腹泻型肠易激综合征与阳虚体质的相关性研究进展  

Research progress on the relationship between diarrhea-predominant irritable bowel syndrome and Yang deficiency

作　　者：王康益 章莹[1] WANG Kangyi

机构地区：[1]江西中医药大学中医学院,江西南昌330004

出　　处：《中医临床研究》2024年第19期144-148,共5页Clinical Journal Of Chinese Medicine

基　　金：江西省中医药中青年骨干人才培养计划;江西省教育厅科学技术研究项目(GJJ190657);江西省中医药管理局科技计划项目(2020A0309)。

摘　　要：腹泻型肠易激综合征是肠道疾病中常见的慢性疾病,临床以腹痛、腹胀或腹部不适为主要症状,与排便相关或伴随排便习惯如频率或粪便性状改变,具有病情复杂、易复发的特征。泄泻是以大便次数增多,粪质稀薄,甚至泻出如水样为临床特征的一种脾胃肠病证,所以腹泻型肠易激综合征在中医病证里属于“泄泻”的范畴。阳虚体质者常见大便溏薄、小便清长、精神不振等表现,发病易从寒化,易病泄泻、痰饮、肿胀。中医认为,脾的健运功能有赖于脾阳的温煦作用,脾阳有助脾运化水谷、运化水液以及温煦四肢等功能。脾阳不足可导致脾失健运,影响食物消化和精微物质吸收,从而出现食欲不振、腹胀、便溏以及倦怠乏力等症状。肾为先天之本,脾为后天之本,肾阳为脾阳之根本。肾阳虚衰,命门之火不足,不能助脾阳发挥作用,从而导致五更泄泻。治疗腹泻型肠易激综合征以改善焦虑、提高患者的生活质量为目的,而阳虚体质患者可以通过后天的调养平衡体内阴阳,进而改善或治愈腹泻型肠易激综合征。结合体病相关论,笔者认为阳虚体质者更易出现便溏、腹泻等病证。通过查阅近10余年的相关文献,笔者对阳虚质与腹泻型肠易激综合征的相关性进行归纳总结,分析目前存在的问题,以期能进一步完善体病相关论。Diarrhea-predominant irritable bowel syndrome(IBS-D)is a common chronic intestinal disease with abdominal pain,bloating or abdominal discomfort as the main clinical symptoms.It is associated with or accompanied by changes in bowel habits,such as frequency or fecal characteristics,and is characterized by complex disease and easy recurrence.Diarrhea is a kind of spleen gastrointestinal disease characterized by increased frequency of stool,thin stool,and even watery discharge,so IBS-D belongs to the category of diarrhea in TCM.People with Yang(阳)deficiency constitution often have thin loose stools,clear urine and long urine,and lack of spirit.The disease is easy to change from cold,resulting in diarrhea,phlegm,and swelling.TCM believes that the health function of the spleen depends on the warming effect of the spleen Yang,which helps the spleen to transport water and grain,transport water and warm limbs and other functions.Insufficient spleen Yang can lead to spleen dysfunction,affecting food digestion and absorption of fine substances,resulting in loss of appetite,abdominal distension,loose stool and fatigue and other symptoms.Kidney is the origin of congenital,spleen is the origin of acquired,kidney Yang is the root of spleen Yang.Kidney Yang deficiency can not help spleen Yang play a role,resulting in diarrhea ot dawn.The purpose of treating IBS-D is to improve anxiety and improve quality of life,and Yang deficiency constitution can be regulated by balancing Yin(阴)and Yang in the body through acquired recuperative care,so as to improve or cure IBS-D.With the theory of body-disease correlation,the author thinks that people with Yang deficiency are more likely to have loose stools,diarrhea and other diseases.By reviewing relevant literature in the past 10 years,the author summarized the correlation between Yang deficiency and IBS-D,pointed out and analyzed the existing problems,in order to further improve the theory of body-disease correlation.

关 键 词：腹泻型肠易激综合征 阳虚质 体病相关 

分 类 号：R322.45[医药卫生—人体解剖和组织胚胎学]