【摘要】 目的观察宣幽汤合增液汤治疗外感引起阴虚型慢性功能性便秘(CFC)的临床疗效,并探讨外感因素对阴虚型CFC的影响。方法将160例阴虚型CFC患者随机分为2组。对照组78例采用增液汤口服治疗;治疗组82例采用宣幽汤合增液汤口服治疗。均治疗2个疗程,比较2组治疗前后主症、出口症状、梗阻症状及全身症状的量化积分变化,并评价临床疗效。结果治疗组总有效率95.1%,对照组71.8%,2组比较差异有统计学意义(P<0.05),治疗组疗效优于对照组;2组治疗后主症、出口症状、梗阻症状及全身症状量化积分与本组治疗前比较差异均有统计学意义(P<0.01);2组治疗后主症和出口症状量化积分组间比较差异有统计学意义(P<0.05)。结论宣幽汤合增液汤治疗外感引起的阴虚型CFC临床疗效显著,尤其对主症及出口症状的改善更为明显。从外感因素出发,采用疏解表邪法在治疗阴虚型CFC中同样起着重要作用。更多还原

【Abstract】 Objective To observe the effect of Xuanyou decoction combined with Zengye decoction on exogenous-caused chronic functional constipation(CFC) with YIN-deficiency type,and effect of exogenous pathogenic factor on CFC.Methods 160 cases of CFC with YIN-deficiency type were randomly divided into two groups.Control group(n=78) received oral Zengye decoction.Treatment group received Xuanyou decoction combined with Zengye decoction.Quantify integral change of the main symptoms,export symptoms,obstructive symptoms,and systemic symptoms were compared before and after treatment in two groups after two courses.Results The total effective rate was 95.1% in treatment group and 71.8% in control group.There was significant difference between two groups(P<0.05).There was significant difference between before and after treatment on quantify integral change of the main symptoms,export symptoms,obstructive symptoms,and systemic symptoms in two groups(P<0.01).There was significant difference between two groups on quantify integral change of the main symptoms,export symptoms,obstructive symptoms,and systemic symptoms after treatment(P<0.05).Conclusion Xuanyou decoction combined with Zengye decoction has definite effect on exogenous-caused chronic functional constipation with YIN-deficiency type,has more significantly improvement in particular the main symptoms and export symptoms.Starting from the exogenous factors defibering exterior eil plays an important role on the treatment of CFC with YIN-deficiency type.更多还原