舒肝解郁胶囊用于消化心身疾病常见问题的专家共识

Expert consensus on the use of Shugan Jieyu capsule for digestive psychosomatic disorders

以肠脑互动异常为核心发病机制的消化心身疾病日益成为消化专科临床实践的艰难挑战。"心身同治"整体医学思维是提升消化心身疾病治疗效果的关键。祖国医学"疏肝解郁、健脾安神"的治则就是此理念的典范。舒肝解郁胶囊由贯叶金丝桃和刺五加组合而成,是"疏肝解郁"的代表性植物药组方制剂。西医教育背景的消化专科医师在应用舒肝解郁胶囊治疗消化心身疾病时遇到不少理论和实践的问题。中华消化心身联盟召集全国中西医消化系统疾病临床专家,基于国内外临床研究的循证依据和临床经验,针对舒肝解郁胶囊用于消化心身疾病临床实践中的困惑,形成共识或临床建议。

Psychosomatic gastrointestinal disorders,the core pathogenesis of which is"abnormal gut-brain interaction"have increasingly become a great challenge for gastroenterology clinical practice.The holistic medical thinking of"treating the mind and body together"is the key to improve the treatment effect of digestive psychosomatic disorders.The traditional Chinese medical principles of"dispersingstagnated liver qi for relieving qi stagnation"and"invigorating spleen for tranquilization"are outstanding models of holistic medicine in gut-brain interaction disorders.Shugan Jieyu capsule,combined by Hypericum perforatum and Acanthopanax,is a representative formula for"dispersingstagnated liver qi for relieving qi stagnation".However,gastroenterologists with western medical education background have encountered many theoretical and practical problems when using Shugan Jieyu capsule in the treatment of digestive psychosomatic disorders.In this report,gastrointestinal experts of traditional Chinese and Western medicine were invited by the Chinese Digestive Psychosomatic Union to form a consensus or clinical recommendation according to the evidence-based clinical research and clinical experience at home and abroad,in order to resolve the confusions of using Shugan Jieyu capsule in the treatment of digestive psychosomatic disorders.