摘要
腹泻型肠易激综合征是临床常见疾病,反复发作,严重影响患者生存质量,中医药在改善患者症状,减少发作有一定优势。仝小林教授认为腹泻型肠易激综合征病因主要由肝脾不调所致,治疗时既要兼顾肝脾不调之态,又要改善频繁腹泻之靶。常用黄连、吴茱萸、白芍三味小方态靶同调,疏肝理脾调肠道,缓痛止泻治症靶。根据肝脾虚实不同,采用不同的用量与配伍,便粘臭重用黄连,黄连、吴茱萸用量之比为6:1;便溏重用吴茱萸,吴茱萸、黄连用量之比为6:1;痛泻重用白芍,配甘草;便脓加当归;便血加三七;里急后重加厚朴;紧张即加重者,合四逆散。
Diarrhea-predominant irritable bowel syndrome is a common clinical disease with recurrent attacks, which seriously affects patients’ quality of life. Traditional Chinese Medicine has certain advantages in improving patients’ symptoms and reducing attacks. Professor TONG Xiaolin believed that the cause of irritable bowel syndrome was mainly caused by the disharmony between liver and spleen. The treatment should not only take into account the irregularity of liver and spleen, but also improve the symptom of frequent diarrhea. Commonly used Rhizoma Coptidis(Huanglian), Fructus Evodiae(Wuzhuyu), Radix Paeoniae Alba(Baishao), the three prescription, using state-target syndrome differentiation to disperse the stagnated liver-energy, regulate spleen and intestinal tract, relieve pain and relieve diarrhea symptoms. According to the difference of deficiency and excess of liver and spleen, different compatibilities were used. Rhizoma Coptidis was reused for fecal stickiness and odor, Rhizoma Coptidis: Fructus Evodiae=6:1;Fructus Evodiae should be reused for for fecal diarrhea, Fructus Evodiae: Rhizoma Coptidis= 6:1;painful diarrhea was reused for Paeonia lactiflora with licorice;fecal pus plus Angelica sinensis;use Radix Notoginseng to handle hemafecia;Cortex Magnoliae Officinalis was reused for tenesmus;symptoms aggravated when in tension, add Sini powder.
作者
韦宇
张莉莉
顾成娟
WEI Yu;ZHANG Lili;GU Chengjuan(Beijing University of Chinese Medicine,Beijing 100029,China;Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;TONG Xiaolin Academician Studio,Shenzhen Hospital of Guangzhou University of Chinese Medicine<Futian>,Shenzhen 518000,Guangdong Province,China)
出处
《吉林中医药》
2020年第10期1270-1272,共3页
Jilin Journal of Chinese Medicine
基金
国家自然科学基金重点项目(81430097)。
关键词
腹泻型肠易激综合征
黄连
吴茱萸
白芍
仝小林
diarrhea-predominant irritable bowel syndrome
Rhizoma Coptidis
Fructus Evodiae
Radix Paeoniae
TONG Xiaolin
