Experience in Treating Diarrhea-predominant Irritable Bowel Syndrome Based on the Theory of Spleen Deficiency Generating Turbidity

FAN Yue; WANG Yiming; FENG Quansheng

doi:10.13288/j.11-2166/r.2024.09.015

您当前的位置：

首页 >

文章列表页 >

Experience in Treating Diarrhea-predominant Irritable Bowel Syndrome Based on the Theory of Spleen Deficiency Generating Turbidity

更新时间：2024-04-25

- Experience in Treating Diarrhea-predominant Irritable Bowel Syndrome Based on the Theory of Spleen Deficiency Generating Turbidity
- Journal of Traditional Chinese Medicine Vol. 65, Issue 9, Pages: 958-961(2024)
- 作者机构：
  
  成都中医药大学基础医学院，四川省成都市温江区柳台大道1166号，611137
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2024.09.015
  CLC：
- Received：22 December 2023，
  
  Revised：2024-01-30，
  
  Published：02 May 2024
- 稿件说明：
移动端阅览
樊跃,汪义明,冯全生.从脾虚生浊辨治腹泻型肠易激综合征经验[J].中医杂志,2024,65(09):958-961.

FAN Yue,WANG Yiming,FENG Quansheng.Experience in Treating Diarrhea-predominant Irritable Bowel Syndrome Based on the Theory of Spleen Deficiency Generating Turbidity[J].Journal of Traditional Chinese Medicine,2024,65(09):958-961.
樊跃,汪义明,冯全生.从脾虚生浊辨治腹泻型肠易激综合征经验[J].中医杂志,2024,65(09):958-961. DOI： 10.13288/j.11-2166/r.2024.09.015.

FAN Yue,WANG Yiming,FENG Quansheng.Experience in Treating Diarrhea-predominant Irritable Bowel Syndrome Based on the Theory of Spleen Deficiency Generating Turbidity[J].Journal of Traditional Chinese Medicine,2024,65(09):958-961. DOI： 10.13288/j.11-2166/r.2024.09.015.

摘要

基于“脾虚生浊”观点，认为腹泻型肠易激综合征的主要病机是脾虚浊实，以脾虚为本、浊气滞肠为标，提出泄浊运中的治疗总则。急性期以浊实为主，治当通腑泄浊，常用枳实导滞汤加减；缓解期以脾虚为主，治当益气健脾，常用七味白术散加减。急则治标，缓则治本，以助恢复肠腑之传导功能，脾胃之运化功能，使水谷各有归途，清浊各行其道。

Abstract

Based on the view of "spleen deficiency generating turbidity"， it is believed that the main pathology of irritable bowel syndrome diarrhea-predominant （IBS-D） is spleen deficiency and turbidity excess， with spleen deficiency as the root and turbidity stagnating intestines as the branch， and the treatment principle of draining turbidity and transporting the center was proposed. In the acute stage， turbidity excess is the main cause， the treatment should unblock the bowels and discharge turbidity， commonly with modified

Zhishi Daozhi Decoction

（枳实导滞汤）； in the remission stage， spleen deficiency is the main cause， the treatment should boost

and fortify the spleen， commonly with modified

Qiwei Baizhu Powder

（七味白术散）. Treating the branch in acute conditions， and treating the root in moderate conditions， so as to help restore the conduction function of the intestines and bowels， the transportation and transformation function of the spleen and stomach， then the water and grains have their own way， clear and turbid each in its own way.

关键词

Keywords

references

FORD AC ， SPERBER AD ， CORSETTI M ， et al . Irritable bowel syndrome ［J］. Lancet ， 2020 ， 396 （ 10263 ）： 1675 - 1688 .

SPERBER AD ， BANGDIWALA SI ， DROSSMAN DA ， et al . Worldwide prevalence and burden of functional gastrointestinal disorders， results of Rome foundation global study ［J］. Gastroenterology ， 2021 ， 160 （ 1 ）： 99 - 114， e 3 .

中华医学会消化病学分会胃肠功能性疾病协作组，中华医学会消化病学分会胃肠动力学组 . 2020年中国肠易激综合征专家共识意见［J］. 中华消化杂志， 2020 ， 40 （ 12 ）： 803 - 818 .

LU Y ， CHAI Y ， QIU J ， et al . Integrated omics analysis reveals the epigenetic mechanism of visceral hypersensiti-vity in IBS-D ［J］. Front Pharmacol ， 2023 ， 14 ： 1062630 . doi： 10.3389/fphar.2023.1062630 http://dx.doi.org/10.3389/fphar.2023.1062630 .

周雯，战丽彬，章玲 . 关于脾藏象研究的系统生物学思考［J］. 中医杂志， 2022 ， 63 （ 3 ）： 206 - 211 .

熊钦，李奕霖，姚承佼，等 . 腹泻型肠易激综合征常见证型粪便肠道菌群宏基因组学横断面研究［J］. 中医杂志， 2024 ， 65 （ 5 ）： 503 - 511 .

李淑婷，杨家霖，蔡冰洁，等 . 基于“脾虚为本”成因关联性探析功能性消化不良致病机制［J］. 中国中医药图书情报杂志， 2023 ， 47 （ 6 ）： 18 - 23 .

马祥雪，吕林，杨斌，等 . 肠安Ⅰ号方对肝郁脾虚型腹泻型肠易激综合征模型大鼠内脏高敏感的影响［J］. 中国中西医结合杂志， 2021 ， 41 （ 3 ）： 343 - 349 .

张博 . 脾虚大鼠肠黏膜屏障功能变化及四君子汤对其影响的实验研究［D］. 沈阳：辽宁中医药大学， 2015 .

赵进喜，庞博 . 中医学“浊”的涵义及其临床意义［J］. 中医杂志， 2009 ， 50 （ 7 ）： 581 - 584 .

娄莹莹，李佃贵，霍永利，等 . 化浊解毒方对溃疡性结肠炎大鼠肠黏膜的保护作用［J］. 中成药， 2021 ， 43 （ 11 ）： 3199 - 3201 .

郝菲菲，刘婉青，王均宁，等 . 连翘水煎液对大鼠离体肠管运动作用的实验研究［J］. 山东中医杂志， 2018 ， 37 （ 1 ）： 63 - 66 .

杨红莲，段玉红，钱笑音 . 不同剂量黄连水煎液对正常和脾虚大鼠胃肠运动功能的影响［J］. 现代中西医结合杂志， 2017 ， 26 （ 1 ）： 14 - 17 .

ZHANG JD ， LIU J ， ZHU SW ， et al . Berberine alleviates visceral hypersensitivity in rats by altering gut microbiome and suppressing spinal microglial activation ［J］. Acta Pharmacol Sin ， 2021 ， 42 （ 11 ）： 1821 - 1833 .

曾婷 . 冯全生教授运用通法治疗肠易激综合征经验总结［D］. 成都：成都中医药大学， 2019 .

查看原文

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Effect of Changji'an Formula （肠激安方） on the miR-29b-3p/TRAF3/NF-κB/MLCK Axis in Colonic Tissues in Diarrhea-predominant Irritable Bowel Syndrome Model Rat with Liver Depression and Spleen Deficiency Syndrome

Pathogenic Mechanisms of Spleen Deficiency-Phlegm Dampness in Obesity and Traditional Chinese Medicine Prevention and Treatment Strategies：from the Perspective of Immune Inflammation

Effects of Spleen Deficiency on Lipid Metabolism in Hyperlipidemia Model Rats Based on Gut Microbiota Sequencing and Fecal Metabolomics

Discussion on the Scientific Connotation of Fortifying Spleen， Resolving Phlegm and Dispelling Stasis in the Treatment of Coronary Heart Disease under the Guidance of Dysfunctional High-Density Lipoprotein

Treatment of Non-alcoholic Fatty Liver Disease with Spleen Deficiency and Binding of Phlegm and Stasis Syndrome by Lanzhang Granules （蓝杖颗粒）： A Randomized Controlled Study

Related Author

WANG Yongfu

KE Wei

XIE Xiangyu

TANG Hongmei

SI Liuze

CHAI Yuna

LI Yumei

XU Peng

Related Institution

The First Affiliated Hospital of Guangzhou University of Chinese Medicine

The First Clinical Medical College of Guangzhou University of Chinese Medicine

Foshan Hospital of Traditional Chinese Medicine

The First Affiliated Hospital of Zhengzhou University

Guangdong Provincial Academy of Chinese Medical Sciences

Address：No.16, Nanxiao street, Dongzhimen, Dongcheng District, Beijing Postal code：100700
Tel：010-64035632 Email：jtcmcn@188.com
Technical support is provided by Beijing Founder electronics co., LTD 京ICP备09064830号-19 京公网安备11010102007558号
It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.

⁰