腹泻型肠易激综合征(IBS-D)是一种以腹痛、腹胀,伴有稀烂便、排便次数增多为主要症状的功能性胃肠病,其关键病机为肝郁脾虚,焦虑抑郁是肝郁脾虚IBS-D的主要情志表现。IBS-D的治疗上,各医家使用经方,如柴胡桂枝干姜汤、当归芍药散、柴胡...腹泻型肠易激综合征(IBS-D)是一种以腹痛、腹胀,伴有稀烂便、排便次数增多为主要症状的功能性胃肠病,其关键病机为肝郁脾虚,焦虑抑郁是肝郁脾虚IBS-D的主要情志表现。IBS-D的治疗上,各医家使用经方,如柴胡桂枝干姜汤、当归芍药散、柴胡加龙骨牡蛎汤、四逆散、乌梅丸、半夏泻心汤、甘草泻心汤均取得显著效果。文章从病因病机、经方治疗两个方面综述肝郁脾虚型IBS-D的中医研究进展,为经方治疗肝郁脾虚IBS-D提供依据。Diarrhea-predominant irritable bowel syndrome (IBS-D) is a functional gastrointestinal disease characterized by abdominal pain and bloating, accompanied by scattered stools, and increased frequency of bowel movements. Its key pathogenesis is liver depression and spleen deficiency, and anxiety and depression are the main emotional manifestations of liver depression and spleen deficiency in IBS-D. In the treatment of IBS-D, doctors have used classic prescriptions, such as Chaihu Guizhi Ganjiang Decoction, Danggui Shaoyao Powder, Chaihu Jialonggu Oyster soup, Sini Powder, Wumei Pill, Banxia Xiexin Decoction, and Licorice Xiexin Decoction, which have achieved remarkable results. This article reviews the progress of traditional Chinese medicine research on liver stagnation and spleen deficiency type IBS-D from two aspects: etiology, pathogenesis, and treatment with traditional Chinese medicine prescriptions, providing a basis for the treatment of liver stagnation and spleen deficiency IBS-D with traditional Chinese medicine prescriptions.展开更多
目的:探讨疏肝健脾法联合火龙罐治疗肝郁脾虚证腹泻型肠易激综合征的临床应用价值。方法:本研究选取三明市中西医结合医院2021年7月至2022年8月诊治的肝郁脾虚证腹泻型肠易激综合征患者作为研究对象。共纳入100例符合入组标准的患者,分...目的:探讨疏肝健脾法联合火龙罐治疗肝郁脾虚证腹泻型肠易激综合征的临床应用价值。方法:本研究选取三明市中西医结合医院2021年7月至2022年8月诊治的肝郁脾虚证腹泻型肠易激综合征患者作为研究对象。共纳入100例符合入组标准的患者,分为研究1组与研究2组,各50例。两组患者均予以疏肝健脾法进行治疗,研究1组在此基础上联合火龙罐进行治疗。对比分析两组患者治疗1疗程后治疗总有效率、汉密尔顿抑郁量表(Hamilton Depression Rating Scale, HAM-D)评分、IBS-Quality of Life Questionnaire(IBS-QoL)量表评分。结果:经统计分析可知,研究1组患者在治疗1疗程后的治疗效果好于研究2组(96.00%>82.00%,P<0.05),研究1组患者在治疗1疗程后的抑郁程度好于研究2组(P<0.05);研究1组患者在治疗1疗程后的生活质量高于研究2组(P<0.05)。结论:疏肝健脾法联合火龙罐治疗肝郁脾虚证腹泻型肠易激综合征,可有效提高治疗效果,降低患者的腹痛程度以及腹泻情况,同时还可有效避免患者因疾病因素影响而造成抑郁,提高患者的生活质量。展开更多
文摘腹泻型肠易激综合征(IBS-D)是一种以腹痛、腹胀,伴有稀烂便、排便次数增多为主要症状的功能性胃肠病,其关键病机为肝郁脾虚,焦虑抑郁是肝郁脾虚IBS-D的主要情志表现。IBS-D的治疗上,各医家使用经方,如柴胡桂枝干姜汤、当归芍药散、柴胡加龙骨牡蛎汤、四逆散、乌梅丸、半夏泻心汤、甘草泻心汤均取得显著效果。文章从病因病机、经方治疗两个方面综述肝郁脾虚型IBS-D的中医研究进展,为经方治疗肝郁脾虚IBS-D提供依据。Diarrhea-predominant irritable bowel syndrome (IBS-D) is a functional gastrointestinal disease characterized by abdominal pain and bloating, accompanied by scattered stools, and increased frequency of bowel movements. Its key pathogenesis is liver depression and spleen deficiency, and anxiety and depression are the main emotional manifestations of liver depression and spleen deficiency in IBS-D. In the treatment of IBS-D, doctors have used classic prescriptions, such as Chaihu Guizhi Ganjiang Decoction, Danggui Shaoyao Powder, Chaihu Jialonggu Oyster soup, Sini Powder, Wumei Pill, Banxia Xiexin Decoction, and Licorice Xiexin Decoction, which have achieved remarkable results. This article reviews the progress of traditional Chinese medicine research on liver stagnation and spleen deficiency type IBS-D from two aspects: etiology, pathogenesis, and treatment with traditional Chinese medicine prescriptions, providing a basis for the treatment of liver stagnation and spleen deficiency IBS-D with traditional Chinese medicine prescriptions.
文摘目的:探讨疏肝健脾法联合火龙罐治疗肝郁脾虚证腹泻型肠易激综合征的临床应用价值。方法:本研究选取三明市中西医结合医院2021年7月至2022年8月诊治的肝郁脾虚证腹泻型肠易激综合征患者作为研究对象。共纳入100例符合入组标准的患者,分为研究1组与研究2组,各50例。两组患者均予以疏肝健脾法进行治疗,研究1组在此基础上联合火龙罐进行治疗。对比分析两组患者治疗1疗程后治疗总有效率、汉密尔顿抑郁量表(Hamilton Depression Rating Scale, HAM-D)评分、IBS-Quality of Life Questionnaire(IBS-QoL)量表评分。结果:经统计分析可知,研究1组患者在治疗1疗程后的治疗效果好于研究2组(96.00%>82.00%,P<0.05),研究1组患者在治疗1疗程后的抑郁程度好于研究2组(P<0.05);研究1组患者在治疗1疗程后的生活质量高于研究2组(P<0.05)。结论:疏肝健脾法联合火龙罐治疗肝郁脾虚证腹泻型肠易激综合征,可有效提高治疗效果,降低患者的腹痛程度以及腹泻情况,同时还可有效避免患者因疾病因素影响而造成抑郁,提高患者的生活质量。
