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艾灸治疗中风后便秘:一例报告。

Treatment of poststroke constipation with moxibustion: A case report.

作者信息

Wen Junmao, Zhuang Zhenjie, Zhao Minhong, Xie Dongming, Xie Bo, Zhuang Lixing, Liang Zheng, Wu Wei, Xu Hongwei

机构信息

Guangzhou University of Chinese Medicine The Affiliated Hospital Of South China University Of Technology The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.

出版信息

Medicine (Baltimore). 2018 Jun;97(24):e11134. doi: 10.1097/MD.0000000000011134.

DOI:10.1097/MD.0000000000011134
PMID:29901642
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6024066/
Abstract

RATIONALE

Moxibustion, an important therapeutic measure of TCM, can stimulate acupoints to unblock the meridians and collaterals, regulate the function of qi and blood, support health, and expel pathogens. So it could be an effective and safe for the treatment of constipation and improvement of the quality of life in poststroke patients with constipation.

PATIENT CONCERNS

He has a history of constipation, with the defecation of hard, bound stool every 2 to 3 days with the help of glycerin enema.

DIAGNOSES

Constipation for >6 months; Cerebral infarction for 9 months; Type 2 diabetes for 3 years. Hypertension for approximately 1 month.

INTERVENTIONS

From the fifth day after admission, 5 rounds of moxibustion with moxa cones were administered at the bilateral ST25 and CV6 acupoints.

OUTCOMES

The patient successfully defecated within 1hour. Subsequently, the patient could maintain daily unobstructed defecation with a normal total stool weight and moderate hardness.

LESSONS

Moxibustion is effective and safe for the treatment of constipation and improvement of the quality of life in post-stroke patients with constipation.

摘要

理论依据

艾灸是中医的一项重要治疗手段,可刺激穴位以疏通经络、调节气血功能、养生保健及祛邪。因此,艾灸对于治疗中风后便秘患者的便秘及改善生活质量可能是一种有效且安全的方法。

患者情况

他有便秘病史,每2至3天需借助甘油灌肠剂才能排出硬便。

诊断

便秘超过6个月;脑梗死9个月;2型糖尿病3年;高血压约1个月。

干预措施

入院后第5天起,在双侧天枢穴(ST25)和关元穴(CV6)进行5轮艾炷灸。

结果

患者在1小时内成功排便。随后,患者能够保持每日排便通畅,粪便总重量正常且硬度适中。

经验教训

艾灸对于治疗中风后便秘患者的便秘及改善生活质量是有效且安全的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fea2/6024066/0af2eeb17db5/medi-97-e11134-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fea2/6024066/c75427ad8cfd/medi-97-e11134-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fea2/6024066/0d760adaa09d/medi-97-e11134-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fea2/6024066/0af2eeb17db5/medi-97-e11134-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fea2/6024066/c75427ad8cfd/medi-97-e11134-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fea2/6024066/0d760adaa09d/medi-97-e11134-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fea2/6024066/0af2eeb17db5/medi-97-e11134-g005.jpg

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Zhongguo Zhen Jiu. 2017 May 12;37(5):527-533. doi: 10.13703/j.0255-2930.2017.05.019.
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Existing and emerging therapies for managing constipation and diarrhea.用于治疗便秘和腹泻的现有和新兴疗法。
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The Treatment of Constipation-Predominant Irritable Bowel Syndrome with Acupuncture and Moxibustion: A Case Report.
麦粒灸增强环磷酰胺对荷Hepa1-6小鼠的抗肿瘤作用。
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Medicine (Baltimore). 2019 Aug;98(35):e16996. doi: 10.1097/MD.0000000000016996.
针灸治疗便秘型肠易激综合征1例报告
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