从肝脾肺三脏论治肠易激综合征的思考

Thought of Treating IBS from Lung Spleen and Liver

目的:从文献学层面研究肝脾肺三脏与肠易激综合征的关系。方法:以"肠易激综合征"为主题词,系统检索中国期刊全文数据库近20年来所有相关文献,通过筛选,选择其中的医案部分,录入相关数据,然后进行相关统计学处理。结果:肝郁脾虚型出现最多,用药以健脾类药物为主,具体药物以白术、陈皮和茯苓为多。疏肝理气药次之,以白芍出现最多。宣肺药以防风、桔梗为多用。结论:健脾益气肠易激综合征的第一大法,疏肝理气为其重要治则,恢复肺气正常宣降为重要补充。

Objective：To study the relationship between lung,liver,spleen and IBS by philology researching.Method：By searching IBS in related document in recent 20 years from CNKI,we chose cases then we collected related data and did data manipulation.Result：The main syndrome was liver stagnation and spleen deficiency.The herbs were mainly strengthening the spleen herbs such as Baizhu,Chenpi and Fuling.Secondly,herbs were regulating the flow of liver qi like Baishao.Ventilating lung qi herbs normally were Fangfeng,Jiegen,etc.Conclusion：The first important treatment method is strengthening the spleen,the second one is regulating the flow of liver qi and ventilating lung qi is a important complementary.