title: [Tiaohe Ganpi Hexin Decoction in treatment of irritable bowel syndrome with diarrhea: a randomized controlled trial].
abstract: 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.
  
  
  METHODS
  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.
  
  
  METHODS
  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).
  
  
  CONCLUSIONS
  TGHD can significantly improve the clinical symptoms in IBS patients with diarrhea.
authors.affiliation: School of Traditional Chinese Medicine, Medical College, Jinan University, Guangzhou 510632, Guangdong Province, China.
authors.forename: Zhan-fan
authors.initials: ZF
authors.lastname: Liang
authors.forename: Ri-hui
authors.initials: RH
authors.lastname: Chen
authors.forename: Yun-sheng
authors.initials: YS
authors.lastname: Xu
authors.forename: Qing-xiang
authors.initials: QX
authors.lastname: Chen
authors.forename: Mei-ling
authors.initials: ML
authors.lastname: Dong
mesh_terms: D000475:Alkenes / Q000627:therapeutic use*; D003967:Diarrhea / Q000188:drug therapy / Q000209:etiology*; D004365:Drugs, Chinese Herbal / Q000627:therapeutic use*; D006801:Humans; D043183:Irritable Bowel Syndrome / Q000150:complications / Q000188:drug therapy*; D011788:Quality of Life
chemical_list: D000475:Alkenes; D004365:Drugs, Chinese Herbal; C001344:hexin