程氏脐腹针治疗阳虚型慢性功能性便秘的临床研究
Clinical Study on Cheng’s Abdominal Acupuncture in Treating Yang-Deficiency Type Chronic Functional Constipation

目的：探究程氏脐腹针治疗阳虚型慢性功能性便秘(CFC)患者的临床疗效，并与常规针刺疗法进行比较。方法：将66例阳虚型CFC患者随机分成治疗组与对照组，每组各33例。治疗组给予程氏脐腹针特殊针法结合灸法治疗，对照组给予常规针刺疗法治疗，每日治疗1次，连续治疗6日后间隔1日，每周治疗6次，1周为1个疗程，共治疗4个疗程。观察两组治疗前后Bristol大便性状量表评分、慢性便秘严重度评分、便秘患者生活质量量表评分、中医证候积分表评分变化。结果：两组患者经治疗后治疗前后Bristol大便性状量表评分、慢性便秘严重度评分、便秘患者生活质量量表评分、中医证候积分表评分明显低于治疗前(P < 0.05)，且治疗组经治疗后评分明显低于对照组(P < 0.05)，治疗组治疗总有效率高于对照组(P < 0.05)。结论：程氏脐腹针治疗阳虚型慢性功能性便秘疗效优于常规针刺疗法，可以改善患者便秘症状，提高患者生活质量。
Objective: To explore the clinical efficacy of abdominal acupuncture (Cheng’s method) in treating patients with yang-deficiency type chronic functional constipation (CFC) and compare it with conventional acupuncture therapy. Methods: A total of 66 patients with yang-deficiency type CFC were randomly divided into a treatment group and a control group, with 33 cases in each group. The treatment group received Cheng’s abdominal acupuncture combined with moxibustion, while the control group received conventional acupuncture therapy. Treatments were administered once daily for six consecutive days, followed by a one-day break. Each week consisted of six treatments, forming one treatment course, and patients underwent four treatment courses in total. Changes in the Bristol Stool Form Scale (BSFS) scores, Chronic Constipation Severity Score (CCSS), Patient Assessment of Constipation Quality of Life (PAC-QOL) scores, and Traditional Chinese Medicine (TCM) symptom scores were observed before and after treatment in both groups. Results: After treatment, BSFS, CCSS, PAC-QOL, and TCM symptom scores in both groups significantly decreased compared to pre-treatment levels (P < 0.05). Moreover, the post-treatment scores in the treatment group were significantly lower than those in the control group (P < 0.05). The total effective rate of the treatment group was higher than that of the control group (P < 0.05). Conclusion: Abdominal acupuncture (Cheng’s method) is more effective than conventional acupuncture therapy in treating Yang-deficiency type chronic functional constipation. It can alleviate constipation symptoms and improve patients’ quality of life.