摘要
便秘型肠易激综合征(irritable bowel syndrome with predominant constipation,IBS-C)是一种常见,且发病率逐年上升的消化系统疾病,中医辨证论治在此病的诊疗中具有独特优势。通过多年临床用药的总结,朱生樑教授提出IBS-C以肝郁气滞贯穿始终,津亏肠燥为重要成因,脾肾亏虚、湿瘀互结为久病之机。临床治疗以疏肝行气止痛,增液润下,健脾温肾,祛湿化瘀为法,常以柴胡疏肝散为基础方加减治疗,疗效甚佳。
Irritable bowel syndrome with predominant constipation(IBS-C)is a common digestive disease with an increasing incidence year by year,and the treatment based on syndrome has a unique advantage in treatment of this disease.Through years of clinical use of medication,Professor ZHU Shengliang suggested that IBS-C is caused by liver depression and Qi stagnation throughout the disease course,fluid deficiency and intestinal dryness is the cause of the disease,deficiency of spleen and kidney,mixed of dampness and stasis are the pathogenesis of the disease.The clinical treatment should dredge liver and move Qi to relieve pain,increase fluid to lubricate the bowels and pass stools,strengthen spleen and warm kidney,dispel dampness and activate blood circulation to remove blood stasis,often using Chaihu Shugan Decoction(柴胡疏肝散)as the basic formula,with remarkable results.
作者
苏师予
徐亭亭
王宏伟
王磊
朱生樑
程艳梅
王美琪
胡紫凌
袁岁芳
SU Shiyu;XU Tingting;WANG Hongwei;WANG Lei;ZHU Shengliang;CHENG Yanmei;WANG Meiqi;HU Ziling;YUAN Suifang(Yueyang Hospital of Integrative Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Shanghai Putuo People′s Hospital,Shanghai 200600,China)
出处
《辽宁中医杂志》
北大核心
2025年第9期28-31,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学基金项目(81102567)
上海市卫生健康委员会项目(2014LP055A)
上海中医药大学项目[30304114301,A2-X19026,ZY(2018-2020)-GJHZ-1005]。
关键词
肠易激综合征
便秘
朱生樑
名师经验
中医药疗法
irritable bowel syndrome
constipation
ZHU Shengliang
experience of famous doctors
traditional Chinese medicine therapy
作者简介
苏师予(1998-)女,北京人,医师,硕士,研究方向:中西医结合治疗消化系统疾病;通讯作者:程艳梅(1977-),女,吉林省吉林市人,主任医师,硕士研究生导师,博士,研究方向:中西医结合治疗消化系统疾病,E-mail:yyq22@163.com。
