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论仲景经方在腹泻型肠易激综合征治疗中辨证运用 被引量:2

Application of Zhongjing Classical Prescription in the Treatment of Diarrhea-predominant Irritable Bowel Syndrome
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摘要 腹泻型肠易激综合征(IBS-D)在仲景相关古籍中,归属"泄泻""腹痛"中医疾病范畴,在《伤寒杂病论》原文中多次提及腹痛、泄泻等与IBS-D相类似的症状,仲景对此类疾病亦做了众多描述记载,并叙述了与之相应的病机与治法,提出了行之有效的精当方剂,为后世运用经方辨治IBS-D奠定了坚实基础。在目前临床治疗中,西医治疗虽有疗效,但尚有局限性,如果配合中医中药治疗则疗效显著,其中尤以仲景方剂为主的经方运用多获良效,故开发经方有着实际且迫切的临床意义,通过中医合理辨证及精当运方用药,再结合西医规范化治疗,具有明显且广阔的前景。该文交代IBS-D最新中西医研究背景,对IBS-D进行临床辨证分型,着重探讨仲景经方在各个证型中的辨证运用,并提出仲景经方中治疗IBS-D的代表方剂,并加以分析探讨,为临床使用仲景经方治疗IBS-D提供参考。 Diarrhea type irritable bowel syndrome(IBS-D)in Zhongjing relevant ancient books,belong to"diarrhea""pain"in TCM disease category,in the original text of theory of typhoid miscellaneous disease often talks about abdominal pain,diarrhea and other similar symptoms to IBS-D,Zhongjing’s description of such diseases also made many records,and describes the corresponding pathogenesis and treatment,put forward the effective prescription,for later use by the party treating IBS-D laid a solid foundation. In the current clinical treatment,although western medicine has curative effect,but there are limits,if cooperate with Chinese medicine treatment the curative effect is distinct,the traditional Chinese medicine especially in Zhongjing’s prescription primarily by the party and obtained fine effect,so the development by the party has actual and urgent clinical significance,through the reasonable syndrome differentiation of traditional Chinese medicine,and accurate delivery drugs,combined with Western medicine treatment of standardization,has obvious and broad prospects. In this paper,the latest research background of traditional Chinese and Western medicine for diarrhea-type IBS-D was introduced,clinical syndrome differentiation and classification of IBS-D were conducted,and the application of Zhongjing classical prescription in the treatment of IBS-D was emphatically discussed.
作者 王庆泽 刘建平 李雪可 郎晓猛 刘晓萌 王玉婷 崔泽华 焦红 WANG Qingze;LIU Jianping;LI Xueke;LANG Xiaomeng;LIU Xiaomeng;WANG Yuting;CUI Zehua;JIAO Hong(Hebei College of Tradtional Chinese Medicine,Shijiazhuang 050091,Hebei,China;Hebei Provincial Hospital of Traditional Chinese Medicine,Shijiazhuang 050011,Hebei,China)
出处 《辽宁中医药大学学报》 CAS 2021年第2期185-188,共4页 Journal of Liaoning University of Traditional Chinese Medicine
基金 河北省财政厅课题(2018125571-2)。
关键词 仲景经方 中医治疗 腹泻型肠易激综合征 Zhongjing classical prescription TCM treatment diarrheal irritable bowel syndrome
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