Observation of the clinical efficacy of moxa-stick moxibustion in treating diarrhea-predominant irritable bowel syndrome
10.1007/s11726-025-1490-4
- VernacularTitle:艾条灸治疗腹泻型肠易激综合征的临床疗效观察
- Author:
Jindan MA
;
Guona LI
;
Fangyuan SUN
;
Qin QI
;
Luyi WU
;
Chen ZHAO
;
Huirong LIU
;
Yuan LU
;
Xiaopeng MA
;
Liming CHEN
;
Zhaoqin WANG
;
Cili ZHOU
;
Huangan WU
;
Jue HONG
- Publication Type:Journal Article
- Keywords:
Moxibustion Therapy;
Moxa Stick Moxibustion;
Irritable Bowel Syndrome;
Point,Tianshu(ST25);
Point,Zusanli(ST36);
Clinical Effect;
Randomized Controlled Trial
- From:
Journal of Acupuncture and Tuina Science
2025;23(2):135-143
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the clinical efficacy of gentle moxibustion at different temperatures in treating people with diarrhea-predominant bowel syndrome(IBS-D)due to spleen deficiency.Methods:A total of 108 IBS-D patients were divided into two groups using the random number table method,with 54 participants in each group.Moxibustion group 1 received gentle moxibustion at(43±1)℃at bilateral Tianshu(ST25)and Zusanli(ST36),lasting 30 min each session;moxibustion group 2 received gentle moxibustion at(37±1)℃at the same points.Both groups received the intervention 3 times weekly for a total of 18 sessions.Abdominal pain intensity,stool form,pattern-based efficacy,quality of life,and mental health assessments were performed at weeks 0,3,6,and 8.Results:The total effective rate for abdominal pain intensity was 87.8%in moxibustion group 1 versus 51.1%in moxibustion group 2,and the difference was statistically significant(P<0.05).When the treatment finished,abdominal pain intensity,the Bristol score,IBS-symptom severity scale(IBS-SSS)score,self-rating anxiety scale(SAS)score,and self-rating depression scale(SDS)score dropped significantly in both groups(P<0.05),and the IBS-quality of life(IBS-QOL)score increased markedly(P<0.05).Between-group comparisons demonstrated that abdominal pain intensity,the Bristol general score,IBS-SSS score,traditional Chinese medicine(TCM)pattern score,and SDS score were significantly lower in moxibustion group 1 than in moxibustion group 2 at treatment week 6(P<0.05),and the IBS-QOL score was notably higher in moxibustion group 1(P<0.05).Conclusion:Whether at 43℃or 37℃,gentle moxibustion at Tianshu(ST25)and Zusanli(ST36)can improve abdominal pain,stool form,and quality of life,reduce disease severity,and mitigate TCM pattern in IBS-D patients;43℃gentle moxibustion performs better than 37℃gentle moxibustion in improving abdominal pain,stool form,disease severity,TCM pattern,quality of life,anxiety,and depression in IBS-D.
