从五脏相通理论辨治便秘型肠易激综合征  

Treatment of Constipated Irritable Bowel Syndrome Based on Theory of Five Internal Organs Are Interlinked

作　　者：许静茹 王雨鸽 赵倩文 王俞铧 孙建慧[1] 刘阳 刘启泉[1] XU Jingru;WANG Yuge;ZHAO Qianwen;WANG Yuhua;SUN Jianhui;LIU Yang;LIU Qiquan(The First Affiliated Hospital of Hebei University of Traditional Chinese Medicine,Shijiazhuang 050011,China)

机构地区：[1]河北中医学院第一附属医院,河北石家庄050011

出　　处：《山东中医杂志》2022年第6期613-615,625,共4页Shandong Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局全国名中医传承工作室建设项目(批文号:国中医药办人教函[2018]119号)。

摘　　要：便秘型肠易激综合征其病位在大肠,五脏失调为其病机之本,肺气失宣、肝气郁结、脾虚湿滞、心火亢盛、肾阴不足互相影响,均可导致此病发生。以五脏相通理论为指导,善抓主病机,提出通调五脏安脾胃。治疗上宜斡旋中州,健运肠腑;宣启华盖,肃降肠腑;疏泄相因,体阴用阳;补肾助通,阴阳相济;清心护阴,化瘀通腑。Constipated irritable bowel syndrome is located in the large intestine,and the disorder of the five zang organs is the origin of its pathogenesis. Lung qi loss,liver qi stagnation,spleen deficiency and dampness stagnation,hyperactivity of heart fire,kidney yin deficiency affect each other,which can lead to the occurrence of this disease. Guided by the theory of the five zang organs are interlinked and grasping the main pathogenesis,the author proposes regulating the five zang organs to calm the spleen and stomach. The treatment should focus on regulating middle Jiao and harmonizing intestine;dispersing lung qi and descending bowel relieving;coordinating conveyance and dispersion,substantial yin and functional yang;tonifying kidney and harmonizing yin and yang;clearing away the heart-fire and protecting yin,removing blood stasis and purging fu.

关 键 词：五脏相通 通调五脏安脾胃 便秘型肠易激综合征 临证思路 

分 类 号：R256.35[医药卫生—中医内科学]