国医大师徐景藩教授治疗肠易激综合征临床经验

TCM master XU Jing-fan’s clinical experience in treating irritable bowel syndrome

文章总结了徐景藩教授诊治肠易激综合征的学术思想,徐景藩教授认为脾虚湿盛是本病发病基础,病久不愈可恙及肝肾,湿热瘀血是发病之标,故治疗方面健脾需分气虚、阴虚、阳虚不同,调理肝脾有偏虚偏实之异,温阳补肾常用于病久高龄患者,收涩止泻可与化湿药物同用,保留灌肠适用于病位在左半结肠,需要加强生活调摄,预防病情复发。

This article sums up the academic thought of professor XU on curing irritable bowel syndrome （IBS）. Professor XU holds that the main pathogenesis of IBS is dampness exuberance of spleen deficiency, with a long period impairing the function of liver and kidney, and the manifestation is heat dampness and blood stasis. When spleen is invigorated, qi, yin and yang which is deficient should be distinguished, the same as liver and spleen regulated to differentiate deficiency from excess. Warming yang and recuperating kidney is appropriate for old patients. It is available to apply drugs to astringe and resolve dampness to relieve diarrhea. Retention enema is suitable for patients with left colon lesions. Patients should reinforce recuperation in daily life to prevent recurring.