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| Observation on the clinical efficacy of diarrhea-type irritable bowel syndrome with liver depression and spleen deficiency using fire needle therapy |
| Hits 34 Download times 9 Received:August 17, 2024 |
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| DOI
10.11656/j.issn.1672-1519.2025.02.06 |
| Key Words
Diarrhea-type irritable bowel syndrome;liver depression and spleen deficiency syndrome;fire needle therapy;clinical observation;acupuncture;montmorillonite powder |
| Author Name | Affiliation | | FU Yanan | Department of Traditional Chinese Medicine, Beidaihe Hospital of Qinhuangdao, Qinhuangdao 066100, China | | HUANG Ying | Rehabilitation Department, People's Hospital of Greater Khingan Mountains, Greater Khingan Mountains 165000, China | | LI Jiao | Department of Traditional Chinese Medicine, Beidaihe Hospital of Qinhuangdao, Qinhuangdao 066100, China | | CUI Shaoxuan | Digestive Department, Beidaihe Hospita of Qinhuangdaol, Qinhuangdao 066100, China | | YANG Yuanyuan | Department of Acupuncture and Moxibustion, Dongzhimen Hospital of Beijing University of Chinese Medicine, Beijing 100700, China |
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| Abstract
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| [Objective] To compare and observe the clinical efficacy of fire needle therapy with ordinary acupuncture therapy and montmorillonite powder oral medication in the treatment of diarrhea-type irritable bowel syndrome（IBS-D） patients with liver depression and spleen deficiency syndrome，and to seek more effective methods to guide the treatment of IBS-D，and to promote clinical practice. [Methods] The 126 patients with IBS-D（liver depression and spleen deficiency syndrome） were randomly divided into a fire needle group，an acupuncture group，and a medication group（oral administration of montmorillonite powder），with 42 cases in each group. All the three groups underwent two courses of treatment. Record and observe the changes in the severity score of IBS symptoms（IBS-SSS），traditional Chinese medicine syndrome score，quality of life score（IBS-QOL），and Hamilton Anxiety Scale（HAMA） scores of three groups of patients before and after treatment，and compare the overall efficacy of the three groups. [Results] AAfter treatment，there were differences in the efficacy of the three groups in terms of changes in IBS-SSS score. After treatment，compared with the medication group（P<0.05），and the reduction in IBS-SSS score was more significant in the fire needle group，while there was no significant difference in improving IBS-SSS score between the acupuncture group and the medication group. In terms of changes in traditional Chinese medicine syndrome scores，the fire needle group，acupuncture group，and medication group can all significantly improve the total score of traditional Chinese medicine syndrome scores. The difference between each group before and after treatment was statistically significant（P<0.05），with the fire needle group being the most prominent，while the acupuncture group was better than the medication group. In terms of the changes in IBS-QOL score，there was statistically significant（P<0.05） among the groups before and after treatment，indicating that all three groups had therapeutic effects after treatment. After treatment，there was no significant difference in the quality of life scores among the three groups after treatment（P<0.05）. In terms of HAMA score changed. There was a significant change in HAMA scores before and after treatment in the fire needle group and acupuncture group，indicating effective treatment. The difference in HAMA scores between the drug group before and after treatment was not statistically significant（P>0.05）. According to the efficacy evaluation criteria，after the end of the treatment course，the total effective rate of the fire needle group was 97.61%. The total effective rate of the acupuncture group was 85%. The total effective rate of the drug group was 65.85%. The therapeutic effects of the three groups were compared，and the difference was statistically significant（P<0.05）. The fire needle group had better therapeutic effects than the other two groups，while the acupuncture group had better therapeutic effects than the drug group. [Conclusion] Fire needle therapy is more effective than montmorillonite powder in treating diarrhea-type irritable bowel syndrome with liver depression and spleen deficiency syndrome. Fire needle therapy is superior to ordinary acupuncture，and the efficacy of ordinary acupuncture is better than that of montmorillonite powder treatment. Fire needle therapy has outstanding clinical efficacy in treating diarrhea-type irritable bowel syndrome，and is safe，simple，and worthy of clinical promotion and application. |
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