title: A clinical observation of irritable bowel syndrome treated by traditional Chinese spinal orthopedic manipulation.
abstract: OBJECTIVE
  To evaluate the clinical effect of Traditional Chinese Spinal Orthopedic Manipulation (TCSOM) in treating Irritable Bowel Syndrome (IBS) in comparison with Pinaverium Bromide Dicetel (PBD), and to assess a possible cause for IBS.
  
  
  METHODS
  60 cases of IBS patients were randomly divided into two groups: TCSOM and PBD. All patients in the TCSOM group were treated with a 5-time spinal manipulations. The symptoms of pre-treatment and post-treatment were evaluated based on bowel symptom scale (BSS) scores. A symptom improvement rating (SIR) and patient subjective assessment (PSA) were implemented in order to evaluate the effects of the treatments, and to statistically compare the two groups.
  
  
  RESULTS
  The symptoms of 23 patients of the TCSOM group disappeared soon after spinal manipulation and 6 cases were significantly improved. The BSS scores in the TCSOM group were significantly lower than those in the PBD group post-treatment. According to the SIR which was based on the BSS, the TCSOM research group included 14 cases with excellent results, 13 cases with good, and 3 cases with poor. Adverse side effects to the treatment were not reported. Based on the BSS, the PBD research group reported 7 cases with excellent results, 8 cases with good and 15 cases with poor. All cases were statistically analyzed, revealing a significant difference (P<0.001) between the two groups.
  
  
  CONCLUSIONS
  The displacement of inter-vertebral disks and/or vertebra in the thoracic or lumbar region seems to be a contributing factor in the symptoms of irritable bowel syndrome. Thumb pressing manipulation on jiaji points in the thoracic and/or lumbar region can correct the displacement of inter-vertebral disks and/or vertebra, resolving the stimuli caused by pressure exerted on the nerves and vessels around the spine. So it is an effective treatment for IBS.
authors.affiliation: Department of Acupuncture and Moxibustion, Zhongda Hospital, Southeast University, Nanjing, China.
authors.forename: Liyang
authors.initials: L
authors.lastname: Xing
authors.forename: Liuxin
authors.initials: L
authors.lastname: Qu
authors.forename: Hong
authors.initials: H
authors.lastname: Chen
authors.forename: Song
authors.initials: S
authors.lastname: Gao
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D043183:Irritable Bowel Syndrome / Q000188:drug therapy / Q000628:therapy*; D008297:Male; D008349:Manipulation, Orthopedic / Q000379:methods*; D008516:Medicine, Chinese Traditional / Q000379:methods*; D008875:Middle Aged; D009025:Morpholines / Q000627:therapeutic use; D055815:Young Adult
chemical_list: D009025:Morpholines; C013199:pinaverium
keywords: Bowel Symptom Scale (BSS); Intervertebral disk displacement; Irritable Bowel Syndrome (IBS); Jiaji points; Orthopedic; Spinal manipulation