运用川派中医名家唐廷汉经验膏方联合砭石熨摩治疗老年功能性便秘的临床研究OA
Clinical study on the treatment of geriatric functional constipation by using bian stone ironing-massage therapy combined with Tang Tinghan's empirical herbal paste
目的 探讨运用川派中医名家唐廷汉经验膏方联合砭石熨摩治疗气虚秘与阴虚秘老年功能性便秘患者的临床价值.方法 选取 2024 年 5 月～2024 年 12 月就诊于四川省第二中医医院的气虚秘与阴虚秘老年功能性便秘患者 90 例,随机分为对照组和试验组,每组 45 例.对照组给予常规治疗,包括均衡膳食、多饮水、养成良好排便习惯、适度运动等;试验组在对照组基础上给予川派中医名家唐廷汉经验膏方联合砭石熨摩治疗.观察分析两组治疗前后的中医证候积分、便秘证候疗效、便秘患者生活质量(PAC-QOL).结果 治疗 4 周后,试验组总有效率(93.33%)较对照组(77.78%)高,差异有统计学意义(P<0.05);两组中医证候积分、便秘患者生活质量治疗后均有改善,且试验组优于对照组(P<0.05).结论 常规干预基础上联合砭石熨摩中药透入法治疗气虚秘与阴虚秘的老年功能性便秘患者可行、有效,有利于缓解患者临床症状,提升患者生活质量,且操作简单实用、值得临床推广.
Objective To explore the clinical value of treating geriatric functional constipation in the Qi deficiency and Yin deficiency with bian stone ironing-massage therapy combined with the empirical herbal paste developed by Tang Tinghan,a famous doctor of Sichuan school of traditional Chinese medicine(TCM).Methods Ninety elderly patients with functional constipation characterized by Qi deficiency and Yin deficiency who were treated at the 2nd Sichuan Provincial Hospital of Traditional Chinese Medicine from May to September 2024 were enrolled and randomly assigned to a control group or an experimental group(n=45 per group).The control group received conventional treatment,including a balanced diet,adequate water intake,cultivation of regular defecation habits,and moderate physical activity,while the experimental group was further treated with bian stone ironing-massage therapy combined with the empirical herbal paste in addition to the conventional treatment applied to the control group.During the study,the TCM syndrome scores,constipation symptom efficacy index,and Patient Assessment of Constipation Quality of Life(PAC-QOL)were observed and analyzed before and after treatment in both groups.Results After 4 weeks of treatment,the total effective rate of the experimental group(93.33%)was higher than that of the control group(77.78%),and the difference was statistically significant(P<0.05).Both groups exhibited significant improvements in TCM syndrome scores and PAC-QOL,while the experimental group showing more prominent improvements than the control group(P<0.05).Conclusion The combination of bian stone ironing-massage therapy with herbal transdermal penetration(using Tang Tinghan's empirical herbal paste)on the basis of conventional intervention is feasible and effective for geriatric functional constipationdue to Qi deficiency and Yin deficiency.It can not only alleviate patients'clinical symptoms and improve their quality of life but also features simple and practical operation,making it worthy of clinical promotion.
谭君花;胡敬晖;余德海;刘若阳;吴娇
四川省第二中医医院,四川 成都 610014四川省第二中医医院,四川 成都 610014四川省第二中医医院,四川 成都 610014四川省第二中医医院,四川 成都 610014四川省第二中医医院,四川 成都 610014
医药卫生
老年功能性便秘砭石熨摩经验膏方
Geriatric functional constipationBian stone ironing-massage therapyEmpirical herbal paste
《四川中医》 2026 (4)
61-66,6
四川省公益性科研院所基本科研项目(2024-4-800).
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