Clinical Analysis of the Treatment of Diarrhea-Predominant Irritable Bowel Syndrome with Shen Ling Baizhu Decoction Combined with Moxibustion
Objective To analyze the efficacy of Shenling Baizhu Decoction combined with moxibustion in the treatment of diarrhea-predominant irritable bowel syndrome(IBS).Methods 87 patients with diarrhea-predominant IBS treated in Huaibin County Hospital from January 2022 to January 2023 were selected for the study.According to the random number table method,they were divided into a control group(conventional Western medicine treatment)of 44 cases and an observation group(Shenling Baizhu Decoction combined with moxibustion treatment)of 43 cases.The clinical efficacy of the two groups was compared;the scores of the IBS Symptom Severity Scale(IBS-SSS)and the levels of serum vasoactive intestinal peptide(VIP),substance P(SP),and neuropeptide Y(NPY)before and after treatment,as well as adverse reactions,were compared.Results The effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P＜0.05).Before treatment,there was no significant difference in the IBS-SSS scores of abdominal pain intensity,frequency of abdominal pain,degree of abdominal distension,impact on life,and satisfaction with bowel movements between the two groups(P＞0.05);after treatment,the IBS-SSS scores of the observation group were lower than those of the control group,and the difference was statistically significant(P＜0.05).Before treatment,there was no significant difference in the levels of serum VIP,SP,and NPY between the two groups(P＞0.05);after treatment,the levels of VIP and SP in the observation group were lower than those in the control group,and the level of NPY was higher than that in the control group,and the difference was statistically significant(P＜0.05).There was no significant difference in adverse reactions(dizziness,headache,and constipation,etc.)between the two groups(P＞0.05).Conclusion The treatment of diarrhea-predominant IBS with Shenling Baizhu Decoction combined with moxibustion has an ideal effect,can control the condition,regulate the secretion of gastrointestinal hormones,and has a high safety.
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