Efficacy of acupuncture and moxibustion combined with medication for functional constipation in elderly with <italic style="font-style: italic">yang</italic> deficiency and <italic style="font-style: italic">qi</italic> stagnation and its effect on emotional disorder

SUN Meng; CHEN Kaixuan

doi:10.13703/j.0255-2930.20240509-0002

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Efficacy of acupuncture and moxibustion combined with medication for functional constipation in elderly with yang deficiency and qi stagnation and its effect on emotional disorder

Clinical Research | 更新时间：2025-04-11

- Efficacy of acupuncture and moxibustion combined with medication for functional constipation in elderly with yang deficiency and qi stagnation and its effect on emotional disorder
- Chinese Acupuncture & Moxibustion Vol. 45, Issue 4, Pages: 442-447(2025)
- 作者机构：
  
  河南省中医院/河南中医药大学第二附属医院肛肠科，郑州　450002
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20240509-0002
  CLC：
- Received：09 May 2024，
  
  Online First：14 January 2025，
  
  Published：12 April 2025
- 稿件说明：
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SUN Meng, CHEN Kaixuan. Efficacy of acupuncture and moxibustion combined with medication for functional constipation in elderly with yang deficiency and qi stagnation and its effect on emotional disorder[J]. Chinese Acupuncture & Moxibustion, 2025, 45(4): 442-447. DOI: 10.13703/j.0255-2930.20240509-0002.
DOI：

SUN Meng, CHEN Kaixuan. Efficacy of acupuncture and moxibustion combined with medication for functional constipation in elderly with yang deficiency and qi stagnation and its effect on emotional disorder[J]. Chinese Acupuncture & Moxibustion, 2025, 45(4): 442-447. DOI: 10.13703/j.0255-2930.20240509-0002. DOI：

摘要

目的：

观察针灸联合药物治疗阳虚兼气滞型老年功能性便秘的临床疗效及对情绪障碍的影响。

方法：

将86例阳虚兼气滞型老年功能性便秘患者随机分为针灸组（43例，脱落1例，剔除1例）和西药组（43例，脱落1例）。西药组予乳果糖口服溶液口服，每日1次；在西药组治疗基础上，针灸组予针刺肠三针（穴取双侧天枢、上巨虚及关元，每次30 min，隔日1次）联合雷火灸（穴取神阙，每次30 min，隔日1次）治疗。两组均治疗4周。于治疗前后评估两组患者便秘症状自评量表（PAC-SYM）评分、排便情况（排便间隔时间、排便时间、排便频率）、中医证候积分、便秘生活质量自评问卷（PAC-QOL）评分、匹兹堡睡眠质量指数（PSQI）评分、焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分，并评定两组临床疗效及安全性。

结果：

与治疗前比较，治疗后两组患者PAC-SYM评分、排便间隔时间、排便时间、中医证候积分、PAC-QOL评分、SAS评分及SDS评分均降低（

0.05），排便频率升高（

0.05）；针灸组PSQI评分降低（

0.05）。与西药组比较，针灸组治疗后PAC-SYM评分、排便间隔时间、排便时间、中医证候积分、PAC-QOL评分、PSQI评分、S

AS评分及SDS评分均降低（

0.05），排便频率升高（

0.05）。针灸组总有效率为92.7%（38/41），高于西药组的73.8%（31/42，

0.05）。针灸组不良反应发生率为2.44%（1/41），西药组为4.76%（2/42），两组比较差异无统计学意义（

0.05）。

结论：

针灸联合药物能改善阳虚兼气滞型老年功能性便秘患者排便情况及情绪障碍，提高生活质量。

Abstract

Objective

To observe the clinical efficacy of acupuncture and moxibustion combined with medication in the treatment of functional constipation in elderly with

yang

deficiency and

stagnation and its effect on emotional disorder.

Methods

A total of 86 elderly patients with functional constipation of

yang

deficiency and

stagnation were randomly divided into an acupuncture and moxibustion group (43 cases

1 case dropped out

1 case was eliminated) and a medication group (43 cases

1 case dropped out). The medication group was treated with lactulose oral solution

once a day；in the acupuncture and moxibustion group

on the basis of the treatment in the medication group

acupuncture at intestinal three points (bilateral Tianshu [ST25

]

Shangjuxu [ST37

]

and Guanyuan [CV4

]

were selected

30 min each time

once every other day) combined with thunder-fire moxibustion (Shenque [CV8

]

was selected

30 min each time

once every other day) was given. Both groups were treated for 4 weeks. Before and after treatment

the patient assessment of constipation symptoms (PAC-SYM) score

defecation situation (defecation interval time

defecation time

defecation frequency) and the scores of TCM syndrome

patient assessment of constipation quality of life (PAC-QOL)

Pittsburgh sleep quality index (PSQI)

self-rating anxiety scale (SAS)

self-rating depression scale (SDS) were observed in the two groups. The clinical efficacy and safety of the two groups were evaluated.

Results

Compared before treatment

after

treatment

the PAC-SYM scores

defecation interval time

defecation time

TCM syndrome scores

PAC-QOL scores

SAS scores and SDS scores in both groups were decreased (

0.05)

the defecation frequency was increased (

0.05) in the two groups; the PSQI score in the acupuncture and moxibustion group was decreased (

0.05). The PAC-SYM score

defecation interval time

defecation time

TCM syndrome score

PAC-QOL score

PSQI score

SAS score and SDS score after treatment in the acupuncture and moxibustion group were lower than those in the medication group (

0.05)

and the defecation frequency in the acupuncture and moxibustion group was higher than that in the medication group (

0.05). The total effective rate of the acupuncture and moxibustion group was 92.7% (38/41)

which was higher than 73.8% (31/42) in the medication group (

0.05). The incidence of adverse reactions in the acupuncture and moxibustion group was 2.44% (1/41)

while that in the medication group was 4.76% (2/42)

there was no significant difference between the two groups (

0.05).

Conclusion

Acupuncture and moxibustion combined with medication could improve the defecation situation

emotional disorder

quality of life in elderly patients with functional constipation of

yang

deficiency and

stagnation.

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⁰

Efficacy of acupuncture and moxibustion combined with medication for functional constipation in elderly with yang deficiency and qi stagnation and its effect on emotional disorder

DOI：10.13703/j.0255-2930.20240509-0002

摘要

Abstract

关键词

Keywords

references