| With the change of diet structure, the pace of life and the influence of social and psychological factors, the prevalence rate of chronic constipation showed an upward trend. Chronic constipation has a long history, and the treatment cost is huge. The production of chronic constipation, has been plagued by many patients, seriously affect their quality of life. The current medical model is undergoing a transformation from biomedical model to biological, social and psychological pattern, from the center of the disease as the center of the population to the center of individual medical change, TCM constitution is very suitable for modern human centered individual medical model. Therefore, the research in based on the analysis of the correlation between chronic constipation and TCM Constitution, select the number of cases is relatively more physical Yin-deficiency constipation, with inside and outside the Tongzhi treatment, in order from the constitution of the prevention and treatment of chronic constipation and provide a new idea.Objective:Based on reviewing the research progress on chronic constipation and medicine, through investigation and study, to investigate the relationship between chronic constipation and TCM Constitution, put forward the clinical thinking of internal and external risk of chronic constipation physique, clinical efficacy and safety of chronic internal and external treatment of chronic constipation.Method:1 Investigation and studyIn 95 cases of chronic constipation patients and 95 cases of the control group, by means of questionnaire collected from two groups of general situation, the main symptoms of constipation score and TCM constitution classification and determination of scale data, calculate the physical characteristics of 190 patients, using the method of logistic regression analysis, to study the correlation between TCM type of Constitution with chronic constipation.2 Clinical research:With into the standard physical deficiency constipation patients 60 cases, using completely randomized grouping method,60 cases were randomly divided into treatment group and control group with 30 cases in each. Treatment group given oral administration of traditional Chinese medicine combined with acupoint catgut embedding therapy, while the control group was given oral ZiYin Runchang oral liquid combined with acupoint catgut embedding method. After 4 weeks of treatment, observe the changes of clinical symptoms before and after treatment in the two groups.Result:1.Research results:By statistical analysis, the constitution types of the case group and the control group are different, mainly reflected in the Yin-deficiency,Qi-depression, Yang-deficiency. The nine kinds of physical types as independent variables, chronic constipation as the dependent variable, further regression analysis. Results show that in the 0.05 test level, independent Yang-deficiency, yin-deficiency, qi-depression and chronic constipation of the connection between dependent variables were statistically significant. According to the partial regression coefficient, the ratio of judgment, Yang Xuzhi, yin deficiency, qi stagnation has become a risk factor for chronic constipation.2.Clinical research results:Study included 60 patients,4 weeks after treatment, overall curative effect is significant,60 cases of patients with symptom scores were decreased in different degree, which treatment group cured 5 cases,13 cases were markedly effective, effective in 9 cases,3 cases were ineffective,90% efficiency. The control group 0 cases were cured,13 cases markedly effective,7 cases effective,10 cases ineffective, the total efficiency of 66.67%. The efficacy of the treatment group was significantly better than the control group, there was significant difference between two groups (P< 0.05). From the TCM symptom score improvement compared treatment group was better than that of the control group, which interval of defecation, defecation time and defecation difficulty and symptoms to improve the situation, two groups have significant difference (P< 0.05), indicating that the treatment group in improving the overall situation of the patients with a definite advantage.Conclusion:1 Resarch conclusion:Yin-deficiency, Qi-depression, Yang-deficiency is associated with the TCM physical types of chronic constipation, is a risk factor for chronic constipation.2 Clinical research conclusion:With Ziyin Runchang catharsis for treatment, internal and external combined method can significantly improve the clinical symptoms of yin-deficiency constitution constipation patients.Oral Chinese medicine combined with acupoint catgut embedding therapy is a more effective method for the treatment of this disease... |
PDF Full Text Request