首页|基于二旦理法论治肠易激综合征

基于二旦理法论治肠易激综合征

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肠易激综合征是临床比较常见的功能紊乱性胃肠病,以长期腹痛、腹胀和排便习惯异常为主要表现,易于反复、病程缠绵,严重影响患者的生活质量.由于现代生活的快节奏化,目前该病发病率呈现出逐年上升的趋势,众多医家认为其多由情志、饮食等内伤因素诱发,辨治思路多以此为基础.然诸多古典医籍中均明确指出外淫可致"泄泻""腹痛"等,文章以此为切入点,探求外感邪气与肠易激综合征产生的关联性,并以病机而言治,立足于中医"整体观念""异病同治"等思想,探求二旦理法治疗肠易激综合征的可行性.肠易激综合征的病因病机、病程演变、预后转归等多为外邪入里致使神机气立失常而累及脏腑,其病机核心在于脾胃,具体表现为气、津的转变,此之病机正与二旦法证治机理相契合.故治疗上当以治外感天行之二旦理法为根本大法,升阳布津、扶阴降浊以求脏腑和合与气津调和,具体可根据表里虚实之不同拟以大小二旦汤及其衍生方分证辨治,为临床治疗肠易激综合征提供参考.
Treating irritable bowel syndrome based on the Erdan theory
Irritable bowel syndrome(IBS)is a relatively common functional gastrointestinal disorder disease in clinical practice,mainly characterized by long-term abdominal pain,abdominal distention and abnormal bowel habits.The disease is prone to recurrence and lingering,which seriously affects quality of life of the patients.Due to the fast pace of modern life,the incidence rate of the disease is increasing year by year.Nowadays,many doctors believe that it is mainly induced by internal injury factors such as emotion,diet,etc.,and the idea of differentiation and treatment is based on this.However,many classical medical books clearly pointed out that external exogenous pathogens could cause the formation of diarrhea,abdominal pain and so on.This article takes this as a starting point to explore the correlation between external pathogenic factors and IBS,and treats the disease based on the pathogenesis.Based on the concepts of holistic view and treating different diseases by the same method in traditional Chinese medicine,the feasibility of the Erdan(二旦)theory in treating IBS is explored.The etiology,pathogenesis,course evolution,and prognosis of IBS are mostly caused by external pathogens entering the interior,resulting in abnormal vital energy and affecting the viscera.The core of the pathogenesis lies in the spleen and stomach,which is specifically manifested as the transformation of Qi(气)and body fluid.The pathogenesis is consistent with the syndrome and action mechanism of the Erdan method.Therefore,in terms of its treatment,the fundamental principle should be the Erdan principles of treating external pathogenic factors to promote the circulation of Yang(阳)to disperse body fluid,and nourish Yin(阴)to reduce turbidity,in order to obtain the harmony of Qi and body fluid of internal organs.Specifically,according to the differences in deficiency and excess on the surface and inside,the Erdan decoction(二旦汤)and its derivatives can be used to treat different types based on TCM differentiation,providing reference for the clinical treatment of IBS.

Irritable bowel syndromeVital activity and physical strengthMechanismErdan method

房振兴、张晶、胡安鑫、孙铮玮、张兴瑞

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甘肃中医药大学,甘肃 兰州,730000

甘肃中医药大学附属医院,甘肃 兰州,730000

肠易激综合征 神机气立 机制 二旦法

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(28)