柴胡桂枝干姜汤治疗肠道易激综合征临证经验  

The experience in treating IBS with the Chaihu Guizhi Ganjiang decoction

作　　者：修明君 张野[2] 王强[1] Xiu Mingjun

机构地区：[1]天津中医药大学,天津300193 [2]长春中医药大学,吉林长春136100

出　　处：《中医临床研究》2019年第23期53-55,共3页Clinical Journal Of Chinese Medicine

摘　　要：肠道易激综合征(Irritable Bowel Syndrome,IBS)是缺乏胃肠道结构和生化异常的肠道功能紊乱性疾病,中医认为此病因气动而病,且常积病,病情缠绵难愈,多以腹痛、下利、便秘乃等症迭见,病在肠道,但与肝、脾密不可分,治疗要谨守病机,达肝扶脾以治本,旁涉兼症,益气化浊以治标。从形气辨证出发,加减用药。经医者多年临证经验总结,应用《伤寒杂病论》柴胡桂枝干姜汤加减治疗本病效如桴鼓。IBS is a disease caused by intestinal dysfunction, but it has no abnormal gastrointestinal structure and the change of biochemical indexes. TCM holds that the disease is caused by Qidong (气动), over a long period of time, has long duration, the main symptom is abdominal pain, diarrhea, constipation or all symptoms appear. The site of the disease is in the gut. However, it is closely related to the function of Gan (肝) and Pi (脾). The treatment should grasp the pathogenesis of the disease, Dagan Fupi (达肝扶脾) plus Yiqi Huazhuo (益气化浊), with the theory of syndrome differentiation Xing (形) and Qi (气). Through the summary of clinical experience, the treatment of IBS with the Chaihu Guizhi Ganjiang decoction (柴胡桂枝干姜汤) is remarkable.

关 键 词：肠道易激综合征 形气辨证 柴胡桂枝干姜汤 

分 类 号：R322.45[医药卫生—人体解剖和组织胚胎学]