基于久病入络理论探讨腹泻型肠易激综合征的治疗思路

Discussion on the Treatment of Diarrhoeal Irritable Bowel Syndrome Based on the Theory of Prolonged Disease Entering Collateral

本文基于络病理论,探讨久病入络在腹泻型肠易激综合征(diarrhea-irritable bowel syndrome,IBS-D)形成及发展中的动态变化,认为络脉密切参与了IBS-D的发病过程且在病程中处于动态演变状态,并将本病分为络气阻滞、络脉血瘀以及络脉受损三个病程阶段。治疗上,以通络为核心,运用不同程度的通络药物,分别从宣通络脉气机、祛除络脉血瘀、缓解络脉受损的角度入手,恢复络脉通畅的气血运行,从而缓解症状且减少复发的机会。

Based on the collateral disease theory,this paper discusses the dynamic changes of chronic disease entering collateral in the formation and development of diarrhea irritable bowel syndrome(IBS-D),and believes that collateral closely participates in the pathogenesis of IBS-D and is in a dynamic evolution state during the course of the disease.The disease is divided into three stages:stagnancy of collateral-Qi in a deficiency condition,collateral blood stasis and collateral damage.In terms of treatment,taking dredging the collaterals as the core,different degrees of dredging drugs are used,respectively from the perspective of promoting the circulation of collaterals and qi,removing blood stasis in collaterals,alleviating the damage of collaterals,and restoring the smooth flow of qi and blood in collaterals,so as to alleviate symptoms and reduce the chance of recurrence.