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中国医药导刊 ›› 2025, Vol. 27 ›› Issue (8): 797-800.

• 临床医药 • 上一篇    下一篇

基于肝脾心同调及通因通用理论诊治腹泻型肠易激综合征临证经验

张成明1, 鱼涛1*, 杨洋2   

  1. 1.陕西省中医医院脾胃病一科,陕西 西安 710003;

    2.中国中医科学院望京医院脾胃病科,北京 100102

  • 收稿日期:2025-02-19 修回日期:2025-03-11 接受日期:2025-05-08 出版日期:2025-08-28 发布日期:2025-10-13
  • 基金资助:

    国家自然科学基金项目(U22A20375),国家脾胃病中医优势专科建设项目,陕西省重点研发计划(2024SF-YBXM-499),陕西省长安张氏升清降浊学术流派传承工作室项目(SXZYLP-2024005)

Clinical Experience in Diagnosis and Treatment of Diarrhea Irritable Bowel Syndrome Based on General Theory of Liver Spleen and Heart Homology and Causation

ZHANG Chengming1, YU Tao1*, YANG Yang2   

  1. 1.Department of Spleen and Stomach Diseases Shaanxi Traditional Chinese Medicine Hospital Shaanxi Xi'an 710003;
    2.Department of Spleen and Stomach Diseases Wangjing Hospital Chinese Academy of Traditional Chinese MedicineBeijing 100102, China
  • Received:2025-02-19 Revised:2025-03-11 Accepted:2025-05-08 Online:2025-08-28 Published:2025-10-13

摘要:

肠易激综合征是临床高发的功能性胃肠病,腹泻型是其主要临床类型,中医将其主要归于“泄泻”“腹痛”等范畴。鱼涛主任医师经多年临床经验对于治疗腹泻型肠易激综合征(diarhea iritable bowel syndrome IBS-D)有深刻的认识和体会,总结IBS-D发病具有“五更泻”、易反复、受情绪及外界环境影响、安慰剂治疗有效等临床特征。肝郁脾虚、气滞湿阻是IBS-D的主要病机,肝郁脾虚湿阻为其病之本,气滞为其病之标,治疗IBS-D应标本兼治,治本以健脾化湿、理气疏肝为法;治标以通因通用为基本原则,创新性提出从风论治、从心肝脾论治、通补兼施、通因通用。临床采用缓急止泻汤治疗IBS-D效果明显。


关键词:  , 腹泻型肠易激综合征;通因通用;临证经验

Abstract:

 Irritable bowel syndrome IBS is a functional gastrointestinal disease with high clinical incidence and diarrhea is its main clinical type which is mainly classified as diarrhea and abdominal pain in traditional Chinese medicine. After many years of clinical experience Chief Physician Yu Tao has a profound understanding and experience in treating diarrhea irritable bowel syndrome IBS-D), and summed up that IBS-D has the clinical characteristics of "morning diarrhea" easy to recur influenced by emotions and external environment and effective placebo treatment. Liver depression and spleen deficiency qi stagnation and dampness resistance are the main pathogenesis of IBS-D. Liver depression spleen deficiency and dampness resistance are the root of IBS-D and qi stagnation is the standard of IBS-D. The treatment of IBS-D should treat both the symptoms and root causes and the fundamental method is to strengthen the spleen and eliminate dampness regulate qi and soothe the liver. Based on the basic principle of treating the symptoms it puts forward the treatment from the wind from the heart liver and spleen the combination of dredging and reinforcing and the universality of the causes.Theclinical application of Huanji zhixie decoction in the treatment of IBS- D achieved obvious results.


Key words:  , Diarrhea irritable bowel syndrome , Treating the symptoms by treating the root cause , Clinical experience

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