| Objective:To observed the efficacy of heat-sensitive moxibustion on diarrhea-predominant irritable bowel syndrome. Firstly, this paper used the IBS symptom rating scale to evaluate the overall effect of heat-sensitive moxibustion. Secondly, adoption of SDS and SAS to evaluate the improvement of depression and anxiety states with heat-sensitive moxibustion.Methods:60 patients met the inclusion criteria of the Liver depression and Spleen deficiency Syndrome of IBS-D divided into treatment group and control group, 30 cases in each.The treatment group were treated with heat-sensitive moxibustion. The method is divided into three.First, the heat-sensitive point area exploration on the abdomen (including Ren meridian, spleen meridian, stomach meridian and liver meridian through the line area). Second, each select 1-3 most sensitive acupoints before the treatment. Finally, on the acupoints moxibustion method to perform four steps in sequence:swing, bird pecking, round and mild moxibustion. The control group were treated with mild-moxibustion, the selection of points is mainly RN8(Shenque), ST25(Tianshu), LR14(Qimen), SP6(Sanyinjiao), ST36(Zusanli). When each treatment, you can select 3 above acupoints, and mild moxibustion 10 minutes per point until the skin flush. Two groups of patients were treated every other day,10 days for a course of treatment, a total of three courses of execution. Record and observe the scores of IBS Symptom Scale, SDS and SAS, which evaluate the eff eciency at each patients before, after and follow-up four weeks treatment.Results:1. Treatment group:1 case set off,29 cases on observation, follow-up of 29 cases;Control group:0 case set off,30 cases on observation, follow-up of 30 cases.2. General information analysis before treatment:sex, age and duration were of no significant differences between the two groups(P>0.05).3. After the treatment, there were significant different(P<0.05) in bo th groups of the scores of for IBS symptom rating scale. But the main IBS symptoms(including diarrhea, abdominal distension, depression and irritabi lity) were more significant improvement in the treatment group(P<0.01).4.After the treatment, the scores of SDS and SAS in both groups were significant improvement before the treatment(P<0.05). And there were significant different(P<0.05) of post-treatment scores between two groups. After 4 weeks of follow-up, comparing of SDS/SAS’s datas between pre-treatment and follow-up period. There was P<0.001 in the treatment group(statistically significant), while was P> 0.05 in the control group(no significant differences). It suggested that heat-sensitive moxibustion treatment group significantly more than the control group in improving patient’s mental state, and the efficacy duration was longer than the control group.5. In terms of clinical statistics, the valid rate of treatment group was 96.55%, and the control group was 90.00%. The efficiency was statistically significant(P<0.05).6.In general, two methods of treatment are effective ways to treat the liver depression and spleen deficiency syndrome of IBS-D. But the curative effect of heat-sensitive moxibustion treatment group is better and have a lasting therapeutic effect. The total effective rate is better than the control group.Conelusion:1. Heat-sensitive moxibustion is a ideal treatment of diarrhea-predominant irritable bowel syndrome (liver depression and spleen deficiency syndrome), for the main symptoms get faster improvement in diarrhea\abdominal distension\depression or irritability, as well as more significant improvement.2. Heat-sensitive moxibustion treatment of diarrhea-predominant irritable bowel syndrome (liver stagnation and spleen deficiency) have a lasting therapeutic effect and a pleasant treatment experience.3. Heat-sensitive moxibustion is an effective method for the treatment of diarrhea-predominant irritable bowel syndrome (liver stagnation and spleen deficiency), worthy of clinical application. |
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