Objective:To verify the effectiveness of acupuncture for diarrhea-predominant irritable bowel syndrome(IBS-D).Methods:Sixty-five patients with IBS-D were randomized into an acupuncture group(33 cases)and a sham-acupuncture group(32 cases).In the acupuncture group,Tiānshū(天枢ST25),Zhōngwǎn(中脘CV12),Zúsānlǐ(足三里ST36),Shàngjùxū(上巨虚ST37),Gōngsūn(公孙SP4),Fēnglóng(丰隆ST40),Zhāngmén(章门LR13)and Yīnlíngquán(阴陵泉SP9)were selected and stimulated with routine acupuncture tech-nique,once every two days,3 times weekly,for 8 weeks consecutively,24 times in total.In the sham-acupuncture group,the sham-acupoints were selected,0.5 cun or 1 cun superior,inferior,lateral or medial to the corresponding points separately.The blunt-tip needles were used to stimulate only the skin sur-face of each point.The treatment frequency and courses were the same as the acupuncture group.Before treatment,in 4 weeks of treatment,after treatment and in follow-up,the changes in the score of IBS symptom severity scale(IBS-SSS),Bristol stool form scale and defecation satisfaction were observed in the patients of two groups.After treatment,the effectiveness was assessed in the two groups.Results:In 4 weeks of treatment,after treatment and in follow-up,IBS-SSS score,Bristol stool form scale and defecation satisfaction were all lower than those before treatment in either group(all P＜0.01).Bristol stool form scale in the acupuncture group was lower than that in the sham-acupuncture group in 4 weeks of treatment,after treatment and in follow-up,while,IBS-SSS score and defecation satisfaction were lower than the sham-acupuncture group in follow-up(all P＜0.05).Conclusion:Acupuncture can effectively relieve diarrhea and improves defecation satisfaction in the pa-tients with IBS-D.

中国中医科学院广安门医院针灸科,北京100029,中国

[1]申江红;叶永铭;朱可欣;李珊珊-.针刺治疗腹泻型肠易激综合征:临床随机对照试验)[J].世界针灸杂志（英文版）,2022(02):123-130

nsh,ngw,ngj,ngs,ngl,ngm,LR13,ngqu,SP9,cun

针刺治疗,腹泻型肠易激综合征,临床随机对照试验,Objective,To,verify,effectiveness,acupuncture,diarrhea,predominant,irritable,bowel,syndrome,IBS,Methods,Sixty,five,patients,were,randomized,into,cases,sham,In,Ti,天枢,ST25,Zh,中脘,CV12,足三里,ST36,Sh,上巨虚,ST37,公孙,SP4,丰隆,ST40,章门,阴陵泉,selected,stimulated,routine,tech,nique,once,every,two,days,times,weekly,weeks,consecutively,total,acupoints,superior,inferior,lateral,medial,corresponding,separately,blunt,tip,needles,used,only,skin,sur,face,each,treatment,frequency,courses,same,Before,after,follow,changes,score,symptom,severity,scale,SSS,Bristol,stool,form,defecation,satisfaction,observed,groups,After,was,assessed,Results,all,lower,than,those,before,either,that,while,Conclusion,Acupuncture,can,effectively,relieve,improves

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