Keywords
Acupuncture
Blood glucose
Submitted : 2023-05-22
Accepted : 2023-06-06
Published : 2023-06-21
Abstract
Chronic diseases like diabetes, hypertension, and coronary heart disease are increasingly prevalent in Chinese ageing population due to its accelerated ageing process, which has been a serious threat to people's health. The prevention and treatment of these diseases have received increasing attention from the medical sector. Diabetes is a metabolic disease characterized by polydipsia, polyuria and emaciation, in which the incidence of type 2 diabetes is much higher compared to type 1 diabetes. Diabetes has a variety of complications that can occur after the progression of the disease. Diabetic constipation is one of the most common and harmful complications of diabetes, which can negatively impact the health of patients. Western medicine is limited when treating these diseases, and there are obvious side effects associated with some drugs. The tolerance of the middle-aged and elderly is poor. Therefore, more and more experts and scholars have advocated the introduction of Chinese medicine into the treatment of diabetic constipation, of which acupuncture is widely used and its efficacy is well recognized by doctors and patients. This study collated and analyzed the relevant literature reports and studies in the past three years. It was confirmed that the use of acupuncture for diabetic constipation can remarkably improve clinical symptoms, its efficacy and safety are good, and this treatment protocol has positive clinical application value.
References
Sangnes DA, Lundervold K, Bekkelund M, et al., 2021, Gastrointestinal Transit and Contractility in Diabetic Constipation: A Wireless Motility Capsule Study on Diabetes Patients and Healthy Controls. United European Gastroenterology Journal, 9(10): 1168–1177. https://doi.org/10.1002/ueg2.12169
Sang M, Wu T, Sun Z, 2021, Pathogenesis and Clinical Management of Diabetes-related Gastrointestinal Symptoms. Chinese Journal of Diabetes Mellitus, 13(5): 513–516. https://doi.org/10.3760/cma.j.cn115791-20200730-00471
Deng X, Chen S, Chen L, et al., 2019, Based on the Theory of Huangdi Neijing, A Preliminary Study on The Treatment of Type 2 Diabetes by Filling and Cultivating Five Organs. Journal of basic Chinese Medicine, 25(5): 683–684.
Cao H, 2011, Evidence-Based Clinical Practice Guidelines for Chinese Medicine, China Press of Traditional Chinese Medicine, Beijing.
Gao Y, Huan P, Cui L, et al., 2019, Treatment Mechanism of Diabetic Constipation from Spleen Deficiency Base on Intestinal Micro-Ecology. Information of Traditional Chinese Medicine, 36(6): 25–27. https://doi.org/10.19656/j.cnki.1002-2406.190167
Wei J, Bai L, Wei F, 2019, Discussion on “Xiaoke” Disease and Diabetes Mellitus. World Science and Technology/Modernization of Traditional Chinese Medicine and Materia Medica, 21(1): 54–58. https://doi.org/10.11842/wst.2019.01.010
Cao W, Xiang P, Sun H, et al., 2021, Effect of Yangyin Hewei Fang on Gastrointestinal Motility in Patients with Diabetic Constipation. Journal of Changchun University of Chinese Medicine, 37(1): 80–83. https://doi.org/10.13463/j.cnki.cczyy.2021.01.022
Zhang L, Zhi J, Chen X, 2021, Clinical Effect of Huangzhi Capsule in Treatment of Diabetic Constipation with Intestinal Dryness, Yin Insufficiency, and Stasis: An Analysis of 30 Cases. Journal of Anhui University of Chinese Medicine, 40(3): 21–25. https://doi.org/10.3969/j.issn.2095-7246.2021.03.007
Li S, Du S, 2019, Clinical Study on Diabetic Constipation Treated with Ganju Erdong Decoction. Journal of Guangzhou University of Traditional Chinese Medicine, 36(8): 1133–1136. https://doi.org/10.13359/j.cnki.gzxbtcm.2019.08.003
Wang Y, Mao X, 2018, Yinchen Zhizi Dahuang Decoction in the Treatment of Diabetic Constipation: Clinical Effect. Chinese Journal of Coloproctology, 38(5): 42–43. https://doi.org/10.3969/j.issn.1000-1174.2018.05.016
Liu J, Huang Y, Hu P, et al., 2021, Efficacy of Auricular Pressure Beans in The Treatment of Elderly Patients with Diabetes Mellitus with Constipation. Journal of Frontiers Medicine, 11(14): 168–169.
Zhao D, Zhao J, 2018, Comparison of Chang Run Tong and Forlaxin Treatment of Constipation in Elderly Diabetic Patients. The Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy, 24(5): 472–480. https://doi.org/10.1089/acm.2018.0052
Qiu T, Xiong Y, Wu H, 2020, Factors Contributing to Constipation in Elderly Patients with Type 2 Diabetes and The Impact of Hip-lifting Intervention. Chinese Journal of Gerontology, 40(23): 4940–4944. https://doi.org/10.3969/j.issn.1005-9202.2020.23.005
Liu Y, Chen G, Zhu Y, et al., 2018, Progress in The Study of Chinese Medicine Treatment of Diabetic Constipation. Lishizhen Medicine and Materia Medica Research, 29(3): 683–685. https://doi.org/10.3969/j.issn.1008-0805.2018.03.059
Dou Y, Wang X, Xu Q, et al., 2018, Anorectal Kinetic Characteristics and Influencing Factors in Elderly Patients with Diabetic Constipation. Chinese Journal of Gerontology, 38(21): 5169–5171. https://doi.org/10.3969/j.issn.1005-9202.2018.21.020
Liang H, Li R, Yao J, et al., 2021, Mechanism of Shouhui Tongbian Capsules in Treating Constipation Based on Network Pharmacology and Molecular Docking. China Journal of Chinese Materia Medica, 46(3): 511–519. https://doi.org/10.19540/j.cnki.cjcmm.20201117.406
Zhang L, Zhi J, Chen X, 2021, Clinical Effect of Huangzhi Capsule in Treatment of Diabetic Constipation with Intestinal Dryness, Yin Insufficiency, and Stasis: An Analysis of 30 Cases. Journal of Anhui University of Chinese Medicine, 40(3): 21–25. https://doi.org/10.3969/j.issn.2095-7246.2021.03.007
Yan B, Liu X, Yang M, et al., 2018, Randomized Controlled Study on The Effect of Single Acupoint and He-mu Acupoints on Diabetic Constipation. Liaoning Journal of Traditional Chinese Medicine, 45(9): 1944–1946. https://doi.org/10.13192/j.issn.1000-1719.2018.09.048
Zhu T, 2020, Effects of Acupuncture Method of Mountain-Burning Warming on Zusanli combined with Anal Lifting Exercises on the Digestive and Endocrine System in Elderly Patients with Diabetic Constipation. Nursing Practice and Research, 17(1): 149–150. https://doi.org/10.3969/j.issn.1672-9676.2020.01.060
Wang F, Yu X, 2018, A Case of Diabetic Constipation Treated by Dr. Yu Xiulan. Asia-Pacific Traditional Medicine, 14(11): 126–127. https://doi.org/10.11954/ytctyy.201811045
Zhao P, Liu Z, Lu G, et al., 2020, Observation of the Bidirectional Regulatory Effect of Electroacupuncture on Functional Bowel Disease Based on Back-Shu and Front-Mu Acupoint Grouping Theory. Shanghai Journal of Acupuncture and Moxibustion, 39(9): 1099–1103. https://doi.org/10.13460/j.issn.1005-0957.2020.09.1099
Wu Y, 2018, Transcutaneous Acupoint Electrical Stimulation for Diabetes-related Constipation. Chinese General Practice, 21(22): 2741–2745. https://doi.org/10.3969/j.issn.1007-9572.2018.00.253
Xing L, Huang S, Lin H, et al., 2021, Clinical Observation of Gui-tao Maziren Pills in Treating Constipation of Type 2 Diabetes in Elderly. Clinical Journal of Chinese Medicine, 13(18): 65–67 + 75. https://doi.org/10.3969/j.issn.1674-7860.2021.18.024
Su Z, Zhou Y, 2019, A Study of Targeted Nursing Interventions in Elderly Patients with Diabetic Hypotonic Constipation. Electronic Journal of Clinical Medical Literature, 6(55): 86–87. https://doi.org/10.16281/j.cnki.jocml.2019.55.067
Li T, Miao Y, Wang Y, et al, 2018, Treatment of Senile Diabetic Constipation with Modified Sini Powder. Yunnan Journal of Traditional Chinese Medicine and Materia Medica, 39(4): 104–105. https://doi.org/10.3969/j.issn.1007-2349.2018.04.045
Cui S, 2020, Clinical Observation on The Treatment of Constipation Caused by Type 2 Diabetic Gastroparesis with Shouhuo Laxative Capsules Combined with Mosapride Citrate Tablets. China's Naturopathy, 28(17): 79–81. https://doi.org/10.19621/j.cnki.11-3555/r.2020.1738
Guo C, 2018, Effectiveness of Specific Care in Elderly Diabetic Patients with Hypotonic Constipation. Nursing Practice and Research, 15(20): 29¬–31. https://doi.org/10.3969/j.issn.1672-9676.2018.20.010
Li R, Li B, Huang Y, et al., 2020, Effect of Thunder Fire Moxibustion Combined with Glauber's Salt Navel Application in the Treatment of constipation in patients with diabetes mellitus. Journal of Qilu Nursing, 26(3): 101–104. https://doi.org/10.3969/j.issn.1006-7256.2020.03.033
Gao Y, Zhang Y, Wu H, et al., 2020, 41 Cases of Diabetic Constipation Treated with Zengye Decoction and Gourd Moxibustion. Jiangxi Journal of Traditional Chinese Medicine, 51(7): 60–62.
Yuan Min, 2019, Effect of Prospective Comprehensive Nursing on Constipation in Patients with Acute Myocardial Infarction Complicated with Diabetes. Diabetes New World, 22(8): 1–2 + 5. https://doi.org/10.16658/j.cnki.1672-4062.2019.08.001
Fu L, Hu Z, Huang S, 2018, Therapeutic Observation of Syndrome Differentiation-based Acupoint Sticking Therapy for Constipation in Diabetes. Shanghai Journal of Acupuncture and Moxibustion, 37(4): 373–377. https://doi.org/10.13460/j.issn.1005-0957.2018.04.0373
Gao Y, Lu C, Liu F, 2018, Clinical Observation of Acupressure Combined with Mosapride Citrate Tablets in The Treatment of Constipation in Type 2 Diabetes Mellitus with Mild Gastric Paralysis. Hebei Journal of Traditional Chinese Medicine, 40(3): 367–370. https://doi.org/10.3969/j.issn.1002-2619.2018.03.010
Li J, 2019, The Efficacy of Herbal Acupressure with Chinese Medicine Sealing Package to Prevent Constipation in Diabetic Foot Patients Based on The Midnight-Noon Ebb-flow Point Selection Theory. World Latest Medicine Information, 19(26): 288 + 292. https://doi.org/10.19613/j.cnki.1671-3141.2019.26.180
Chen J, Zeng Q, Peng X, 2019, Effectiveness of Acupressure with Acupuncture Points in The Treatment of Diabetic Patients with Constipation. Chinese General Practice Nursing, 17(13): 1577–1579. https://doi.org/10.12104/j.issn.1674-4748.2019.13.016
Chen X, 2018, A Study on The Application of Acupressure on Shen Que Point in Diabetic Patients with Constipation. Diabetes New World, 21(17): 45–46. https://doi.org/10.16658/j.cnki.1672-4062.2018.17.045
Zheng S, Zou X, 2021, Effect of Hot Compress with Fructus Evodiae Combined with Nursing of Auricular Acupoint Pressing with Beans on Abdominal Distension and Gastrointestinal Function of Patients with Diabetes Mellites Complicated with Constipation. New Chinese Medicine, 53(16): 182–185. https://doi.org/10.13457/j.cnki.jncm.2021.16.047
Zeng K, 2019, A Community Intervention Model in Patients with Diabetic. Constipation. Chinese General Practice Nursing, 17(19): 2411–2413. https://doi.org/10.12104/j.issn.1674-4748.2019.19.044
Shao C, Jin C, Wang S, 2020, Observation on Clinical Effect of Auricular Point Sticking Therapy Combined with Lifestyle Intervention for Diabetic Patients with Constipation. Journal of Clinical Nursing in Practice, 6(10): 136–138. https://doi.org/10.11997/nitcwm.202010029
Yin J, 2019, Efficacy of Auricular Acupressure with Acupressure in The Treatment of Diabetic Constipation. Xinjiang Journal of Traditional Chinese Medicine, 37(6): 44–45.
Liu L, Zhang Y, Yang D, et al., 2020, Study on Mechanism of Auricular Acupoint Stimulation to Prevent and Treat Functional Gastrointestinal Disorders. Clinical Journal of Chinese Medicine, 12(27): 20–24. https://doi.org/10.3969/j.issn.1674-7860.2020.27.010
Wang L, Sun B, Bao J, et al., 2021, Clinical Observation on Auricular Point Sticking-Pressure Combined Shenque Point (CV8) Application in Treating Constipation in Elderly Patients with Type 2 Diabetic Nephropathy. Journal of Guangzhou University of Traditional Chinese Medicine, 38(1): 85–90. https://doi.org/10.13359/j.cnki.gzxbtcm.2021.01.017
Zhou Z, 2018, Treatment of Diabetic Colonic Transmission Disorder Constipation with Xiaopi Yichang Decoction. Journal of Practical Traditional Chinese Medicine, 34(3): 283–284. https://doi.org/10.3969/j.issn.1004-2814.2018.03.010
Yuan S, Chen Y, Chen W, et al., 2019, Clinical Study of Nursing Combined with Acupoint Therapy for Diabetic Constipation. Heilongjiang Medicine Journal, 32(4): 987–988. https://doi.org/10.14035/j.cnki.hljyy.2019.04.113
Fan M, Chang L, Yang X, 2020, Clinical Study of Abdominal Tuina for Senile Patients with Diabetic Constipation. Journal of New Chinese Medicine, 52(16): 141–144. https://doi.org/10.13457/j.cnki.jncm.2020.16.039
Zhu S, 2019, The Intervention Effect of Acupressure with Patching on Diabetic Constipation in the Elderly. Chinese Journal of Basic Medicine in Traditional Chinese Medicine, 25(7): 985–987.
Xu B, 2018, Effect of Personalized Care on Constipation in Patients with Acute Myocardial Infarction Combined with Diabetes Mellitus. Electronic Journal of Practical Clinical Nursing Science, 3(13): 12–13. https://doi.org/10.3969/j.issn.2096-2479.2018.13.011
Li Q, Hui L, Bai F, 2018, Clinical Study on Shenqi Shuyao Decoction Combined with Abdominal Acupoint Massage in the Prevention of Constipation of Patients with Diabetes and Craniocerebral Injury. World Chinese Medicine, 13(7): 1592–1596. https://doi.org/10.3969/j.issn.1673-7202.2018.07.008
Chen F, Sun F, Wu Q, et al., 2019, Xiaoke Runchang Decoction Combined with Electromagnetic Wave and Ear Acupuncture in Treatment of Elderly Diabetic Constipation. Acta Chinese Medicine, 34(3): 625–628. https://doi.org/10.16368/j.issn.1674-8999.2019.03.147
Li Y, 2020, Xiaoke Runchang Decoction Combined with Electromagnetic Wave and Ear Acupuncture to Treat Elderly Diabetic Constipation. Guide of China Medicine, 18(16): 180–182.
Wang W, Chen H, 2019, Clinical Observation on the Treatment of Diabetic Constipation with Heat and Yin Deficiency by Zengye Chengqi Decoction Modified. Electronic Journal of Clinical Medical Literature, 6(69): 166.
Li X, Wang R, Zhang Y, 2021, Analysis on Acupoint Selection and Methods Rules for Diabetic Gastroparesis. World Chinese Medicine, 16(24): 3670–3677. https://doi.org/10.3969/j.issn.1673-7202.2021.24.020
Liu K, Jiang J, Lu S, 2021, Effect Characteristics and Mechanism of Acupuncture in Autonomic Nerve Regulation. Acupuncture Research, 46(4): 335–341. https://doi.org/10.13702/j.1000-0607.200665
Zheng Z, Wen C, 2018, Preliminary Study on “Lesions Points” and “Functional Points” in Modern Acupuncture. Journal of Clinical Acupuncture and Moxibustion, 34(3): 74–78. https://doi.org/10.3969/j.issn.1005-0779.2018.03.020
Jin J, Liu J, He Y, 2019, An Investigation of the Effectiveness of Qirong Tongbian Decoction in the Treatment of 83 Patients with Diabetes Mellitus Complicated by Constipation. Contemporary Medical Symposium, 17(7): 204–205.