is collected,and reference basis is provided for the widespread clinical application of Mongolian medicine in the treatment of Olgaiyin Obsolete Fever Badagan Heyi Type(IBS-D)in the future.Method:Sixty patients with Olgaiyin Obsolete Fever Badagan Heyi Type(IBS-D)were selected as observation subjects.After breakfast,Mongolian medicine was given:Wuwei Qingzhuo Pill,3g of warm water were taken,after lunch,Dagebu-15,3g of warm water were taken,after dinner,Olgai-13,3g,Caoguo Siwei Decoction,5g hot boiled water were taken,and the course of treatment was 21 days.By observing the Mongolian medical symptoms of the patients at each different time point(before treatment,on the 7th,14th,and 21st days of treatment),and evaluating the changes in quality of life and stool routine examination before and after treatment,the patients were compared before and after treatment.Result:1.The total number of cases included in this study is 63,all of which are from the Department of Digestive Medicine of Mongolian Medicine,Affiliated Hospital of Inner Mongolia University for Nationalities.Among them,3 cases were lost(3 cases were lost),and a total of 60 cases participated in the statistics.The dropout rate is 4.76%,and the completion rate is 95.24%.2.Based on the analysis of the age and gender distribution of patients,among the 60 cases included in the study,the minimum age was 18 years old,and the maximum age was 59 years old.Most cases were found in the 40-60 year old population,with an average age of(48.25 ±10.68).There were 38 women(63.33%)and 22 men(36.67%).3.Overall efficacy comparison:A total of 60 patients had a total effective rate of(90%),improved in 43 cases(71.67%),significantly improved in 11 cases(18.33%),and ineffective in 6 cases(10%).4.Comparison of comprehensive curative effects of Mongolian medical symptoms showed that there were 60 patients,with a total effective rate of(90%),54 patients improved(90%),and 6 patients did not recover(10%).5.Syndrome observation before and after treatment:(1)After 7 days of treatment,there was a significant difference in symptoms such as abdominal distension,hyperactivity of bowel sounds,left(right)lower abdominal pain,stool morphology,and diarrhea frequency(P<0.05);There was no significant difference in symptoms such as periumbilical colic,raw and cold diet,living behavior,anorexia,cold limbs,relief after hot compress,weight loss(within a month),and abnormal exhaust gas(P>0.05),and no significant improvement in symptoms;(2)After 14 days of treatment and 21 days of treatment,symptoms such as abdominal distension,hyperactivity of bowel sounds,left(right)lower abdominal pain,stool morphology,number of diarrhea,periumbilical colic,anorexia,cool limbs,relief after hot compress,emaciation(within a month),and abnormal exhaust gas(P<0.05)were statistically significant,with significant improvement in symptoms;There was no significant difference in symptoms such as raw and cool diet and living behavior(P>0.05),and there was no significant improvement in symptoms;6.Comparison of IBS-QOL scores:After treatment,the scores of each dimension in the scale were compared,and there were significant differences in 8 dimensions,DY、IN、FW、BI、FA、SX、RL、SR,P<0.05,which was statistically significant,indicating that the quality of life of patients was significantly improved compared to before treatment.Conclusion:The treatment of patients with IBS-D(Olgaiyin Obsolete Fever Badagan Heyi Type)based on the differentiation of symptoms and signs in Mongolian medicine is based on the treatment principles of dispelling Badagan Heyi and following the operation of Oleganyi,regulating bowel movements,and according to the laws of reproductive activity(accumulation,attack,and sedation),main symptoms,secondary symptoms,and the attribute characteristics of drugs in Mongolian medicine theory,which has significantly improved their symptoms and signs,and has a relatively satisfactory clinical effect,And can significantly improve the quality of life of these patients.Mongolian medicine can be widely used to treat IBS-D.Therefore,it is reasonable to choose Wuwei Qingzhuo Pill,Dagebu-15,Olgai-13,and Caoguo Siwei Decoction as the dominant prescription.Combining the principles of Mongolian medicine based on syndrome differentiation and treatment,attention should be paid to reasonable adjustment and balanced convalescent care,and the efficacy will be better. |
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