储浩然基于五行生克制化理论治疗腹泻型肠易激综合征

Research on the treatment of diarrheal irritable bowel syndrome by professor Chu Haoran based on the principle of mutual promotion-restraint-transformation of fifive elements

总结储浩然教授基于五行生克制化理论治疗腹泻型肠易激综合征(IBS-D)的临证经验。储浩然教授认为,肠易激综合征的基本病机为五行生克制化相对平衡破坏,五脏失调;中心环节为脾土失健,湿邪内生;基本病位为脾,与肝心肺肾密切相关。治疗上谨守病机,依五行生克制化理论以调中为本,五脏通调为基本治则;健脾以升阳益土,化湿为要;养心以健脾宁心,清养心神;益肝以补土疏肝,疏柔共济;理肺以金土同调,健运中焦;补肾以益火补土,阳旺气运。储浩然以“五行生克制化理论”为基础治疗IBS-D,临床收效显著,具有较强的临床指导意义。

This paper summarizes professor Chu Haoran's clinical experience in the treatment of diarrheal irritable bowel syndrome(IBS-D)based on the principle of"mutual promotion-restraint-transformation of five elements".Professor Chu Haoran believes that the basic pathogenesis of IBS-D is the destruction of the relative balance of mutual promotion-restraint-transformation of five elements and misalignment of five zang viscera;The central link is dysfunction of spleen-earth,and endogenous dampness pathogen;The basic location of the disease is the spleen,which is closely related to the liver,heart,lungs and kidneys.The treatment of this disease should adhere to cautiously grasping pathogenesis.According to the principle of"mutual promotionrestraint-transformation of five elements",the treatment of this disease is based on the adjustment of middle jiao,and the basic treatment principle is to regulate all five zang viscera;To strengthen the spleen,to promote spleen yang and invigorate the spleenearth,and to eliminate dampness are the key;the heart is nourished by strengthening spleen and calming heart,and heart-relieving;the liver is benefitted by invigorating the spleen-earth,dispersing stagnated liver qi,with a combination of soothing and softening effects;the lungs are regulated by the harmony of gold and earth and activating the middle jiao;Invigorating kidneys should tonify heart fire and invigorate the spleen-earth,which can prosper yang and smooth the qi movement.Based on the principle of"mutual promotion-restraint-transformation of five elements",the treatment of IBS-D by Chu Haoran has significant clinical effects and has strong clinical guiding significance.