Pattern Identification and Treatment of Constipation-Predominant Irritable Bowel Syndrome Based on the Turbidity Toxin Theory

FAN Shiyuan; YANG Qian; LI Diangui; ZHI Zheng; SU Xiaolan; LI Bolin

doi:10.13288/j.11-2166/r.2025.03.014

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Pattern Identification and Treatment of Constipation-Predominant Irritable Bowel Syndrome Based on the Turbidity Toxin Theory

更新时间：2025-01-26

- Pattern Identification and Treatment of Constipation-Predominant Irritable Bowel Syndrome Based on the Turbidity Toxin Theory
- Journal of Traditional Chinese Medicine Vol. 66, Issue 3, Pages: 300-303(2025)
- 作者机构：
  
  1.河北中医药大学研究生院，河北省石家庄市桥西区新石南路326号，050091
  2.河北省中医院
  3.河北省浊毒证重点实验室
  4.中国中医科学院望京医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2025.03.014
  CLC：
- Received：22 April 2024，
  
  Revised：2024-07-15，
  
  Published：02 February 2025
- 稿件说明：
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范诗苑,杨倩,李佃贵等.基于浊毒理论分型论治便秘型肠易激综合征[J].中医杂志,2025,66(03):300-303.

FAN Shiyuan,YANG Qian,LI Diangui,et al.Pattern Identification and Treatment of Constipation-Predominant Irritable Bowel Syndrome Based on the Turbidity Toxin Theory[J].Journal of Traditional Chinese Medicine,2025,66(03):300-303.
范诗苑,杨倩,李佃贵等.基于浊毒理论分型论治便秘型肠易激综合征[J].中医杂志,2025,66(03):300-303. DOI： 10.13288/j.11-2166/r.2025.03.014.

FAN Shiyuan,YANG Qian,LI Diangui,et al.Pattern Identification and Treatment of Constipation-Predominant Irritable Bowel Syndrome Based on the Turbidity Toxin Theory[J].Journal of Traditional Chinese Medicine,2025,66(03):300-303. DOI： 10.13288/j.11-2166/r.2025.03.014.

摘要

以浊毒理论为指导，认为浊毒壅滞致肠腑通降失常是便秘型肠易激综合征的关键病机，治疗以化浊毒、通肠腑为基本治则。临证分为浊毒蕴热、浊毒兼肝郁气滞、浊毒兼气阴两虚三种证型，分别运用自拟通腑降浊方清热通腑、泄浊解毒，自拟疏肝降浊方疏肝行气、降浊解毒，自拟麻枳降浊方益气滋阴、润肠化浊解毒。

Abstract

Guided by the turbidity toxin theory， it is believed that the key pathogenesis of constipation-predominant irritable bowel syndrome is the obstruction of turbidity toxin and the disruption of intestinal function. Treatment is based on the principles of dispelling turbidity toxin and promoting intestinal function. The clinical patterns can be divided into three types， turbidity toxin heat accumulation pattern， turbidity toxin combined with liver depression and

stagnation pattern， and turbidity toxin combined with

and

yin

deficiency pattern. The treatment can respectively use self-prescribed

Tongfu Jiangzhuo Formula

（通腑降浊方） to clear heat and unblock the bowels， direct the turbid downward and resolve toxins； use self-prescribed

Shugan Jiangzhuo Formula

（疏肝降浊方） to soothe the liver and move

， direct the turbid downward and resolve toxins； use self-prescribed

Mazhi Jiangzhuo Formula

（麻枳降浊方） to boost

and nourish

yin

， moisten the intestines to remove turbidity and resolve toxins.

关键词

Keywords

references

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