About TCM treatment of opioid efficacy in 62 cases of constipation.docVIP

 PAGE \* MERGEFORMAT 6 About TCM treatment of opioid efficacy in 62 cases of constipation [Keywords:] diagnosis and treatment, opioid constipation Morphine-based opiates, while the effective control of cancer pain is often difficult to relieve constipation associated with serious cases, can cause intestinal obstruction. Constipation is lifted, determine whether to continue using opioids to control cancer pain, therefore, relieve opioid constipation is very important. since 1999, I applied methods of TCM treatment of opioid constipation in 62 cases, and achieved good results, are reported below. 1 Clinical data This group of patients as inpatient and outpatient hospital patients, according to random number table method, the patients were randomly divided into 2 groups. The treatment group of 62 patients, 37 males and 25 females, aged 78 years maximum, minimum of 37 years, mean 64.7 years, The average amount of morphine to take the equivalent of 95 mg / d (IV morphine and non-morphine opioids were converted into the calculation of oral morphine). the control group 58 cases, 36 males and 22 females, the oldest 80 years old, minimum 34-year-old an average of 63 years, mean taking the equivalent of morphine 92 mg/d.2 set of data comparable. 2 Diagnosis and Differentiation Diagnosis is based on: use of opioids, the defecation interval more than 1 d more than their own habits, or more than 3 d intervals, dry stool, defecation effort, accompanied by a sense of discomfort or pain, or stool not the sense to exclude organic disease factors. TCM opioid constipation based on: long-term observations by the author, opioid constipation mainly seen in the stagnation of qi and yin chun fu empirical loss card. ① empirical fu qi: constipation, abdominal fullness discomfort, there is moss. ② Yin-chun loss card: constipation, dry mouth, body lean, afternoon, hot flashes, no moss. 3 treatment Treatment group: According to TCM, qi stagnation empirical organs