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从脾虚生浊辨治腹泻型肠易激综合征经验

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基于"脾虚生浊"观点,认为腹泻型肠易激综合征的主要病机是脾虚浊实,以脾虚为本、浊气滞肠为标,提出泄浊运中的治疗总则.急性期以浊实为主,治当通腑泄浊,常用枳实导滞汤加减;缓解期以脾虚为主,治当益气健脾,常用七味白术散加减.急则治标,缓则治本,以助恢复肠腑之传导功能,脾胃之运化功能,使水谷各有归途,清浊各行其道.
Experience in Treating Diarrhea-predominant Irritable Bowel Syndrome Based on the Theory of Spleen Deficiency Generating Turbidity
Based on the view of"spleen deficiency generating turbidity",it is believed that the main pathology of irritable bowel syndrome diarrhea-predominant(IBS-D)is spleen deficiency and turbidity excess,with spleen defi-ciency as the root and turbidity stagnating intestines as the branch,and the treatment principle of draining turbidity and transporting the center was proposed.In the acute stage,turbidity excess is the main cause,the treatment should unblock the bowels and discharge turbidity,commonly with modified Zhishi Daozhi Decoction(枳实导滞汤);in the remission stage,spleen deficiency is the main cause,the treatment should boost qi and fortify the spleen,commonly with modified Qiwei Baizhu Powder(七味白术散).Treating the branch in acute conditions,and treating the root in moderate conditions,so as to help restore the conduction function of the intestines and bowels,the transportation and transforma-tion function of the spleen and stomach,then the water and grains have their own way,clear and turbid each in its own way.

diarrhea-predominant irritable bowel syndromespleen deficiencyturbidityunblock the bowels and discharge turbidityboost qi and fortify the spleen

樊跃、汪义明、冯全生

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成都中医药大学基础医学院,四川省成都市温江区柳台大道1166号,611137

腹泻型肠易激综合征 脾虚 浊气 通腑泄浊 益气健脾

国家自然科学基金成都中医药大学"杏林学者"学科人才科研提升计划

82074399XKTD2022001

2024

中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子:1.464
ISSN:1001-1668
年,卷(期):2024.65(9)
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