赵文霞教授治疗肠易激综合征经验

Experiences on the Treatment of Irritable Bowel Syndrome by Professor Zhao Wenxia

赵师将肠易激综合征概括为三个类型,即肝郁乘脾证、脾阳虚弱证、肾阳不足证。肝郁乘脾证患者素来肝郁内向,常遇情绪诱发,肝强脾弱,治宜疏肝健脾共图,赵师临床常以加味柴胡四逆汤合痛泻要方化裁;脾阳虚弱证患者,病机以脾阳不足为主,兼有肾失温煦,赵师治疗时常以参苓白术散合附子理中丸温肾健脾;肾阳不足证患者,病机以肾失温运,开合失机为主,兼有脾虚失运,赵师临床常以金匮肾气丸合四神丸化裁治疗。患者泄泻症状基本控制后,常嘱患者内服成药,预防复发,肝郁患者常服逍遥丸;脾虚患者常服参苓白术丸;肾虚患者常服金匮肾气丸。故疗效较为巩固,较少复发。

Professor Zhao summarized into 3 types about irritable bowel syndrome,liver depression bullying spleen syndrome, deficiency of spleen yang syndrome,insufficiency of kidney-Yang syndrome. The patients with liver depression bullying spleen syndrome often liver depression and introvert, who induced by emotions, liver strong and spleen weak, should soothing liver and strengthening spleen, in trea- ting by modified Chaihu Sini Tang and Tongxie Prescription. The patients with deficiency of spleen Yang syndrome, the pathogenesis is insufficient of spleen Yang, combining lack of kidney warm, in treating by Shenling Baizhu San and Fuzi Lizhong Wan for warm kidney and tonifying spleen. The patients with insufficiency of kidney-Yang syndrome, take the kidney lose warm, combining spleen deficiency as the pathogenesis,in treating by Jinkui Shenqi Wan and Sishen Wan. After the basic control of diarrhoea, enjoining the patients should often take medicine for relapse prevention. The patients with liver depression should take Xiaoyao Wan, the patients with insufficiency of the spleen should take Shenling Baizhu Wan. The patients with deficiency of the kidney should take Jinkui Shenqi Wan. So the curative effect is better and relapse less.