Thread-embedding at combined lower <italic style="font-style: italic">he</italic>-sea and front-<italic style="font-style: italic">mu</italic> points for functional constipation with intestinal excess heat: a randomized controlled trial

XIE Wenting; QI Wanmei; CHEN Yuzhu; YAN Xingke

doi:10.13703/j.0255-2930.20240222-k0006

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Thread-embedding at combined lower he-sea and front-mu points for functional constipation with intestinal excess heat: a randomized controlled trial

Clinical Research | 更新时间：2025-03-13

- Thread-embedding at combined lower he-sea and front-mu points for functional constipation with intestinal excess heat: a randomized controlled trial
- Chinese Acupuncture & Moxibustion Vol. 45, Issue 3, Pages: 295-299(2025)
- 作者机构：
  
  甘肃中医药大学针灸推拿学院，兰州 730000
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20240222-k0006
  CLC：
- Received：22 February 2024，
  
  Online First：21 January 2025，
  
  Published：12 March 2025
- 稿件说明：
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XIE Wenting, QI Wanmei, CHEN Yuzhu, et al. Thread-embedding at combined lower he-sea and front-mu points for functional constipation with intestinal excess heat: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2025, 45(3): 295-299. DOI: 10.13703/j.0255-2930.20240222-k0006.
DOI：

XIE Wenting, QI Wanmei, CHEN Yuzhu, et al. Thread-embedding at combined lower he-sea and front-mu points for functional constipation with intestinal excess heat: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2025, 45(3): 295-299. DOI: 10.13703/j.0255-2930.20240222-k0006. DOI：

摘要

目的：

观察合募配穴法埋线治疗肠道实热型功能性便秘的临床疗效。

方法：

将80例肠道实热型功能性便秘患者随机分为埋线组（40例，脱落2例）和中成药组（40例，脱落1例）。埋线组基于合募配穴治腑病理论选取中脘、关元及双侧足三里、上巨虚、天枢、下巨虚进行埋线，每周1次。中成药组采用口服麻仁润肠丸治疗，每次6~12 g，每日2次。两组均治疗4周。观察两组患者治疗前后便秘评估量表（CAS）、布里斯托大便分类法（BSFS）、便秘患者生活质量自评问卷量表（PAC-QOL）评分和中医证候积分，并于治疗后评定两组临床疗效。

结果：

治疗后，两组患者CAS评分及中医证候积分较治疗前降低（

0.05），BSFS评分较治疗前升高（

0.05）；两组患者PAC-QOL总分及躯体不适、心理社会不适评分较治疗前降低（

0.05），埋线组患者担心和焦虑、满意度评分较治疗前降低（

0.05）。治疗后，埋线组患者CAS评分、PAC-QOL总分及各维度评分、中医证候积分低于中成药组（

0.05）。埋线组总有效率为78.9%（30/38），高于中成药组的56.4%（22/39，

0.05）。

结论：

合募配穴法埋线可有效治疗肠道实热型功能性便秘，改善患者生活质量。

Abstract

Objective

To observe the clinical efficacy of thread-embedding at the combined lower

-sea and front-

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

-sea and front-

points for diseases of

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 scal

e (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 (

0.05)

while the BSFS scores were increased compared with those before treatment (

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 (

0.05) in the two groups

the worry and anxiety

and the satisfaction scores of PAC-QOL were decreased compared with those before treatment (

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 (

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 (

0.05).

Conclusion

Thread-embedding at the combined lower

-sea and front-

points can effectively treat functional constipation with intestinal excess heat and improve quality of life.

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⁰

Thread-embedding at combined lower he-sea and front-mu points for functional constipation with intestinal excess heat: a randomized controlled trial

DOI：10.13703/j.0255-2930.20240222-k0006

摘要

Abstract

关键词

Keywords

references