Professor LI Yongcheng's experience in the treatment of irritable bowel syndrome with predominant diarrhea with "six methods for treating diarrhea"
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摘要: 腹泻型肠易激综合征在中医学属于“腹痛”、“泄泻”、“郁证”等范畴,中医治疗该病疗效显著,可有效减少腹泻次数,减轻患者症状,提高生活质量。李永成教授在治疗该病时见解独到,认为该病病机复杂,主要与肝、脾、肾功能失调有关,又与血瘀、湿邪、阳虚等密切相关,多属于虚实夹杂。治疗上注重整体审查,四诊合参,病证结合,通过大量个体化治疗,总结经验,创立了“调肝健脾法、健脾和胃法、祛湿清热法、益火补土法、平调寒热法、活血祛瘀法”六法。同时注重身心调护,以预防该病的复发。Abstract: Irritable bowel syndrome with predominant diarrhea belongs to "abdominal pain", "diarrhea", "depression syndrome" and other categories in Traditional Chinese Medicine. Chinese Medicine has a remarkable effect on the treatment of this disease, which can effectively reduce the frequency of diarrhea, reduce the symptoms of patients and improve the quality of life. Professor LI in Traditional Chinese Medicine treatment of the disease has its unique opinion, that the disease pathogenesis is complicated, mainly related to liver, spleen, kidney dysfunction, and blood stasis, dampness, Yang deficiency, and so on closely related, mostly belongs to the combination of deficiency and excess. The treatment pays attention to the overall review, the four diagnosis, the combination of disease and syndrome, through a large number of individual treatment, summing up experience, the establishment of "regulating the liver and spleen, invigorating spleen and stomach, dispelling dampness and clearing heat, warming the kidney and spleen method, flat regulation of cold and hot, promoting blood circulation and removing blood stasis" six methods. At the same time pay attention to physical and mental care, to prevent the recurrence of the disease.
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[1] 谭荣荣, 吴清忠, 罗涛, 等. 痛泻要方加减联合针灸治疗腹泻型肠易激综合征的临床观察[J]. 江西中医药, 2022, 53(3): 48-50. https://www.cnki.com.cn/Article/CJFDTOTAL-JXZY202203007.htm
[2] 魏瑾瑶, 成俊, 黄芳. 肠易激综合征的主要致病因素及中医药治疗[J]. 药学研究, 2020, 39(6): 344-347. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYG202006008.htm
[3] Liu YL, Liu JS. Irritable bowel syndrome in China: a review on the epidemiology, diagnosis, and management[J]. Chin Med J(Engl), 2021, 134(12): 1396-1401.
[4] Xiao QY, Fang XC, Li XQ, et al. Ethnic differences in genetic polymorphism associated with irritable bowel syndrome[J]. World J Gastroenterol, 2020, 26(17): 2049-2063. doi: 10.3748/wjg.v26.i17.2049
[5] Mayer EA, Ryu HJ, Bhatt RR. The neurobiology of irritable bowel syndrome[J]. Mol Psychiatry, 2023, 28(4): 1451-1465. doi: 10.1038/s41380-023-01972-w
[6] Lembo A, Sultan S, Chang L, et al. AGA clinical practice guideline on the pharmacological management of irritable bowel syndrome with diarrhea[J]. Gastroenterology, 2022, 163(1): 137-151. doi: 10.1053/j.gastro.2022.04.017
[7] Alexander C, Sperber AD, Corsetti M, et al. Irritable bowel syndrome[J]. Lancet, 2020, 396(10263): 1675-1688. doi: 10.1016/S0140-6736(20)31548-8
[8] 孙玉霞, 梁波, 文黛薇, 等. 基于网络药理学探究痛泻要方治疗腹泻型肠易激综合征的作用机制[J]. 中国中医急症, 2020, 29(9): 1533-1537. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJZ202009008.htm
[9] 严静, 潘以丰, 陈升捷, 等. 从风药论治腹泻型肠易激综合征经验[J]. 中国中西医结合消化杂志, 2023, 31(2): 142-145. https://zxyxh.whuhzzs.com/article/doi/10.3969/j.issn.1671-038X.2023.02.14
[10] van Dijk LJ, van Noord D, de Vries AC, et al. Clinical management of chronic mesenteric ischemia[J]. United European Gastroenterol J, 2019, 7(2): 179-188. doi: 10.1177/2050640618817698
[11] 吴巧珑, 涂云. 乌梅丸治疗腹泻型肠易激综合征临床疗效评价[J]. 中医临床研究, 2020, 12(13): 116-118. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYLY202013041.htm
[12] 覃尚红, 梁丽, 宾洋雁, 等. 心理护理干预在肠易激综合征中的应用进展[J]. 当代医学, 2021, 27(12): 188-190. https://www.cnki.com.cn/Article/CJFDTOTAL-DDYI202112083.htm
[13] Zamani M, Alizadeh-Tabari S, Zamani V. Systematic review with meta-analysis: the prevalence of anxiety and depression in patients with irritable bowel syndrome[J]. Aliment Pharmacol Ther, 2019, 50(2): 132-143. doi: 10.1111/apt.15325
[14] 赵亚刚, 韩伟, 王景杰, 等. 精神心理因素参与功能性肠病发病机制的研究进展[J]. 现代消化及介入诊疗, 2022, 27(5): 537-540. https://www.cnki.com.cn/Article/CJFDTOTAL-XDXH202205001.htm
[15] 付欢欢. 四逆散合培脾舒肝汤治疗腹泻型肠易激综合征肝郁脾虚证的临床研究及网络药理学分析[D]. 长春: 长春中医药大学, 2023.
[16] 刘倩, 毛心勇, 张涛, 等. 从"滞""郁""虚""瘀"论肠易激综合征病机特点[J]. 中国中西医结合杂志, 2022, 42(1): 96-100. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXJ202201015.htm
[17] Ford AC, Lacy BE, Harris LA, et al. Effect of Antidepressants and Psychological Therapies in Irritable Bowel Syndrome: An Updated Systematic Review and Meta-Analysis[J]. Am J Gastroenterol, 2019, 114(1): 21-39. doi: 10.1038/s41395-018-0222-5
[18] Everitt HA, Landau S, O'Reilly G, et al. Cognitive behavioural therapy for irritable bowel syndrome: 24-month follow-up of participants in the ACTIB randomised trial[J]. Lancet Gastroenterol Hepatol, 2019, 4(11): 863-872. doi: 10.1016/S2468-1253(19)30243-2
[19] 季永胜, 沈雪辉, 陈茜, 等. 认知行为疗法联合药物治疗肠易激综合征的效果及对患者焦虑、抑郁情绪的影响[J]. 临床医学研究与实践, 2023, 8(9): 26-29. https://www.cnki.com.cn/Article/CJFDTOTAL-YLYS202309008.htm
[20] 姚吉太. 化湿降浊中药辅助治疗对慢性肾衰竭患者肾功能及血清GAS、SS、Leptin水平的影响[J]. 光明中医, 2021, 36(16): 2742-2745. https://www.cnki.com.cn/Article/CJFDTOTAL-GMZY202116039.htm
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