小青龙汤治疗寒饮内停型肠易激综合征医案2则

Xiaoqinglong Decoction in the Treatment of Irritable Bowel Syndrome of Cold Fluid-retention for Two Medical Cases

小青龙汤出自《伤寒论》,为治疗"外寒内饮证"的代表方,具有辛温解表,温化水饮之功,用于治疗外寒引动内饮合而为病者,全方配伍严谨,用药精妙。临床常见的寒饮内停型肠易激综合征为寒饮内动,侵袭肠胃,脾胃失其健运,清浊不分,传导失司所致,治当温化寒饮,与小青龙汤方证相合,治疗效果奇佳。现分析小青龙汤治疗寒饮内停型肠易激综合征的理论依据,总结医案1则。

Xiaoqinglong decoction in Treatise on Febrile Diseases deemed as representative prescription to treat symptom of ＂interior retention of phlegm with exopathic cold＂, has function of resolving the exterior and dissipating cold and warming lung to reduce watery phlegm, is used to treat patients with long-term internalization, and is invaded by external cold. The prescription has deliberated and accurate compatibility, it has extensive application and remarkable curative effect. Clinically and generally, the symptom of irritable bowel syndrome of cold fluid-retention is mostly caused by external cold with internal fluid retention syndrome,then cause gastrointestinal damage, lead to impaire spleen and stomach function. Therefore the symptom is similar to that which can be treated by Xiaoqinglong decoction with amazing curative effect. The paper analyzed the pathogenesis of the symptom of Irritable bowel syndrome of cold fluid-retention and the theory basis based on which Xiaoqinglong decoction can be used to treat the primary symptom. Additionally, the paper concluded two medical cases.