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作 者:毛心勇 倪文超 国嵩 苏晓兰[1,2] 杨洋 王欣[1,2] 张涛 刘倩[1,2] 独思静 罗梦雪[1,2] 潘雨烟 魏玮 MAO Xinyong;NI Wenchao;GUO Song;SU Xiaolan;YANG Yang;WANG Xin;ZHANG Tao;LIU Qian;DU Sijing;LUO Mengxue;PAN Yuyan;WEI Wei(Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China;Beijing Key Laboratory of Functional Gastrointestinal Disorders Diagnosis and Treatment of Traditional Chinese Medicine,Beijing 100102,China;Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)
机构地区:[1]中国中医科学院望京医院,北京100102 [2]功能性胃肠病中医诊治北京市重点实验室,北京100102 [3]北京中医药大学东直门医院,北京100700
出 处:《吉林中医药》2022年第1期12-16,共5页Jilin Journal of Chinese Medicine
基 金:国家自然科学基金重点国际(地区)合作研究项目(81820108033);国家自然科学基金面上项目(81774066)。
摘 要:湿邪作为中医外感和内伤的重要致病因素,腹泻型肠易激综合征诸多症状与多湿环境、多湿体质、湿邪阻遏气机、湿邪困脾、脾肾阳虚等密切相关,故充分了解其病机关键,掌握核心治法是治疗该病的重点。以"湿邪致病"为理论引导,经过大量文献梳理及反复临床实践,从中医病因病机及西医生理病理机制方面揭示湿邪与腹泻型肠易激综合征的内在联系,以"温肾健脾调枢法"为基本治则,以期更有针对性地为临床诊疗提供借鉴。Professor Wei Wei believes that dampness pathogen is an important pathogenic factor of exogenous diseases and internal damages in Chinese medicine,and many symptoms of diarrhea-predominant irritable bowel syndrome are closely related to a humid environment,a damp constitution,dampness obstructing qi movement,dampness disturbing the spleen,yang deficiency of the spleen and kidneys,so fully understanding its key pathogenesis and mastering the core treatment method are the key points for the treatment of the disease.Guided by the theory of dampness pathogens causing diseases,after conducting a large number of literature reviews and repeated clinical practice,this paper means to reveal the internal relationship between dampness and diarrhea-predominant irritable bowel syndrome from its etiology and pathogenesis of Chinese medicine and its physiological and pathological mechanisms of western medicine,and takes “the method of warming kidneys,invigorating the spleen and regulating the key point of the disease” as the basic treatment principle,in order to provide a reference for its clinical diagnosis and treatment in a more targeted way.
关 键 词:湿邪 腹泻型肠易激综合征 泄泻 腹痛 郁病 温肾健脾调枢法
分 类 号:R259[医药卫生—中西医结合]
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