Exploring the Thinking of Diarrhea Type Irritable Bowel Syndrome Based on"Ascending Qi Mechanism,Regulating the Middle-Jiao,and Nourishing Vital Energy"
[Objective]To summarize Professor CHU Haoran's understanding and treatment experience on diarrhea type irritable bowel syndrome(IBS-D).[Methods]Through clinical study with teachers,consulting ancient books and combining modern literature research,summarize the understanding and treatment ideas of Professor CHU for IBS-D,clarify the basic diagnosis and treatment rules of the disease,and provide a clinical medical case as evidence.[Results]Professor CHU believes that disordered movement of Qi in the middle-Jiao is the core pathomechanism of IBS-D.He advocates for the treatment principle of"ascending Qi mechanism,regulating the middle-Jiao,and nourishing vital energy".The acupoint Tianshu(ST25)is considered the focal point,complemented by Zhongwan(CV12),Zhangmen(LR13),Shangjuxu(ST37),Dachangshu(BL25),and Zusanli(ST36)to regulating the middle-Jiao.This is paired with the needling technique of"Dragon and Tiger battle"to assist in facilitating the flow of Qi in the middle-Jiao.A key selection is"Baihui(DU20)-Neiguan(PC6)"to regulate the clear Qi,comb the mind and spirit located in the head,and elevate the overall movement of Qi.Additionally,"Guanyuan(RN4)-Zusanli(ST36)"are used to firm the foundation and cultivate the primal Qi,supplementing the innate vital energy.In a case study,the patient was diagnosed with syndrome differentiation of spleen and stomach deficiency,with concurrent restlessness of the heart spirit and signs of deficient Yang Qi.Professor CHU treated the patient by using the method of raising the clear Qi,managing the middle-Jiao,and nourishing vital energy,supplementing the postnatal to nourish the prenatal while calming the spirit,resulting in significant effects.[Conclusion]In clinical practice,Professor CHU modifies acupoints according to syndrome differentiation.By integrating groups of acupoints,he facilitates the beneficial ascent and descent of Qi within the middle-Jiao,creating a distinctive"regulating the middle and restoring the vital energy"diagnostic and treatment system for IBS-D,which provides a new approach to the clinical treatment of IBS-D.
diarrhea type irritable bowel syndromeascending Qi mechanismregulating the middle-Jiaonourishing vital energyacupuncture and moxibustionacupointmedical casesCHU Haoran
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