Fu Yong, Zhang Hai-Feng, Xiong Jun, Li Lin, Kang Ming-Fei
Zhongguo Zhen Jiu. 2014 Jan;34(1):45-8.
To compare differences of clinical therapeutic effect of heat-sensitive moxibustion with different doses for irritable bowel syndrome (IBS).
Sixty cases of IBS were randomly divided into a saturated-dose group (30 cases) and a traditional-dose group (30 cases). Heat-sensitive moxibustion was applied in both groups. The acupoints that had the strongest heat-sensitive feeling were selected and treated by warm and suspended moxibustion with moxa stick. Disappearance of heat-sensitive feeling was taken as the sign of treatment time in the saturated-dose group, while the traditional-dose group was treated for 15 min each time. The treatment in both groups was given twice a day for first 5 days, and from the sixth day it was given once a day for continuous 25 times, totally 30 days. Clinical symptom scores and therapeutic effect before and after treatment in two groups were observed.
After the treatment, the cured and markedly effective rate was 75.0% (21/28) in the saturated-dose group, which was inferior to 44.4% (12/27) in the traditional-dose group (P < 0.05). The clinical symptom scores, including diarrhea, abdominal distension and pain, were obviously reduced in two groups compared with those before the treatment (all P < 0.05). Compared with the traditional-dose group, the symptom scores of diarrhea and abdominal distension in the saturated-dose group were obviously decreased (0.87 +/- 0.13 vs 1.27 +/- 0.21, P < 0.01; 1.12 +/- 0.41 vs 1.32 +/- 0.26, P < 0.05).
The moxibustion featured with disappearance of heat-sensitive feeling and saturated dose has better therapeutic effect than that with traditional-dose for treatment of IBS. As individual dynamic amount of moxibustion, disappearance of heat-sensitive and quantitation varies from person to person, which is one of the key factors to obtain the best curative effect.
比较不同剂量热敏灸治疗肠易激综合征（IBS）的临床疗效差异。
将60例IBS患者随机分为饱和剂量组（30例）和传统剂量组（30例）。两组均采用热敏灸治疗。选取热敏感觉最强的穴位，用艾条温和悬灸。饱和剂量组以热敏感觉消失作为治疗时间的标志，传统剂量组每次治疗15分钟。两组治疗均在前5天每天2次，从第6天起每天1次，连续25次，共30天。观察两组治疗前后的临床症状评分及疗效。
治疗后，饱和剂量组的治愈显效率为75.0%（21/28），低于传统剂量组的44.4%（12/27）（P<0.05）。两组腹泻、腹胀、腹痛等临床症状评分均较治疗前明显降低（均P<0.05）。与传统剂量组相比，饱和剂量组腹泻和腹胀症状评分明显降低（0.87±0.13比1.27±0.21，P<0.01；1.12±0.41比1.32±0.26，P<0.05）。
以热敏感觉消失和饱和剂量为特征的艾灸治疗IBS比传统剂量艾灸疗效更好。作为个体动态艾灸量，热敏感觉消失及量化因人而异，是获得最佳疗效的关键因素之一。
