基于“肝主身之筋膜”探讨柔肝法在肠易激综合征中的应用  

Discussion on the Application of Liver Softening Method in Irritable Bowel Syndrome Based on " Liver Controlling Tendon"

作　　者：吴鑫 杨小军[2] 何毓玺 何圆君 WU Xin;YANG Xiaojun;HE Yuxi;HE Yuanjun(Guizhou University of Traditional Chinese Medicine,Guiyang 550002,Guizhou,China;Chongqing Traditional Chinese Medicine Hospital,Chongqing 400021,China)

机构地区：[1]贵州中医药大学,贵州贵阳550002 [2]重庆市中医院,重庆400021

出　　处：《实用中医内科杂志》2023年第11期43-45,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：重庆市自然科学基金项目(cstc2021jcyj-msxmX0858)。

摘　　要：立足“肝主身之筋膜”理论,总结肠易激综合征的核心病机为肝气郁滞,肝体用失衡,肝木克脾土,胃肠筋膜经隧挛急,表现出腹痛、腹部不适感、腹胀、便秘、腹泻等胃肠症状,或伴有焦虑抑郁、睡眠障碍等胃肠外症状,其病位在肠,其标在脾,其本在肝,涉及五脏,治病求本,进而提出柔肝理气解郁、柔肝缓急止痛、柔肝养血安神等治法探讨本病的治疗。Based on the theory of "Liver Controlling Tendon",the core pathogenesis of irritable colon syndrome is stagnation of liver Qi,imbalance of liver function,liver wood restraining spleen soil,acute contraction of gastrointestinal fascia meridian tunnel,abdominal pain,Abdominal discomfort,bloating,constipation,diarrhea and other gastrointestinal symptoms,or accompanied by parenteral symptoms such as anxiety,depression,sleep disturbance,etc.,the disease is located in the intestine,its target is in the spleen,its origin is in the liver,and it involves the five internal organs.This paper further proposes the treatment methods of softening the liver,regulating Qi and relieving depression,softening the liver and relieving pain,and softening the liver,nourishing blood and soothing the nerves to explore the treatment of this disease.

关 键 词：肝主身之筋膜 肠易激综合征 柔肝法 体用失衡 

分 类 号：R256.3[医药卫生—中医内科学]