肠易激综合征证候规律探讨  

Syndrome Discussing of Irritable Bowel Syndrome

作　　者：窦志芳[1] 张俊龙[1] 阎川慧[1] 陈燕清[1] 范凯芳[1] 何姗[1] 

机构地区：[1]山西中医学院,山西太原030024

出　　处：《中华中医药学刊》2011年第12期2643-2644,共2页Chinese Archives of Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划(973计划)资助项目(2011CB505103)

摘　　要：目的:探讨肠易激综合征的证候规律。方法:以"肠易激综合征"为主题词,系统检索中国期刊全文数据库近20年来所有相关文献,通过筛选,选择其中的医案部分,录入相关数据,然后进行相关统计学处理。结果:共录入171例病例,其中以肝郁脾虚型最多,脾胃虚弱型次之。临床表现以腹痛、食欲减退、腹胀等脾胃症状为主,共出现344次,占总症状的79.3%,以烦躁易急等精神症状为次,舌质以红为最多,苔以薄苔或以白苔为主。结论:肠易激综合合征的发生以肝失疏泄为标,脾土不足为本,肝郁脾虚是其主要病机。Objective： To study nature and flavour and channel tropism of herbs in common use for IBS. Method：By searching related documents in recent 20 years from CNKI, we chose cases then we collected related data and did data manipulation, and then did further data manipulation for nature and flavour and channel tropism of herbs in common use. Result： The herbs for IBS mainly are those for strengthening the spleen herbs, secondly are the herbs for regulating the /low of qi. As for channel tropism most herbs act on spleen. As for Four natures, most herbs are warm and mild. As for Five flavours, most herbs are bitter and/or sweet. Conclusion： Sweet mild and sweet warm herbs which act on spleen are the first choice for treating IBS. Sour herb Baishao which acts on liver is the herb in common use. Herbs of ventilating lung qi which act on lung are important complementary.

关 键 词：肠易激综合征 性味 归经 

分 类 号：R57[医药卫生—消化系统]