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Journal of Chinese Integrative Medicine ›› 2009, Vol. 7 ›› Issue (9): 819-822.doi: 10.3736/jcim20090904

• Original Clinical Research • Previous Articles     Next Articles

Tiaohe Ganpi Hexin Decoction in treatment of irritable bowel syndrome with diarrhea: A randomized controlled trial

 Zhan-fan Lianga,Ri-hui Chenb,Yun-sheng Xua,Qing-xiang Chenc,Mei-ling Donga   

  1. a School of Traditional Chinese Medicine, Medical College,Jinan University, Guangzhou 510632, Guangdong Province, China
    b Department of Traditional Chinese Medicine,Guangzhou Red Cross Hospital, Jinan University, Guangzhou 510220, Guangdong Province, China
    c Department of Internal Medicine, the First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou 510405,Guangdong Province,China
  • Received:2009-05-04 Accepted:2009-07-20 Online:2009-09-20 Published:2009-09-15
  • Contact: Yun-sheng Xu E-mail:xystcm@163.com

Background

The quality of life has been greatly influenced and the cost of medical expenses is very high in patients with irritable bowel syndrome (IBS). The etiology and pathogenesis of IBS are still unclear, and the prevention and treatment of this disease still lack of effective methods.
Objective

To explore and analyze the effects of Tiaohe Ganpi Hexin Decoction (TGHD), a compound traditional Chinese herbal medicine for regulating the liver and spleen, on IBS patients with diarrhea.Design, setting, participants and interventions: All 40 IBS patients came from the First Hospital of Jinan University, Guangzhou Red Cross Hospital, and the First Affiliated Hospital of Guangzhou University of Chinese Medicine, and were randomly divided into two groups. Patients in the treatment group (n=20) were given TGHD, while those in the control group (n=20) were prescribed oral pinaverium with a four-week treatment period.Main outcome measures: Traditional Chinese medicine (TCM) syndrome score, total obviously effective rate, disappearance rate of symptoms, and clinical symptom score in the two groups were evaluated before and after four-week treatment.
Results

After the treatment, TCM syndrome scores in both groups were decreased (P<0.01), and the TCM syndrome score in the treatment group was significantly lower than that in the control group (P<0.01). There was a significant difference in the total obviously effective rate between the two groups (P<0.01), and the total obviously effective rates in the treatment and control groups were 85%(17/20) and 45%(9/20) respectively. The disappearance rates of abdominal pain, abdominal distention, poor stool output, stool frequency, stool character and mucous stool in the treatment group were higher than those in the control group (P<0.05). The symptom scores of abdominal pain, abdominal distention, poor stool output, stool frequency, stool character and mucous stool in the treatment group were lower than those in the control group (P<0.05).
Conclusion

TGHD can significantly improve the clinical symptoms in IBS patients with diarrhea.

Key words: Irritable bowel syndrome, Diarrhea, Tiaohe Ganpi Hexin Decoction, Randomized controlled trial

Figure 1

Flow diagram of this randomized trial"

Table 1

Traditional Chinese medical symptom score before and after treatment in two groups ($\bar{x}$±s)"

Symptom Control group (n=20) Treatment group (n=20)
Before treatment After treatment Before treatment After treatment
Abdominal pain 2.00±0.86 0.90±0.52* 1.95±0.83 0.55±0.25*
Abdominal distention 1.75±1.07 0.95±0.43* 1.90±0.97 0.52±0.20*
Poor stool output 1.91±1.15 0.88±0.31* 1.80±1.23 0.38±0.21*
Stool frequency 1.80±0.77 1.03±0.67* 2.25±0.79 0.75±0.55*
Stool character 1.98±0.98 1.08±0.59* 1.78±1.02 0.73±0.36*
Mucous stool 1.76±0.67 1.13±0.86* 1.65±0.83 0.65±0.49*
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