We acknowledge the financial support from the National Training Program for Clinical Excellence in Chinese Medicine (National Chinese Medicine Human Education Letter [2022] No. 1), &#34;100 Talent Plan&#34; Project of the Hospital of Chengdu University of Traditional Chinese Medicine (Hospital office [2021] 42) and Sichuan Provincial Administration of Traditional Chinese Medicine Scientific and Technological Research Program (2021MS093, 2021MS539, 2023MS608).

The clinical study protocol was reviewed and approved by the Clinical Research Approval Committee of the Department of Respiratory Medicine, Hospital of Chengdu University of Traditional Chinese Medicine (Record No. KY2022014).
1. Preparations before operation
<ol>
	<li>Items preparation:
	<ol>
		<li>Prepare items such as Rheum officinale Baill, normal saline, Iodine volts swab, medical tape, medical gauze, medical bending plate, hand disinfectant, and medical rubbe...

The elderly population is at high risk of COPD. Older people experience varying degrees of gastrointestinal decline, while hypoxia and reduced activities in COPD patients increase the risk of constipation. In addition, COPD patients are prone to negative psychological emotions such as nervousness, anxiety, depression, depression, and restlessness, which can cause increased pelvic floor muscle tone, resulting in paradoxical movements between rectal and canals during defecation and inhibition of intestinal peristalsis<sup ...

Chronic respiratory diseases are the third leading cause of death in the world, and COPD is the leading cause of death from chronic respiratory diseases, placing a heavy burden on both individuals and society1. China has the largest number of patients with COPD in the world: about 99 million, with a prevalence rate of 8.6%2. Constipation is a common complication in COPD patients and is associated with high levels of polypharmacy3. There is evidence that more than 39% of COPD patients experience constipation, and constipation was positively correlated with the severity of dyspnea, timing of exacerbations, and complications of COPD4.&#160;It is highly suspected that constipation is associated with acute exacerbations of chronic obstructive pulmonary disease (AECOPD). AECOPD accelerates the disease progression in COPD patients and is the leading cause of death in COPD patients5. Therefore, it is time to pay attention to the treatment of constipation in patients with COPD.
The majority of patients manage their constipation by themselves, mainly using dietary adjustments and laxatives. Studies have shown that osmotic laxatives are often the drug of choice for people with constipation6. However, the use of medications is sometimes not effective in improving constipation symptoms. It is associated with adverse reactions or poor tolerance. Up to 50% of patients with constipation are not fully satisfied with the results of their current treatments7,8. Therefore, it is necessary to find alternative therapies with good efficacy and high security. In the treatment of chronic constipation, acupoint stimulation therapy is beginning to show some advantages9. With the guidance of the concept of holism, syndrome differentiation, and treatment, as well as meridian acupoint theory in TCM, both acupoint application and acupoint massage are used to treat diseases by stimulating specific acupuncture points on the body surface10,11. Acupoint application can make the drug directly absorbed by the local skin. It achieves the effect of channeling meridians and harmonizing qi and blood by stimulating the acupuncture points, thereby improving the symptoms of constipation10. Acupoint massage stimulates the sacral nerve, regulating defecation by increasing the interstitial cell number and controlling rhythmic contractions or peristalsis through activating bowel movements12. Numerous pharmacological and clinical studies have confirmed the clear efficacy of herbs such as Rheum officinale Baill in the treatment of constipation13,14. A demonstration of acupoint application combined with acupoint massage for treating constipation in a patient with chronic obstructive pulmonary disease is presented in this article.

<table border="1" fo:keep-together.within-page="1" fo:keep-with-next.within-page="always">
	<tbody>
		<tr>
			<td>Chinese herbal decoction piece rhubarb</td>
			<td>Sichuan Guoqiang Chinese Medicine Decoction Pieces Co., Ltd</td>
			<td>21120104</td>
			<td></td>
		</tr>
		<tr>
			<td>Gauze swab</td>
			<td>Shandong Angyang Medical Technology Co., Ltd</td>
			<td>2022060201</td>
			<td></td>
		</tr>
		<tr>
			<td>Hand disinfectant</td>
			<td>Gamma Disinfection Products (Foshan) Co., Ltd. Sichuan Branch</td>
			<td>CNSQV3180322A</td>
			<td></td>
		</tr>
		<tr>
			<td>Iodine volts swab</td>
			<td>Zhejiang Baigar Health Technology Co., Ltd</td>
			<td>20220301</td>
			<td></td>
		</tr>
		<tr>
			<td>Medical adhesive tape</td>
			<td>Minnesota Mining Manufacturing Medical Equipment (Shanghai) Co., Ltd</td>
			<td>2105NF8</td>
			<td></td>
		</tr>
		<tr>
			<td>Medical bending plate</td>
			<td>Shanghai Medical Instrument (Group) Co., Ltd. Surgical Instrument Factory</td>
			<td>181001</td>
			<td></td>
		</tr>
		<tr>
			<td>Medical rubber glove</td>
			<td>Shanghai Kebang Medical Latex Equipment Co., Ltd</td>
			<td>2112019S</td>
			<td></td>
		</tr>
		<tr>
			<td>Normal saline</td>
			<td>Sichuan Kelun Pharmaceutical Co., Ltd</td>
			<td>N22061906</td>
			<td></td>
		</tr>
	</tbody>
</table>

acupoint application combined with acupoint massage for treating constipation in a patient with chronic obstructive pulmonary disease

Chronic obstructive pulmonary disease (COPD) is a common and frequent disease in elderly patients, with a tendency for progressive exacerbation. Constipation that reduces the quality of life and triggers the risk of diseases is a common concomitant symptom in patients with COPD. Currently, western medical treatment does not achieve the desired results for patients. A high recurrence rate accompanies it, whereas traditional Chinese medicine (TCM) has a long history and rich experience in treating chronic diseases. Both acupoint application and acupoint massage are characteristic therapies of TCM, with minor side effects, high safety, simple operation, and outstanding advantages. They are effective in treating constipation for patients with COPD and are considered an ideal alternative therapy for patients with chronic constipation. The purpose of this article is to introduce the method of acupoint application combined with acupoint massage for the treatment of constipation in patients with COPD, including the selection of points, items, treatment time, and operation procedure.

Patients with COPD are diagnosed and treated according to &#34;The Global Initiative for Chronic Obstructive Lung Disease&#34;, published in 202316. The diagnostic criteria for constipation referred to the &#34;Clinical Practice Guideline on the Evaluation and Management of Chronic Constipation for Chinese Adults&#34; issued by the Chinese Society of Colorectal Surgery, Chinese Society of Surgery, Chinese Medical Association in 202217. Efficacy was assessed based on the Pat...

Watch this Scientific Journal Video about Acupoint Application Combined with Acupoint Massage for Treating Constipation in a Patient with Chronic Obstructive Pulmonary Disease at JoVE.com

Acupoint Application Combined with Acupoint Massage for Treating Constipation in a Patient with Chronic Obstructive Pulmonary Disease

Here we demonstrate acupoint application combined with acupoint massage for treating constipation in a patient with chronic obstructive pulmonary disease (COPD).

Chronic obstructive pulmonary disease (COPD) is a common and frequent disease in elderly patients, with a tendency for progressive exacerbation. ...

This protocol applies a standard operational demonstration of acupoint application combined with acupoint massage for the treatment of constipation in COPD patients. It is advisable for patients to watch the video demonstrations prior to performing the operation. To begin, prepare Rheum officinale Baill, and other surgical equipment and reagents.Using an ultra micropulverizer, make 100 grams of Rheum officinale Baill into powder and package it in a plastic bag. Set it aside for later use. Before treatment, combine 15 grams of Rheum officinale Baill powder with 15 milliliters of normal saline to create a medicinal paste, and place it onto a curved plate.Advise the patient to empty the bladder in advance. Then let them lie on their back, bend their knees, relax, and fully expose the abdomen. Close all doors and windows to ensure the patient's privacy and to prevent them from catching a cold.Now select the Shenque and bilateral Tianzhu points on the patient's abdomen. Examine the skin around the designated points, ensuring it is free from lesions or damage while keeping the points clean and dry. Next, disinfect the hands and apply pressure to the patient's Shenque and bilateral Tianzhu points on the abdomen using the thumb fingertip.Ensure to rotate the thumb in a clockwise direction. Gradually increase the pressure on the acupoints from weak to strong until the patient experiences a slight soreness. If the patient can't tolerate the pressure during the procedure, immediately cease the operation.Now warm the palms through vigorous rubbing. Massage the patient's abdomen 50 times in a clockwise direction, starting from the navel and extending out to the outer circle, then back to the navel. Start slowly and gradually increase to a stable and moderate frequency of about 30 to 50 times per minute.Wear medical rubber gloves and disinfect the patient's local acupoints using iodine volt swabs. From the medical bend plate, take roughly 3/4 of the prepared medicine and divide it into three equal parts. Mold these parts into a ring-like shape, and apply each onto separate medical gauzes.Next, attach the medical gauze containing the medication to the patient's Shenque and Tianzhu points on the abdomen using medical tape. Instruct the patient to refrain from strenuous activity to prevent the drug from falling off or seeping out. Ensure to remove medical gauze after six hours.Swiftly, remove any drug remnants from the patient's skin and assist them in dressing. The patient assessment of constipation symptoms score suggested that acupoint application combined with acupoint massage could significantly improve constipation symptoms. This method has the benefits of easy execution, noticeable healing outcomes, and minimal adverse effects.

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1.4K Views.  Hospital of Chengdu University of Traditional Chinese Medicine. Questo protocollo applica una dimostrazione operativa standard dell'applicazione dei punti di agopuntura combinata con il massaggio dei punti di agopuntura per il trattamento della stitichezza nei pazienti con BPCO. Si consiglia ai pazienti di guardare le dimostrazioni video prima di eseguire l'operazione. Per iniziare, prepara il Rheum officinale Baill e altre attrezzature chirurgiche e reagenti.Con l'aiuto di un ultra micropolverizzatore, ridurre in polvere 100 grammi di Rheum offici...