“脑肠同调”治法在功能性便秘中的运用  

Application of"Simultaneously Treating Brain and Intestine"Treatment in Functional Constipation

作　　者：胡露楠 刘启鸿[1] 柯晓[1] HU Lunan;LIU Qihong;KE Xiao(The Second People's Hospital of Fujian Province,Fujian 350003,Fuzhou,China)

机构地区：[1]福建中医药大学附属第二人民医院,福建福州350003

出　　处：《实用中医内科杂志》2023年第12期56-59,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：国家中医药管理局—中医药循证能力建设项目(2019XZZX-XH001);全国区域诊疗中医专科中心建设项目(2100202);福建省自然科学基金项目(2021J01878)。

摘　　要：罗马Ⅳ认为功能性便秘的主要发病机制为“脑-肠互动异常”,基于此,中医学根据整体观念提出“脑肠同调”治法,兼顾“从脑治肠”“从肠治脑”“脑肠同治”进行整体治疗,对功能性便秘有着一定的疗效作用。故梳理“脑肠同调”的中西医理论基础及其临床相关运用,为功能性便秘提供新的治疗思路。According to Roman IV,the main pathogenesis of functional constipation is"brain-gut interaction abnormality".Based on this,traditional Chinese medicine proposes the treatment method of"simultaneously treating brain and intestine"based on the overall concept,taking into account"treating the intestines from the brain","treating the brain from the intestines"and"treating the brain and intestines together"and has a certain therapeutic effect on functional constipation.Therefore,sorting out the theoretical basis of"simultaneously treating brain and intestine:in traditional Chinese and Western medicine and its clinical application provides new treatment ideas for functional constipation.

关 键 词：脑肠同调 功能性便秘 脑-肠轴 

分 类 号：R256.35[医药卫生—中医内科学]