目的：观察温中散外敷与特定电磁波谱（TDP）热疗,并配合参苓白术散口服治疗脾胃虚弱腹泻型肠易激综合征（I BS-D）的临床疗效。方法：将脾胃虚弱型IBS-D患者90例采用随机数字表法随机分为观察组和对照组各45例。对照组在常规治疗基础上煎服参苓白术散加味,2次/d,2周为1个疗程;观察组在对照组的基础上加用温中散外敷并联合TDP治疗,1次/d,2周为1个疗程。比较2组临床疗效及复发率。结果：总有效率观察组为95.6%,对照组为77.8%,2组比较差异有统计学意义（P〈0. 05）;半年后随访复发率观察组为13.6%,对照组为50.0%,对照组复发率高于治疗组（P〈0. 05）。结论：中药外敷热疗法配合参苓白术散内服治疗脾胃虚弱腹泻型IBS-D疗效优于常规联合参苓白术散治疗。
Objective： To observe clinical effects of WenZhong powder for external application and specificelectromagnetic spectrum （TDP）, joined with ShenLing BaiZhu powder for oral administration in treating diarrheatype irritable bowel syndrome （IBS-D） of spleen-stomach weakness pattern. Methods： Ninety patients were allocatedto the observation group and the control group according to random number table method. The control group tookShenLing BaiZhu powder orally, twice each day, two weeks were one course; the observation group were treated byWenZhong powder for external application and TDP, once each day, two weeks were one course. Clinical effects andthe recurrence rate of both groups were compared. Results： Total effective rate of the observation group was 95.6%,higher than 77.8% of the control group, and the difference showed statistical meaning（P〈0.05）; the recurrence rateof the observation group in the follow-up half of the year was 13.6%, lower than 50.0% of the control group（P〈0.05）. Conclusion： Heat therapy of herbs for external application combined with ShenLing BaiZhu powder fororal use could obtain notable effects in the treatment for IBS-D of spleen-stomach weakness pattern.
Western Journal of Traditional Chinese Medicine
irritable bowel syndrome
spleen-stomach weakness pattern
ShenLing BaiZhu powder