小柴胡汤及其合方治疗功能性胃肠病症状重叠的临证思路及验案举隅

Clinical thinking and case examples of Xiaochaihu Decoction and its combination in treating overlapping symptoms of functional gastrointestinal disorders

功能性胃肠病(FGIDs)是临床常见的无器质性病变的疾患,常有症状重叠,对患者生活质量产生极大的负面影响。其发病机制主要为肠-脑互动异常,中医以“疏肝调枢,健脾和胃”为治法,对该病治疗有着明显优势。小柴胡汤是《伤寒论》中治疗少阳病的经典方之一,能疏肝理气,健脾和胃,临床应用广泛。凌江红教授认为,小柴胡汤方证与FGIDs病机相参、方证相应,在临证中常用小柴胡汤及其合方治疗FGIDs症状重叠,疗效颇佳。兹分享其临证思路和验案如下,以期为各位同道治疗FGIDs症状重叠提供临床新思路。

Functional gastrointestinal disorders(FGIDs)are common clinical diseases without organic disorders(FGIDs),often with overlapping symptoms,which have a great negative impact on the life quality of patients.Its pathogenesis mainly owes to the abnormal interaction between the intestine and the brain.Traditional Chinese Medicine has obvious advantages in treating this disease with the treatment of"soothing the liver and regulating the pivot,strengthening the spleen and stomach".Xiaochaihu Decoction is one of the classic prescriptions for treating Shaoyang disease in Treatise on Febrile Diseases.It can dredge the liver and regulate qi,strengthen the spleen and stomach,and is widely used in clinics.Professor Ling Jianghong believes that Xiaochaihu Decoction and its combination decoctions are related to the pathogenesis of FGIDs and correspond to each other.In clinical practice,Xiaochaihu Decoction and its combination decoctions are often used to treat the overlapping symptoms of FGIDs,and the curative effect is quite good.This article is to share the professor's clinical thinking and experience and to provide new clinical ideas for treating the overlapping symptoms of FGIDs in the same way.