张声生教授论治腹泻型肠易激综合征经验  

Experience of professor ZHANG Sheng-sheng on differential treatment of diarrheapredominant irritable bowel syndrome

作　　者：齐英娜 张声生[1] 

机构地区：[1]首都医科大学附属北京中医医院,北京100010

出　　处：《中华中医药杂志》2015年第8期2796-2798,共3页China Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：肠易激综合征为常见的胃肠道紊乱性疾病,中医药治疗疗效显著。张声生教授认为肠易激综合征病位在肠,涉及肝、脾、肾三脏,肝脾失调为本病的发病之本,湿浊、湿热、食滞、寒凝、血瘀为致病之标,病机关键在于因虚、因滞致脾胃运化失司,湿浊、湿热、食滞、寒凝、血瘀阻滞中焦气机,脾气不升则腹胀、腹泻;若腑气通降不利则腹痛。治疗以调肝理脾化湿法为基本法则,善用自拟调肝理脾方为基本方,随证加减,使处方药物鲜明且针对性强。Irritable bowel syndrome is a common gastrointestinal disorder disease, and the effect of Chinese medicine treatment for it is significant. Professor ZHANG Sheng-sheng believes that it is mainly located in the intestinal, and involving the liver, spleen, kidney. Liver and spleen disharmony is the onset of irritable bowel syndrome. Dampness, heat, food stagnation, cold coagulation, stasis are pathological results. Principles of pathogenesis are feeble and stagnation which could cause transportation and transformation disorder. Dampness, heat, food stagnation, cold coagulation, stasis block qi function in middle jiao, the spleen- qi fails to send up nutrients, results in abdominal distention and diarrhea. Bowel-qi obstruction can result in abdominal pain. Principles of treatment are both regulationing of liver and spleen function and tansforming dampness into body fluid. He is good at applying his experience prescription for regulation of liver and spleen, and with the addition and subtraction.

关 键 词：腹泻型肠易激综合征 临床经验 调肝理脾方 

分 类 号：R249[医药卫生—中医临床基础] R259[医药卫生—中医学]