冯培民治疗腹泻型肠易激综合征经验浅析

Feng Peimin’s Experience in the Treatment of Diarrheal Irritable Bowel Syndrome

腹泻型肠易激综合征(Irritable bowel syndrome with diarrhea, IBS-D)是一组以腹泻为主要症状的临床综合征,为消化系统常见病,本病病程长,临床症状严重、病情易反复,严重影响患者生活质量,并加重了国家的经济负担。目前IBS-D发病机制不明,现代医学对其治疗以药物内服为主,存在疗效欠佳、不良反应较多等缺陷。而中医药注重整体调节且不良反应少,一定程度上能弥补西医学治疗的不足。冯培民教授根据其多年临床经验,指出IBS-D发病之源是脾胃虚损,水湿不运贯穿其中,土虚木乘为重要环节。故在治疗中,以分消水湿为基本法则,配以抑木扶土之法,往往收效甚佳。Irritable bowel syndrome with diarrhea is a group of clinical syndromes with diarrhea as the main symptom, which is a common disease of the digestive system, with a long course of disease, severe clinical symptoms, and easy recurrence, which seriously affects the quality of life of patients and increases the economic burden of the country. At present, the pathogenesis of IBS-D is unknown, and modern medicine mainly treats it with internal medication, which has defects such as poor efficacy and many adverse reactions. Traditional Chinese medicine focuses on overall regulation and has few adverse reactions, which can make up for the shortcomings of Western medicine treatment to a certain extent. Based on his years of clinical experience, Professor Feng Peimin pointed out that the source of the pathogenesis of IBS-D is spleen and stomach deficiency, which runs through water and dampness, and soil deficiency and wood multiplication are important links. Therefore, in the treatment, the basic law of dividing water and eliminating dampness, combined with the method of inhibiting wood and supporting soil, often has good results.