[1]臧亮,霍黎生,唐彪,等.温经汤加减治疗女性冲任虚寒型功能性便秘临床疗效观察[J].西部中医药,2025,38(11):112-116.[doi:10.12174/j.issn.2096-9600.2025.11.19]
　ZANG Liang,HUO Lisheng,TANG Biao,et al.Observation on Clinical Effects of Modified Wenjing Decoction in Treating Female Functional Constipation of Conception and Governor Meridians Deficiency and Cold Pattern[J].Western Journal of Traditional Chinese Medicine,2025,38(11):112-116.[doi:10.12174/j.issn.2096-9600.2025.11.19]
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温经汤加减治疗女性冲任虚寒型功能性便秘临床疗效观察()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年11期
页码:
112-116
栏目:
临床研究
出版日期:
2025-11-15

文章信息/Info

Title:
Observation on Clinical Effects of Modified Wenjing Decoction in Treating Female Functional Constipation of Conception and Governor Meridians Deficiency and Cold Pattern
作者:
臧亮, 霍黎生, 唐彪, 韩珊珊
陕西省中医医院，陕西 西安 710003
Author(s):
ZANG Liang, HUO Lisheng, TANG Biao, HAN Shanshan
Shaanxi Provincial TCM Hospital, Xi’an 710003, China
关键词:
便秘; 功能性; 温经汤; 冲任虚寒型; 临床疗效; 女性
Keywords:
constipation;  functional; decoction; deficiency and cold of conception and governor meridians; clinical effects; female
分类号:
R256.35
DOI:
10.12174/j.issn.2096-9600.2025.11.19
文献标志码:
B
摘要:
目的观察温经汤加减治疗女性冲任虚寒型功能性便秘的临床疗效以及对中医证候评分、Bristol粪便性状量表评分、Wexner便秘评分的影响。 方法将72例女性冲任虚寒型功能性便秘患者，按照随机数字表法分为对照组和观察组，每组36例。对照组给予复方聚乙二醇电解质散（Ⅳ）口服（A剂、B剂各1包，用125 mL温水溶解，每次125 mL，每日2次）；观察组给予温经汤加减口服（每日1剂，水煎400 mL，分早晚温服，每次200 mL）。两组均连续治疗4周，分别于治疗前、治疗2周、治疗4周及停药1月后，比较两组患者中医证候评分、Bristol粪便性状量表评分及Wexner便秘评分，并评估临床疗效。 结果治疗4周时两组愈显率比较，差异无统计学意义（P＞0.05）。停药1个月后两组愈显率比较，差异有统计学意义（P＜0.01）。治疗2周、4周、停药1月后，观察组中医证候评分、Wexner评分较对照组降低，差异有统计学意义（P＜0.01）。治疗2周、治疗4周及停药1月后，观察组Bristol粪便性状量表评分均高于对照组，差异有统计学意义（P＜0.01）。 结论温经汤加减治疗女性冲任虚寒型功能性便秘疗效确切，可有效改善患者便秘症状、中医证候及大便质地改善，且停药后复发率低、副作用少、远期疗效稳定。
Abstract:
ObjectiveTo observe clinical effects of modified Wenjing decoction in treating female functional constipation (FC) of conception and governor meridians deficiency and cold pattern, and its influences on TCM syndrome scores, the Bristol stool form scale and Wexner continence grading scales. MethodsAll 72 female FC patients of conception and governor meridians deficiency and cold pattern were allocated to the control group and the observation group according to random number table method with 36 cases in each. The control group orally took polyethylene glycol electrolytes powder (PGEP Ⅳ) (A and B each pack, dissolved in warm water, 125 mL, each time, twice each day); oral administration of modified Wenjing decoction was given to the observation group (one dose each day, decocting the herbs in water until the liquid is reduced to 400 mL, to be taken warm in the morning and evening, 200 mL each time). Both groups were treated for four consecutive weeks, To compare TCM syndrome scores, the Bristol stool form scale and Wexner continence grading scales respectively before the treatment, after two and four weeks of the treatment, one month after drug withdrawal, and to evaluate clinical effects. ResultsThe difference had no statistical meaning in the improvement rate between the two groups after four weeks of the treatment (P>0.05). The difference was statistically significant in the improvement rate between the two groups one month after drug withdrawal (P<0.01). TCM syndrome scores and Wexner continence grading scales were lower in the observation group than these in the control group after two and four weeks of the treatment, one month after drug withdrawal, and the difference showed statistical meaning (P<0.01). The Bristol stool form scale of the observation group was higher than that of the control group after two and four weeks of the treatment, one month after drug withdrawal, and a significant difference existed (P<0.01). ConclusionModified Wenjing decoction demonstrates definite clinical effects in the treatment of female FC of conception and governor meridians deficiency and cold pattern, it could effectively improve the constipation symptoms, TCM syndromes and stool consistency, presenting a low recurrence rate, minor side effects and definite long-term efficacy.

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备注/Memo

备注/Memo:
西安市科技计划项目［2016054SF/YX10（1）］。臧亮（1982—），女，硕士学位，主治医师。研究方向：肛肠疾病的临床诊治。
更新日期/Last Update: 2025-11-15