The Massage Department, the Pyongyang Medical College,
People, with chronic functional constipation, often feels uncomfortable in life and it also companies with severe complications. Thus the treatment has been studied for ages but there is no way to its complete treatment.
Chronic functional constipation is a long-term constipation without any organic change in colon.
Chronic functional constipation is due to aging and it is common among the people over 65.
The main treatment is one with drugs, coloclysis, or non-drug treatment such as acupuncture and moxibution,
However, drug-treatment, including various laxatives, has some disadvantages: graduall increase in dosis, dependence on drugs, side-effects, and vicious circlation that cause worse symptoms due to organic changes in large intestine with long-term usage of drugs.
Otherwise, non-drug treatment, such as acupuncture and moxibution, makes people feel painful, scarred, even fear so that they don't like it.
Our method is quite different from the previous ones.
It stimulates colon by direct physical force so as to enhance the circulation of colons and peristalsis and it can improve the nerve's excitability.
The doctor controls intensity of stimulation according to a mental state of patient, severity of disease, so that the patients have just the same effect as the stimulation of acupuncture and moxibution.
Thus, people never feel afraid of it and start to take this kind of treatment easily.
First, we established the indicative areas for massage in a scientific way.
It is based on modern cutivisceral reflex and segmental distribution of autonomic nerve.
The main parts of treatment are abdomen passing by a tour of large intestine, and lumbosacral area.
The effective acupoints have been established based on Koryo-medical zang fu, meridian, and qi-blood-body fluid demonstration.
We also confirmed the effective methods (shaking and rubbing with one finger, stroking, vibrating, pressing and rubbing, pushing with fingers or palm), time of treatment (shaking and rubbing with one finger on every acupoint for 30sec, abdomen-stroking towards clockwise rotation; ST25(Tianshu) and SP15(Dafeng) on left side for 15min intensively, pressing and rubbing , vibrating on CV12(Zhongwan), ST25(Tianshu), SP15(Dafeng) for 2min.
The next step is to do on the patient's back: return pushing from BL18(Ganshu) to BL34(Xialiao) for 5min, rapid return pushing from BL31(Shangliao) to BL34(Xialiao) as many times as developing fever, and period(once a day, 15 days for a period, 3-day rest between periods.)
From 2009 up to now, 69 patients were treated and 83% had good results: 42(61%) were completely treated. It has stopped the vicious circulation and reduced the recidivation by far.
We will continue our study on chronic functional constipation in order to contribute to the promotion of our people's life and their health.
