Clinical Study On The Treatment Of Diarrheal-predominant Irritable Bowel Syndrome With Spleen Deficiency And Excessive Dampness Type By Filiform-fire Needle

Objective: Comparing the clinical efficacy of irritable bowel syndrome with spleen deficiency and excessive dampness type by filiform-fire needle and ordinary needle to explore the method of more effective clinical treatment of IBS-D,then promoting the application clinically.Methods: A total of 72 patients with IBS-D syndrome of spleen deficiency and dampness were randomly divided into experimental group and control group,36 patients in each group.The experimental group was treated with filiform-fire needle,while the control group was treated with conventional acupuncture.Among them,2cases in the experimental group and 3 cases in the control group were shed,and 67 cases were completed.Both groups were treated three times a week on alternate days,4 weeks as a course of treatment,a total of 1 course of treatment.The changes of IBS symptom severity score(IBS-SSS),quality of life score(IBS-QOL)and TCM syndrome score before and after treatment were recorded and compared between the two groups,and the efficacy was compared between the two groups.Results: A total of 72 patients were included in this study.After a course of treatment,a total of 5 patients were shed and eliminated.And a total of 67 patients completed treatment.(1)After statistical analysis,there was no significant difference in gender,age,and course of disease between the two groups(P>0.05),which was comparable.(2)Comparison of IBS-BSS scores: After treatment,IBS-BSS scores of the two groups were obviously decreased(P < 0.01),and the experimental group was better(P< 0.05).(3)Comparison of quality-of-life score: After treatment,the quality-of-life score of the two groups was obviously higher(P < 0.01),and the experimental group was better(P < 0.05).(4)Comparison of TCM syndrome scores: After treatment,TCM syndrome scores of the two groups were significantly decreased(P < 0.01);In experimental group,diarrhea,abdominal pain,and fatigue were improved,and the effect was significant(P< 0.05).There were no obvious differences in the improvement of aggravation after cold,mental fatigue and lethargy between the two groups(P>0.05).(5)After 1 course of treatment,a total of 34 patients in the experimental group completed treatment,of which 3 cases were ineffective,the effective rate was 91.2%;A total of 33 patients in the control group completed the treatment,of which 6 cases were ineffective,and the overall effective rate was 81.8%,the difference was statistically significant(P<0.05).Conclusion:(1)Both filiform-fire needle and ordinary acupuncture can effectively treat IBS-D with syndrome of spleen deficiency and dampness.(2)By filiform-fire needle in the treatment of spleen deficiency and excessive dampness type of IBS-D has significant efficacy in improving diarrhea,abdominal pain,and greatly improving the quality of life of patients.