摘要
焦虑和抑郁等精神心理异常不仅是诱发肠易激综合征(IBS)的重要因素,同时是IBS最常合并的病理状态,可加重患者肠道症状,引起躯体症状障碍,增加治疗难度,影响药物疗效,给患者造成巨大身心负担,降低生活质量。近年来,中医药治疗腹泻型肠易激综合征(IBS-D)注重中医心功能失调对IBS肠道功能和精神心理的影响,并逐渐从肝脾论治发展到从心肝脾论治的新阶段。文章围绕焦虑和抑郁对IBS-D发生发展和治疗的影响,以中医心肝脾功能异常与IBS-D伴焦虑或抑郁的联系为纽带,重点阐述了从心肝脾论治的思路和方法,强调从肝脾论治以改善肠道症状是基础,从心脾和心肝论治精神心理症状是主要手段,两者同步治疗可提高疗效。
Mental and psychological disorders such as anxiety and depression are not only important factors to induce irritable bowel syndrome(IBS),but also the most common pathological state of IBS,which can aggravate the patients’intestinal symptoms,cause physical symptom disorder,increase the difficulty of treatment,affect the curative effect,and cause huge physical and mental burden to the patients,as well as reduce the quality of life.In recent years,traditional Chinese medicine(TCM)treatment of IBS-D has focused on the influence of heart dysfunction of TCM on intestinal function and mental psychology of IBS,and gradually developed from the treatment of liver and spleen to a new stage of treatment of heart,liver and spleen.This article focused on the influence of anxiety and depression on the development and treatment of IBS-D.Based on the link between dysfunction of heart,liver and spleen and IBS-D with anxiety or depression,it focused on the idea and method of treatment from the heart,liver and spleen,and emphasized that treating the liver and spleen to improve intestinal symptoms was the basis.Concurrently,the paper expounded treating mental and psychological symptoms from heart and liver was the main method,while the comprehensive treatment of both could significantly improve the curative effect.
作者
吴皓萌
秦书敏
郑欢
李间清
黄绍刚
唐旭东
WU Hao-meng;QIN Shu-min;ZHENG Huan;LI Jian-qing;HUANG Shao-gang;TANG Xu-dong(The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangdong Provincial Key Laboratory of Clinical Research on Traditional Chinese Medicine Syndrome,State Key Laboratory of Dampness Syndrome of Traditional Chinese Medicine by Provincial and Ministry Co-construction,Guangzhou 510120,China;Guangzhou University of Chinese Medicine,Guangzhou 510405,China;China Academy of Chinese Medical Sciences,Beijing 100700,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2021年第8期4494-4497,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
国家自然科学基金项目(No.81703992,No.81974563,No.81904148)
中国博士后科学基金项目(No.2018M640222)
北京市自然科学基金项目(No.7192184)
广东省医学科研基金(No.A2017394)
广东省中医院中医药科学技术研究专项(No.YN2016QJ14,No.YN10101907,No.YN2015MS08)
国家中医药管理局中医药循证能力建设项目(No.2019XZZX-XH002)
广州中医药大学学科研究重点项目(No.XK-2019027)。
关键词
腹泻型肠易激综合征
焦虑
抑郁
肝郁脾虚
心肝脾论治
Diarrhea-predominant irritable bowel syndrome(IBS-D)
Anxiety
Depression
Stagnation of liver qi and spleen deficiency
Treatment from heart,liver and spleen