Research progress in moxibustion for treating gastrointestinal dysfunction after laparoscopic cholecystectomy
10.3760/cma.j.cn115398-20250224-00308
- VernacularTitle:灸法治疗腹腔镜胆囊切除术后胃肠功能障碍研究进展
- Author:
Shuo LI
1
;
Dongdong LU
;
Qiuhui LIANG
;
Quanxin LIU
;
Weiwei JIAO
;
Ying ZHEN
;
Min DENG
;
Lingyun WEN
;
Jinbao WANG
;
Yanxia CAO
Author Information
1. 中国中医科学院望京医院外科，北京 100102
- Keywords:
Cholecystectomy, laparoscopic;
Gastrointestinal dysfunction;
Etiological factors and pathogenesis (TCM);
Syndrome differentiation moxibustion;
Moxibustion
- From:
International Journal of Traditional Chinese Medicine
2025;47(9):1327-1331
- CountryChina
- Language:Chinese
-
Abstract:
TCM believes that the main pathogenesis of gastrointestinal dysfunction (GD) after laparoscopic cholecystectomy (LC) is spleen and stomach weakness, liver and stomach disharmony, liver depression and spleen deficiency, and intestinal depression. Moxibustion in the treatment of GD after LC can avoid the aggravation of gastrointestinal burden caused by oral drugs. The intervention methods mainly include suspension moxibustion, umbilical moxibustion, heat sensitive moxibustion, thunder fire moxibustion, warm acupuncture, partition moxibustion, etc. Moxibustion is often performed on the acupoints in liver meridian, spleen meridian, stomach meridian, small intestine meridian, large intestine meridian and Conception Vessel, such as Taichong (LR3), Ganshu (BL18), Yinlingquan (SP9), Zusanli (ST36), Tianshu (ST25), Wangu (SI4), Hegu (LI4), Zhongwan (CV12), Shenque (CV8) and Qihai (CV6). At present, most studies combined with moxibustion on the basis of conventional Western medicine treatment can significantly improve the efficacy, and have certain advantages in improving gastrointestinal motility decline, intestinal flora imbalance, first exhaust time, gastrointestinal hormone level disorder and intestinal mucosal barrier dysfunction. However, there are still some problems in the existing research: small sample size of clinical research, not perfect scoring scale, not unified treatment plan and operation standard, relatively scarce basic research, relatively simple acupoint research, lack of biochemical evaluation indicators, and the research of national moxibustion needs to be explored and improved in the future.
