基于三焦辨证探讨腹泻型肠易激综合征(中焦脾虚湿热证)的中医发病机制及治疗

Discussion of Pathogenesis and Treatment in Traditional Chinese Medicine of Diarrhea-Predominant Irritable Bowel Syndrome(Damp-Heat in Middle-Jiao Spleen and Stomach Syndrome)Based on Syndrome Differentiation of Triple Jiao

肠易激综合征(irritable bowel syndrome,IBS)是一种较为多见的慢性胃肠道功能紊乱性疾病,其中腹泻型最为常见。目前临床上尚无确切疗效的药物,加之其病情迁延难愈,时刻困扰着患者及医务工作者。然而中医在肠易激综合征的治疗方面有着良好的疗效。文章基于三焦辨证阐述腹泻型肠易激综合征的病因病机认识,以及介绍杨勤主任中医师为治疗腹泻型肠易激综合征所创制的清化肠炎方组成、配伍意义、临床应用等,以期为临床肠易激综合征的中医诊疗提供新思路。

Irritable Bowel Syndrome(IBS) is a common chronic gastrointestinal dysfunction disease,among which diarrhea-predominant irritable bowel syndrome is the most common type.At present,there is no effective drug in clinical practice,and the disease is prolonged and difficult to cure,and it always troubles patients and medical workers.However,TCM has a good effect on the treatment of irritable bowel syndrome.This article explained the understanding of etiology and pathogenesis of diarrhea-predominant irritable bowel syndrome based on syndrome differentiation of triple Jiao,and introduced the composition,compatibility significance and clinical application of Qinghua Changyan Decoction(清化肠炎方) created by chief traditional Chinese medicine physician YANG Qin for the treatment of diarrhea-predominant irritable bowel syndrome in order to provide new ideas for clinical diagnosis and treatment of irritable bowel syndrome with traditional Chinese medicine.