时素华运用调神安肠灸治疗腹泻型肠易激综合征的经验

Shi Suhua’s experience in treating diarrhea-predominant irritable bowel syndrome with tiaoshen anchang moxibustion

肠易激综合征(IBS)是常见的胃肠道功能紊乱性疾病,其中以腹泻型IBS(IBS-D)最多见。IBS-D的发病虽与脾虚、湿盛、肝郁等有关,时素华认为久泄必伤肾,其病机不论如何演变,最终均会发展为脾肾阳虚;而“脑”调控和影响胃肠功能,脑肠功能失调贯穿IBS-D始终。时素华在继承李志刚教授“通督启神”法针刺治疗神志病的基础上,提出用调神安肠灸治疗IBS-D。该灸法具有量大力专、姜灸并用、任督同调的特点,借助经脉、腧穴的功效和艾灸、生姜的温通作用,最大限度地温补脾肾阳气,同时调和脑肠功能。本文结合时素华对IBS-D病因病机的认识,介绍调神安肠灸的疗法,并举典型病案以供参考。

Irritable bowel syndrome(IBS)is a common gastrointestinal dysfunction,of which diarrhea type IBS(IBS-D)is the most common.Although the pathogenesis of IBS-D is related to such as spleen deficiency,dampness,and liver depression,Shi Suhua believes that chronic diarrhea will damage the kidney,no matter how the pathogenesis evolves,it will eventually develop into spleen and kidney yang deficiency.“The brain”regulates and affects gastrointestinal function,and brain-gut dysfunction runs through IBS-D.On the basis of inheriting Professor Li Zhigang’s“Tongdu Qishen”method of acupuncture treatment of mental illness,Shi Suhua proposed to treat IBS-D with tiaoshen anchang moxibustion.The moxibustion has the characteristics of large amount and special effect,ginger and moxibustion are used together,and the Ren and Du meridians are adjusted at the same time.With the help of the efficacy of meridians and acupoints and the warming effect of moxibustion and ginger,the spleen and kidney yang qi are warmed to the maximum extent,and the brain and gut function are reconciled.This article will combine’s Shi Suhua’s understanding of the etiology and pathogenesis of IBS-D,introduce the treatment of tiaoshen anchang moxibustion,and list typical cases for reference.