Page 27 - วารสารกรมการแพทย์แผนไทยฯ ปีที่ 11 ฉบับที่ 1
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Journal of Thai Traditional & Alternative Medicine   Vol. 11 No. 1 January-April 2013 21



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              §≈Õ¥∫ÿμ√·∫∫§≈Õ¥ª°μ‘ ≥ ‚√ß欓∫“≈∫â“πÀ¡’Ë    ®–‡ªìπ√Ÿª·∫∫¢Õß°“√π«¥∑âÕß ´÷Ëß¡’√“¬ß“π°“√
              ®—ßÀ«—¥≈æ∫ÿ√’ æ∫«à“°“√≈¥≈ߢÕß√–¥—∫¬Õ¥¡¥≈Ÿ°  »÷°…“∑’ˇ°’ˬ«°—∫°“√π«¥∑âÕß æ∫«à“ àߺ≈μàÕ√–∫∫

              °àÕπ·≈–À≈—ß°“√∑¥≈Õߥ⫬°“√∑—∫À¡âÕ‡°≈◊Õ¢Õß  ∑“߇¥‘πÕ“À“√ (Gastrointestinal system) √«¡
              °≈ÿà¡°“√∑¥≈Õß·≈–°≈ÿࡇª√’¬∫‡∑’¬∫‰¡à¡’§«“¡μà“ß  ‰ª∂÷ß°“√»÷°…“‡°’ˬ«°—∫º≈¢Õß°“√π«¥ à«πμà“ßÊ
              Õ¬à“ß¡’π—¬ ”§—≠∑“ß ∂‘μ‘ ·μ৫“¡√Ÿâ ÷°„π¢≥–∑’ˉ¥â  ¢Õß√à“ß°“¬∑’Ë¡’μàÕ√–∫∫ª√– “∑Õ—μ‚π¡—μ‘ (Auto-

              √—∫°“√∑—∫À¡âÕ‡°≈◊Õ¢Õß°≈ÿà¡∑¥≈Õß à«π„À≠à√Ÿâ ÷°  nomic nervous system) √–∫∫À—«„®·≈–À≈Õ¥
              ºàÕπ§≈“¬ ·≈–§«“¡√Ÿâ ÷°À≈—ß®“°°“√∑—∫À¡âÕ‡°≈◊Õ  ‡≈◊Õ¥ (Cardiovascular system) ·≈–√–∫∫°≈â“¡‡π◊ÈÕ

              √Ÿâ ÷° ∫“¬μ—« ∑—Èßπ’È√âÕ¬≈– 70 æ∫«à“Àπâ“∑âÕß°√–™—∫  (Muscular system) ‡ªìπμâπ ´÷Ë߉¥â√«∫√«¡‰«â¥—ß
              ¢÷Èπ Õ“°“√ª«¥À≈—ߪ«¥‡Õ«‡π◊ËÕß®“°°“√μ—Èߧ√√¿å  μàÕ‰ªπ’È
              ·≈–°“√§≈Õ¥≈¥≈ß ·≈–„π∫“ß√“¬ “¡“√∂≈¥              º≈μàÕ√–∫∫∑“߇¥‘πÕ“À“√
                          13
              Õ“°“√∑âÕߺŸ°‰¥â                                 √“¬ß“π«‘®—¬‡°’ˬ«°—∫º≈¢Õß°“√π«¥∑âÕßμàÕ
                  πÕ°®“°π’Ȭ—ß¡’√“¬ß“π°“√«‘®—¬‡°’ˬ«°—∫°“√∑—∫  √–∫∫∑“߇¥‘πÕ“À“√ ∑’Ëæ∫«à“ “¡“√∂™à«¬≈¥Õ“°“√

              À¡âÕ‡°≈◊Õ ‚¥¬‰¥â∑”°“√»÷°…“º≈¢Õß°“√∑—∫À¡âÕ  ∑âÕߺŸ°‰¥â §◊Õ °“√»÷°…“‡√◊ËÕߺ≈¢Õß°“√π«¥∑âÕß
              ‡°≈◊ÕμàÕ°“√≈¥¢π“¥√Õ∫‡Õ«¢ÕßÀ≠‘ß∑’Ë¡’ ¢π“¥   μàÕÕ“°“√∑âÕߺŸ° ‚¥¬¡’√Ÿª·∫∫°“√»÷°…“∑“ߧ≈‘π‘°
                              15                               16
              √Õ∫‡Õ«‡°‘π¡“μ√∞“π  ‡ªìπ°“√«‘®—¬·∫∫ Quasi-  ·∫∫ ÿà¡  „π°≈ÿà¡μ—«Õ¬à“ß®”π«π 60 √“¬ ∑’Ë¡’Õ“°“√
              experimental research „πºŸâÀ≠‘ß∑’ËÕ“»—¬ Õ¬Ÿà  ∑âÕߺŸ° ·≈–∂Ÿ° ÿà¡ÕÕ°‡ªìπ 2 °≈ÿà¡ §◊Õ °≈ÿà¡
              „π®—ßÀ«—¥ ß¢≈“∑’Ë¡’Õ“¬ÿ 18-45 ªï ∑’Ë¡’§à“¥—™π’¡«≈  ∑¥≈Õß®–‰¥â√—∫°“√π«¥∑âÕß√à«¡°—∫°“√„À⬓√–∫“¬
              °“¬μ—Èß·μà 23 °‘‚≈°√—¡μàÕμ“√“߇¡μ√ ¢÷Èπ‰ª ·≈–¡’  ·≈–°≈ÿࡧ«∫§ÿ¡®–‰¥â√—∫¬“√–∫“¬‡æ’¬ßÕ¬à“߇¥’¬«

              ¢π“¥√Õ∫‡Õ«¡“°°«à“À√◊Õ‡∑à“°—∫ 80 ‡´π쑇¡μ√ ¢÷Èπ  ‡æ◊ËÕ»÷°…“°“√∑”ß“π¢Õß√–∫∫∑“߇¥‘πÕ“À“√ ‚¥¬„™â
              ‰ª ®”π«π 35 √“¬ ∑”°“√‡≈◊Õ°·∫∫‡©æ“–‡®“–®ß   ‡°≥±å°“√ª√–‡¡‘πÕ“°“√¢Õß√–∫∫∑“߇¥‘πÕ“À“√
              (purposive sampling) °≈ÿà¡μ—«Õ¬à“ß®–‰¥â√—∫  ·≈–≈”‰ â (Gastro-intestinal Symptoms Rating

              °“√∑—∫À¡âÕ‡°≈◊Õ «—π‡«âπ«—𠇪ìπ√–¬–‡«≈“ 1 ‡¥◊Õπ  Scale, GSRS) «—¥∑’Ë√–¬–‡«≈“μà“ßÊ §◊Õ √–¬–‡√‘Ë¡μâπ
              °—∫ 15 «—π (√«¡√–¬–‡«≈“∑’Ë∑”°“√∑—∫À¡âÕ‡°≈◊Õ   —ª¥“Àå∑’Ë 4 ·≈– —ª¥“Àå∑’Ë 8 º≈°“√∑¥≈Õßæ∫«à“

              ∑—ÈßÀ¡¥ 22 «—π) √–¬–‡«≈“„π°“√∑—∫À¡âÕ‡°≈◊Õπ“π  °“√π«¥∑âÕß “¡“√∂≈¥Õ“°“√¢Õß√–∫∫∑“߇¥‘π
              §√—Èß≈– 30 π“∑’ æ∫«à“ °“√∑—∫À¡âÕ‡°≈◊Õ¡’º≈μàÕ  Õ“À“√∑’Ë√ÿπ·√ß §◊ÕÕ“°“√∑âÕߺŸ°·≈–Õ“°“√ª«¥
              °“√≈¥≈ߢÕߢπ“¥√Õ∫‡Õ«·≈–πÈ”Àπ—°„π°≈ÿà¡      ∑âÕ߉¥â™—¥‡®πÕ¬à“ß¡’π—¬ ”§—≠∑“ß ∂‘μ‘∑’Ë√–¥—∫ p =

              μ—«Õ¬à“ßÕ¬à“ß¡’π—¬ ”§—≠∑“ß ∂‘μ‘ (p<0.05)   0.013 ·≈– p = 0.019 μ“¡≈”¥—∫ Õ’°∑—È߬—ßæ∫«à“°≈ÿà¡
                                                         ∑¥≈Õß¡’Õ—μ√“°“√‡§≈◊ËÕπ‰À«¢Õß≈”‰ â‡æ‘Ë¡¢÷Èπ‡¡◊ËÕ
              °“√π«¥
                                                         ‡ª√’¬∫‡∑’¬∫°—∫°≈ÿࡧ«∫§ÿ¡ (p = 0.016) ·≈–‰¡àæ∫
                  °“√𫥇ªìπ«‘∏’°“√Àπ÷Ëß„π°“√¥Ÿ·≈ ÿ¢¿“æ ´÷Ëß  §«“¡·μ°μà“ß∑’Ë™—¥‡®π¢Õß°“√‡ª≈’ˬπ·ª≈ߪ√‘¡“≥
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