腹泻型肠易激综合征证型及证候要素的文献研究  

Literature study of common syndromes and syndrome factors of diarrhea-predominant irritable bowel syndrome

作　　者：沈淑华[1] 黄宣[1] 吕宾[1] 连建伟[1] 王坤根[1] 

机构地区：[1]浙江中医药大学附属第一医院,杭州310006

出　　处：《中华中医药杂志》2013年第5期1538-1540,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：浙江省自然科学基金项目(No.LY12H29002)~~

摘　　要：目的:探讨腹泻型肠易激综合征(IBS-D)的证型及证候要素的分布规律。方法:采用计算机检索的方法,检索1989年1月-2012年6月IBS-D的相关文献,建立数据库,进行统计分析。结果:检索出合格文献40篇。IBS-D累积频率达90%的证型依次是:肝郁脾虚证、脾气虚证、肝旺脾虚证、肝郁气滞证、脾肾阳虚证、脾虚湿盛证、大肠湿热证和肾阳虚证;累积频率达90%的病位证素依次是脾、肝和肾;累积频率达90%的病性证候要素依次是气虚、气郁、阳虚和湿阻。结论:基于证型与证候要素的文献研究提示肝脾不和是IBS-D的基本发病环节。Objective： To investigate the distribution characteristics of syndromes and syndrome factors of diarrhea- predominant irritable bowel syndrome （IBS-D）. Methods： The literature was selected from January 1989 to June 2012 through computer-based retrieval, and then a database was established and analyzed statistically. Results： The common syndromes of IBS-D were： liver-stagnation and spleen-deficiency syndrome, spleen-qi deficiency syndrome, liver excess and spleen deficiency syndrome, liver depression and qi stagnation syndrome, spleen yang-deficiency and kidney yang-deficiency syndrome, spleen-qi deficiency and dampness accumulation syndrome, large intestine dampness-heat syndrome and kidney yang-deficiency syndrome. The accumulating rate of the main disease location factors were spleen, liver and kidney which accounted to 90%, while the accumulating rate of the syndrome factors were qi deficiency, qi stagnation, yang deficiency and dampness which accounted to 90%. Conclusion： The basic pathogenesis of IBS-D was disharmony between liver and spleen.

关 键 词：腹泻型肠易激综合征 证候 证候要素 文献 

分 类 号：R259[医药卫生—中西医结合]