Thread-embedding at combined lower he-sea and front-mu points for functional constipation with intestinal excess heat: a randomized controlled trial.
10.13703/j.0255-2930.20240222-k0006
- Author:
Wenting XIE
1
;
Wanmei QI
1
;
Yuzhu CHEN
1
;
Xingke YAN
1
Author Information
1. School of Acupuncture-Moxibustion and Tuina, Gansu University of CM, Lanzhou 730000, China.
- Publication Type:English Abstract
- Keywords:
TCM syndrome score;
combined lower he-sea and front-mu points;
constipation assessment scale (CAS);
functional constipation, intestinal excess heat;
thread-embedding
- MeSH:
Humans;
Constipation/physiopathology*;
Male;
Female;
Middle Aged;
Acupuncture Points;
Adult;
Acupuncture Therapy;
Aged;
Treatment Outcome;
Young Adult;
Intestines/physiopathology*;
Quality of Life
- From:
Chinese Acupuncture & Moxibustion
2025;45(3):295-299
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To observe the clinical efficacy of thread-embedding at the combined lower he-sea and front-mu points for functional constipation with intestinal excess heat.
METHODS:A total of 80 patients with functional constipation of intestinal excess heat were randomly divided into a thread-embedding group (40 cases, 2 cases dropped out) and a Chinese patent medication group (40 cases, 1 case dropped out). Based on the theory of combined lower he-sea and front-mu points for diseases of fu organs, Zhongwan (CV12), Guanyuan (CV4) and bilateral Zusanli (ST36), Shangjuxu (ST37), Tianshu (ST25), Xiajuxu (ST39) were selected and thread-embedding therapy was delivered in the thread-embedding group, once a week. Maren Runchang pill was given orally in the Chinese patent medication group, 6-12 g each time, twice a day. Both groups were treated for 4 weeks. Before and after treatment, the scores of constipation assessment scale (CAS), Bristol stool form scale (BSFS), patient-assessment of constipation quality of life (PAC-QOL) and TCM syndrome were observed, and the clinical efficacy was evaluated after treatment in the two groups.
RESULTS:After treatment, the CAS scores and the TCM syndrome scores were decreased compared with those before treatment (P<0.05), while the BSFS scores were increased compared with those before treatment (P<0.05) in the two groups; the total scores, as well as the physical discomfort and psychosocial discomfort scores of PAC-QOL were decreased compared with those before treatment (P<0.05) in the two groups, the worry and anxiety, and the satisfaction scores of PAC-QOL were decreased compared with those before treatment (P<0.05) in the thread-embedding group. After treatment, the CAS score, the total score and item-scores of PAC-QOL, as well as the TCM syndrome score in the thread-embedding group were lower than those in the Chinese patent medication group (P<0.05). The total effective rate was 78.9% (30/38) in the thread-embedding group, which was higher than 56.4% (22/39) in the Chinese patent medication group (P<0.05).
CONCLUSION:Thread-embedding at the combined lower he-sea and front-mu points can effectively treat functional constipation with intestinal excess heat and improve quality of life.
