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刘凤斌教授从脾虚论治腹泻型肠易激综合征的临证经验

Professor Liu Fengbin′s Clinical Experience in Treatment of Diarrhea-predominant Irritable Bowel Syndrome from Spleen Deficiency
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摘要 腹泻型肠易激综合征(Irritable bowel syndrome with predominant diarrhea,IBS-D)是临床常见的胃肠道疾病之一,刘凤斌教授治疗IBS-D经验丰富,认为其归属于中医学“泄泻”病范畴,病因病机以脾虚为本,常见证型有肝郁脾虚证、脾虚湿滞证、脾虚湿热证、脾肾不足证,治疗上以健脾补气、顾护中土为主,兼疏肝、祛湿、清热、补肾,调畅全身气机,常用的药对有甘草-白芍、陈皮-青皮、防风-白芍、柴胡-枳实,木香-黄连等,刘凤斌教授每以此法在临床辨证论治时,均能取得较好疗效,因此值得推广使用。 Irritable bowel syndrome with predominant diarrhea(IBS-D)is one of the common gastrointestinal diseases in clinic.Professor Liu Fengbin,with extensive experience in treating IBS-D,considers it to fall within the category of "intestinal diarrhea" in traditional Chinese medicine(TCM).The pathogenesis of IBS is mainly attributed to spleen deficiency as root cause,with common syndromes including liver depression and spleen deficiency,spleen deficiency with dampness stagnation,spleen deficiency with dampness-heat,and spleen-kidney deficiency.Treatment primarily focuses on tonifying the spleen,supplementing qi,caring middle,and protecting earth,while also soothing the liver,eliminating dampness,clearing heat,and nourishing the kidneys to regulate the overall qi circulation.Commonly used herbal pairs include Glycyrrhizae Radix et Rhizoma-Paeoniae Radix Alba,Citri Reticulatae Pericarpium-Citri Reticulatae Pericarpium Viride,Saposhnikoviae Radix-Paeoniae Radix Alba,Bupleuri Radix-Aurantii Fructus Immaturus,and Aucklandiae Radix-Coptidis Rhizoma.Professor Liu Fengbin consistently achieves good therapeutic effects in clinical practice by employing these principles,making his approach worthy of widespread adoption.
作者 杨希玲 张佳河 祝旺 侯秋科 刘凤斌 YANG Xi-ling;ZHANG Jia-he;ZHU Wang;HOU Qiu-ke;LIU Feng-bin(The First Clinical College of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510405;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510405)
出处 《世界中西医结合杂志》 2024年第5期903-906,940,共5页 World Journal of Integrated Traditional and Western Medicine
基金 国家自然科学基金项目(82174303) 刘凤斌广东省名中医传承工作室建设项目(粤中医办函[2020]1号)。
关键词 刘凤斌 脾虚 腹泻型肠易激综合征 临证经验 Liu Fengbin Spleen Deficiency Diarrhea-predominant Irritable Bowel Syndrome Clinical Experience
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