从菌群失调与泄泻的关系论中医的同病异治

Discussion on "treating the same disease with different therapies" based on the correlation between flora imbalance and diarrhea

同病异治理论是中医学的重要治疗原则之一,强调的是中医证候的差异。肠道菌群作为人体代谢和免疫的重要组成部分对于中医证候的形成有着不容忽视的作用,同一疾病的不同中医证候必然存在不同的肠道菌群特征。泄泻是一种常见的胃肠道疾病,与菌群失调密切相关。从肠道菌群失调与泄泻的关系出发,理解中医同病异治的理论,将充分展示中医的守正创新。本文通过论述菌群失调的内涵、菌群失调与泄泻的相关性、泄泻不同病因引起的菌群失调差异和同病异治理论在菌群失调治疗中的应用,希望能从肠道菌群的视角初步阐明中医同病异治理论的内涵,进一步促进同病异治理论在菌群失调相关疾病治疗中的应用。

The theory of "treating the same disease with different therapies" is one of the important treatment principles of traditional Chinese medicine(TCM), which emphasizes the differences among various TCM syndromes. As an important part of human metabolism and immunity, intestinal flora exerts a significant role in the formation of TCM syndromes. Different TCM syndromes of the same disease must have different characteristics of intestinal flora. Diarrhea, a common gastrointestinal disease, is closely related to dysbacteriosis. Understanding the theory based on the relationship between dysbacteriosis and diarrhea will fully demonstrate the integrity and innovation of TCM. This paper discusses the connotation of dysbacteriosis, correlation between dysbacteriosis and diarrhea, differences in flora imbalance caused by different causes of diarrhea, and application of the theory of Treating the same disease with different therapies in the treatment of dysbacteriosis. It is hoped that the connotation of the theory will be preliminarily clarified from the perspective of intestinal flora, which will further promote the application of the theory of treating the same disease with different therapies in the treatment of diseases related to dysbacteriosis.