健脾温肾法治疗功能性腹泻探讨

Exploration on Treating Functional Diarrhea with Invigoraing Spleen and Warming Kidney

慢性功能性腹泻的发病可能与精神心理因素、饮食结构改变、肠道微生态系统、胃肠动力和内脏感觉异常、个体免疫及植物神经功能异常等诸多因素相关。结合有关文献认为,脾胃虚弱、运化失健为主的脏腑功能失调是导致功能性腹泻产生的关键;湿邪是本病的主要致病因素,贯穿病程始终;泄泻日久,累及于肾,脾肾受损,相互影响。治疗上,宜健脾温肾,化湿止泻,标本兼顾。

Modern medical research suggests that the onset of chronic functional diarrhea may be related to many factors such as psychological factors, structural changes in diet, intestinal microecology system, gastrointesti- nal motility and visceral paresthesia, individual immune and vegetative nerve dysfunction etc. Combined with rele- vant literatures, we think that visceral dysfunction based on the weakness of spleen and stomach, the dysfunction of transportation and transformation is a key causing functional diarrhea; dampness is the main pathogenic factor of this disease and always runs throughout the course of this disease ; Diarrhea with course of time involves the kidney, thus spleen and kidney are impaired and influence each other. In treatment, invigoraing spleen and warming kid- ney, removing dampness and stopping diarrhea, relieving both primary and secondary symptoms are besser, and have clinical exact effect.