基于肝与大肠相通理论治疗肠腑病探讨  

Treatment of bowel diseases based on the theory of connecting liver and large intestine

作　　者：赵佩珍 钱海华[1] ZHAO Peizhen;QIAN Haihua(Department of Proctology,Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing,Jiangsu 210029,China)

机构地区：[1]南京中医药大学附属医院肛肠科,江苏南京210029

出　　处：《医药前沿》2023年第35期24-28,共5页Journal of Frontiers of Medicine

摘　　要：肠腑病发病率的上升与社会现代化进程加快及饮食结构改变密切相关,肠腑病包括肠易激综合征、炎症性肠病、便秘等。肝与大肠相通学说揭示肝肠之间存在不同于传统表里、阴阳、相合的脏腑相通关系。二者在病理上也有密切关系,肝失疏泄是肠腑病重要病机,同样肠道传化失常影响肝调畅气机引起情志改变。此外,现代医学发现肝、脑、肠之间紧密联系,提出“肝肠轴”“脑肠轴”,从微观世界阐述“肝与大肠相通”理论内涵。本文主要围绕肝与大肠相通的内涵阐述肝肠的联系,提供从肝论治肠腑病的理论支持,同时也提供从大肠治疗肝脏及神经系统疾病的思路。The increasing incidence of intestinal diseases,including irritable bowel syndrome,inflammatory bowel disease and constipation,is closely related to the acceleration of social modernization and the change of diet structure.The theory of connection between liver and large intestine reveals that the viscera are different from the traditional relationship between exterior and interior,Yin and Yang,and harmony.The two are also closely related in pathology,liver dysfunction is an important pathogenesis of intestinal diseases,and intestinal transmission disorders affect the liver regulating qi mechanism and cause emotional changes.In addition,modern medicine has found the close connection between the liver,brain and intestine,and proposed the"gut-liver axis"and"brain-intestinal axis",explaining the theoretical connotation of"the connection between the liver and the large intestine"from the microcosmic world.This paper mainly elaborates the close relationship between liver and intestine,provides theoretical support for treating intestinal diseases from liver,and also provides ideas for treating liver and nervous system diseases from large intestine.

关 键 词：肠腑病 肝与大肠相通 肝肠轴 脑肠轴 

分 类 号：R574.6[医药卫生—消化系统]