针灸推拿医学（英文版）2025，Vol.23Issue(2)：135-143,9.DOI:10.1007/s11726-025-1490-4
艾条灸治疗腹泻型肠易激综合征的临床疗效观察
Observation of the clinical efficacy of moxa-stick moxibustion in treating diarrhea-predominant irritable bowel syndrome
摘要
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.关键词
灸法/艾条灸/肠易激综合征/穴,天枢/穴,足三里/临床疗效/随机对照试验Key words
Moxibustion Therapy/Moxa Stick Moxibustion/Irritable Bowel Syndrome/Point,Tianshu(ST25)/Point,Zusanli(ST36)/Clinical Effect/Randomized Controlled Trial分类
医药卫生引用本文复制引用
马金丹,陈立铭,王照钦,周次利,吴焕淦,洪珏,李国娜,孙芳园,祁琴,吴璐一,赵琛,刘慧荣,陆嫄,马晓芃..艾条灸治疗腹泻型肠易激综合征的临床疗效观察[J].针灸推拿医学（英文版）,2025,23(2):135-143,9.基金项目
This study was supported by the Scientific Research Project of Shanghai Municipal Health Commission(上海市卫生健康委员会科研项目,No.202240195) （上海市卫生健康委员会科研项目,No.202240195）
Traditional Chinese Medicine Project of Jiading District Health Commission(嘉定区卫健委中医药课题,No.2020-KY-ZYY-02) （嘉定区卫健委中医药课题,No.2020-KY-ZYY-02）
National Natural Science Foundation of China(国家自然科学基金项目,No.82374588,No.81873377,No.82405540) （国家自然科学基金项目,No.82374588,No.81873377,No.82405540）
"Xinglin Hundred Talents"Program of Shanghai University of Traditional Chinese Medicine(上海中医药大学"杏林百人"计划). （上海中医药大学"杏林百人"计划）
