舒肝解郁胶囊用于消化心身疾病常见问题的专家共识  

Expert Consensus on Use of Shugan Jieyu Capsule for Digestive Psychosomatic Disorders

作　　者：中华消化心身联盟 陈胜良[2] 唐旭东[3] 侯晓华[4] 李博[5] 颜秀娟[2] Chinese Digestive Psychosomatic Union;CHEN Shengliang;TANG Xudong;HOU Xiaohua(不详;Division of Gastroenterology and Hepatology,Renji Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai,200127;Institute of Digestive Diseases,Xiyuan Hospital of China Academy of Chinese Medical Sciences,Beijing,100091;Department of Gastroenterology,Union Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430022)

机构地区：[1]不详 [2]上海交通大学医学院附属仁济医院消化内科,200127 [3]中国中医科学院西苑医院脾胃病研究所,100091 [4]华中科技大学同济医学院附属协和医院消化内科,430022 [5]首都医科大学附属北京中医医院消化科北京市中医药研究所北京中医药循证医学中心

出　　处：《胃肠病学》2024年第8期475-485,共11页Chinese Journal of Gastroenterology

摘　　要：以肠⁃脑互动异常为核心发病机制的消化心身疾病日益成为消化专科临床实践中的艰难挑战。“心身同治”整体医学思维是提升消化心身疾病治疗效果的关键,祖国医学“疏肝解郁、健脾安神”的治则是此理念的典范。舒肝解郁胶囊由贯叶金丝桃和刺五加组合而成,是“疏肝解郁”的代表性植物药组方制剂。西医教育背景的消化专科医师在应用舒肝解郁胶囊治疗消化心身疾病时可能会遇到不少理论和实践问题。中华消化心身联盟召集全国中西医消化系统疾病临床专家,基于国内外临床研究的循证证据和临床经验,针对舒肝解郁胶囊用于消化心身疾病临床实践中的困惑形成共识或临床建议。Psychosomatic gastrointestinal disorders,the core pathogenic mechanism of which is"abnormal gut⁃brain interaction"have increasingly become a great challenge in gastroenterology clinical practice.The holistic medical thinking of"treating the mind and body together"is the key to improve the treatment effect of digestive psychosomatic disorders.The traditional Chinese medical principles of"dispersing stagnated liver qi for relieving qi stagnation"and"invigorating spleen for tranquilization"are outstanding models of holistic medicine in gut⁃brain interaction disorders.Shugan Jieyu capsule,combined by Hypericum perforatum and Acanthopanax,is a representative formula for"dispersing stagnated liver qi for relieving qi stagnation".However,gastroenterologists with western medical education background have encountered many theoretical and practical problems when using Shugan Jieyu capsule in treatment of digestive psychosomatic disorders.Therefore,experts in traditional Chinese and Western medicine of gastroenterology were invited by the Chinese Digestive Psychosomatic Union to form consensus or clinical recommendations according to the evidence⁃based clinical research and clinical experience at home and abroad,in order to resolve the confusions of Shugan Jieyu capsule in treatment of digestive psychosomatic disorders.

关 键 词：心理生理性障碍 消化系统疾病 整体医学 舒肝解郁胶囊 中草药 中医学 

分 类 号：R256.3[医药卫生—中医内科学]