滋肾通腑法针刺治疗阴虚型老年功能性便秘：随机对照试验

胡俊威; 尹平; 董轶悦; 刘璐慜; 姜诗涵; 郭志城; 高宁阳

doi:10.13703/j.0255-2930.20241111-k0005

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滋肾通腑法针刺治疗阴虚型老年功能性便秘：随机对照试验

临床研究 | 更新时间：2026-01-16

- 滋肾通腑法针刺治疗阴虚型老年功能性便秘：随机对照试验
- Zishen Tongfu acupuncture for elderly functional constipation of yin deficiency: a randomized controlled trial
- 中国针灸 2026年46卷第1期页码：16-21
- 作者机构：
  
  上海中医药大学附属龙华医院针灸临床一部，上海　200032
  上海中医药大学附属曙光医院骨伤科，上海　200021
- 作者简介：
  
  ✉高宁阳，副主任医师。E-mail：sapphire512@163.com
- 基金信息：
  
  上海市2021年度“科技创新行动计划”医学创新研究专项项目(21Y11923900);上海市名老中医药专家学术经验研究工作室建设项目(SHGZS-202232);浦东新区中医药传承创新发展示范试点项目(YC-2023-0901)
- DOI：10.13703/j.0255-2930.20241111-k0005
  中图分类号：
- 收稿：2024-11-11，
  
  网络首发：2025-11-17，
  
  纸质出版：2026-01-12
- 稿件说明：
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胡俊威, 尹平, 董轶悦, 等. 滋肾通腑法针刺治疗阴虚型老年功能性便秘：随机对照试验[J]. 中国针灸, 2026,46(1):16-21.

HU Junwei, YIN Ping, DONG Yiyue, et al. Zishen Tongfu acupuncture for elderly functional constipation of yin deficiency: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2026, 46(1): 16-21. DOI: 10.13703/j.0255-2930.20241111-k0005.
胡俊威, 尹平, 董轶悦, 等. 滋肾通腑法针刺治疗阴虚型老年功能性便秘：随机对照试验[J]. 中国针灸, 2026,46(1):16-21. DOI： 10.13703/j.0255-2930.20241111-k0005.

HU Junwei, YIN Ping, DONG Yiyue, et al. Zishen Tongfu acupuncture for elderly functional constipation of yin deficiency: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2026, 46(1): 16-21. DOI: 10.13703/j.0255-2930.20241111-k0005. DOI：

摘要

目的：

观察滋肾通腑法针刺治疗阴虚型老年功能性便秘（FC）的临床疗效。

方法：

将84例阴虚型老年FC患者随机分为针刺组（42例，脱落3例）和假针刺组（42例，脱落2例）。针刺组选取双侧照海、大钟、太溪、天枢、上巨虚进行针刺治疗；假针刺组选取非经非穴，采用钝头针灸针穿过固定垫到达皮肤表面，不刺入皮肤。两组均每次治疗30 min，隔日1次，每周3次，连续治疗8周。观察两组患者治疗前后及随访（治疗结束后12周）周完全自主排便次数（CSBMs）及紧急用药情况，于治疗前后比较两组患者Bristol粪便性状量表（BSFS）评分、便秘患者症状自评量表（PAC-SYM）评分、便秘患者生活质量问卷（PAC-QOL）评分、焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分，并进行安全性评价和盲法实施成功性评估。

结果：

治疗后，两组患者CSBMs较治疗前增加（

0.001），且针刺组多于假针刺组（

0.001）；随访期，针刺组患者CSBMs较治疗前增加（

0.05），且多于假针刺组（

0.05）。治疗后，针刺组患者BSFS评分较治疗前升高（

0.001），且针刺组高于假针刺组（

0.001）；两组患者PAC-SYM、PAC-QOL、SAS、SDS评分均较治疗前降低（

0.001），且针刺组患者PAC-SYM、PAC-QOL评分低于假针刺组（

0.001）。治疗后和随访期，针刺组未用药患者比例高于假针刺组（

0.05）。两组针刺不良事件发生率比较差异无统计学意义（

0.05）。两组盲法实施的情况均较为理想。

结论：

滋肾通腑法针刺能够增加阴虚型老年FC患者CSBMs，缓解便秘相关的临床症状，提高患者生活质量，减少紧急药物的使用，且安全可靠。

Abstract

Objective

To observe the clinical effect of

Zishen Tongfu

(nourishing kidney and promoting

movement of

-organ) acupuncture in the treatment of functional constipation (FC) of

yin

deficiency in the elderly.

Methods

A total of 84 elderly patients with FC of

yin

deficiency were randomly assigned to an acupuncture group (42 cases

3 cases dropped out) and a sham acupuncture group (42 cases

2 cases dropped out). The patients in the acupuncture group received acupuncture at Zhaohai (KI6)

Dazhong (KI4)

Taixi (KI3)

Tianshu (ST25)

and Shangjuxu (ST37) on both sides. In the sham acupuncture group

non-meridian and non-acupoint points were selected

and blunt acupuncture needles were used to reach the skin surface through the fixed pad without piercing the skin. Both groups were treated for 30 min each time

once every other day

three times a week for 8 weeks. The complete spontaneous bowel movements (CSBMs) and emergency medication were observed before and after treatment and during follow-up (after 12 weeks of treatment completion). The scores of Bristol stool form scale (BSFS)

patient assessment of constipation-symptom (PAC-SYM)

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

self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were compared between the two groups before and after treatment

and the safety evaluation and assessment of blinding success were perfor

med.

Results

After treatment

the CSBMs of the two groups were higher than those before treatment (

0.001)

and those in the acupuncture group were more than the sham acupuncture group (

0.001). During follow-up

CSBMs in the acupuncture group were increased compared with those before treatment (

0.05)

and more than those in the sham acupuncture group (

0.05). After treatment

the BSFS score of the acupuncture group was higher than that before treatment (

0.001)

and the score in the acupuncture group was higher than that in the sham acupuncture group (

0.001). The scores of PAC-SYM

PAC-QOL

SAS and SDS in the two groups were lower than those before treatment (

0.001)

and the scores of PAC-SYM and PAC-QOL in the acupuncture group were lower than those in the sham acupuncture group (

0.001). After treatment and during follow-up

the proportion of patients without medication in the acupuncture group was higher than that in the sham acupuncture group (

0.05). There was no significant difference in the incidence of acupuncture adverse events between the two groups (

0.05). The implementation of the blind method in both groups was ideal.

Conclusion

Zishen Tongfu

acupuncture can increase CSBMs in elderly FC patients of

yin

deficiency

relieve constipation-related clinical symptoms

improve the quality of life

reduce the use of emergency medication

and is safe and reliable.

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