从脾虚生浊辨治腹泻型肠易激综合征经验

Experience in Treating Diarrhea-predominant Irritable Bowel Syndrome Based on the Theory of Spleen Deficiency Generating Turbidity

基于“脾虚生浊”观点,认为腹泻型肠易激综合征的主要病机是脾虚浊实,以脾虚为本、浊气滞肠为标,提出泄浊运中的治疗总则。急性期以浊实为主,治当通腑泄浊,常用枳实导滞汤加减;缓解期以脾虚为主,治当益气健脾,常用七味白术散加减。急则治标,缓则治本,以助恢复肠腑之传导功能,脾胃之运化功能,使水谷各有归途,清浊各行其道。

Based on the view of"spleen deficiency generating turbidity",it is believed that the main pathology of irritable bowel syndrome diarrhea-predominant(IBS-D)is spleen deficiency and turbidity excess,with spleen deficiency as the root and turbidity stagnating intestines as the branch,and the treatment principle of draining turbidity and transporting the center was proposed.In the acute stage,turbidity excess is the main cause,the treatment should unblock the bowels and discharge turbidity,commonly with modified Zhishi Daozhi Decoction(枳实导滞汤);in the remission stage,spleen deficiency is the main cause,the treatment should boost qi and fortify the spleen,commonly with modified Qiwei Baizhu Powder(七味白术散).Treating the branch in acute conditions,and treating the root in moderate conditions,so as to help restore the conduction function of the intestines and bowels,the transportation and transformation function of the spleen and stomach,then the water and grains have their own way,clear and turbid each in its own way.