| Objective:To explore the current research situation of functional constipation treated by traditional Chinese medicine,and to analyze and summarize the clinical experience of the treatment of this disease by comparing the clinical efficacy of the modified Shugan Jianpi Prescription before and after the treatment of the patients with constipation due to liver depression and spleen deficiency,so as to provide the treatment ideas for the diagnosis and treatment of constipation due to liver depression and spleen deficiency.Material and method:1.With the help of visual analysis software such as Citespace and VOSviewer,the number of articles,authors,keywords and research hotspots in the field of "Traditional Chinese Medicine for Functional Constipation" are displayed intuitively;2.Through retrospective analysis,90 patients with constipation due to liver depression and spleen deficiency were selected from the anorectal clinic of the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from September 2021 to October 2022,and their general data,prescriptions used in treatment,changes of TCM symptom score and PAC-QOL score before and after treatment were sorted and recorded by Excel,and then their general data and related data before and after treatment were analyzed by SPSS 27.0 software.To compare the changes of patients’ symptoms before and after treatment,and to clarify the exact curative effect of soothing the liver and strengthening the spleen.Results:1.In the treatment of functional constipation,through visual analysis,it can be seen that the main focus is on the treatment methods and clinical efficacy observation,of which the treatment methods are mainly acupuncture and moxibustion,oral Chinese medicine,acupoint application,massage,emotional care,etc.The common types of clinical syndrome differentiation are mainly Qi deficiency and Qi stagnation.At present,independent research is the main focus,and there is little collaboration between teams.The research on the mechanism of action of traditional Chinese medicine is still incomplete.Functional constipation is often accompanied by anxiety and depression,and most doctors consider the idea of regulating qi circulation when treating it;2.After treatment with the modified Shugan Jianpi formula,10 patients recovered,48 showed significant improvement,22 showed improvement,and 9 showed no effect.The total effective rate was 88.89%.There is a significant statistical difference(P<0.05)in the total score of traditional Chinese medicine symptoms before and after treatment,indicating that there has been improvement compared to before and after treatment;3.The addition and subtraction of Shugan Jianpi Decoction can significantly reduce the main symptoms and secondary symptoms of TCM in patients with constipation due to liver depression and spleen deficiency(P<0.05);It can significantly reduce the score of the quality of life self-evaluation scale of constipation patients with liver depression and spleen deficiency(P<0.05).Conclusion:1.Through visual analysis,it can be seen that the common types of clinical syndrome differentiation are mainly Qi deficiency and Qi stagnation;Patients with functional constipation are often accompanied by anxiety and depression.Most doctors consider the idea of regulating qi flow during treatment.Therefore,while regulating the function of the intestines and organs,combined with soothing the liver,relieving depression,and promoting emotional well-being,is currently a hot topic and approach for the treatment of FC;2.Modified Shugan Jianpi Formula can effectively improve clinical symptoms such as abdominal distension,abdominal pain,irritability and depression,chest and hypochondriac fullness,reduced appetite,mental fatigue,limb fatigue,belching,etc.in patients with liver depression and spleen deficiency constipation;3.Modified Shugan Jianpi Formula can effectively improve patients’ constipation symptoms and improve their quality of life. |
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