周晓波教授治疗腹泻型肠易激综合征经验
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摘要
通过跟师侍诊,整理资料,查阅相关文献,结合典型病案探讨周晓波教授运用中医药辨治腹泻型肠易激综合征的用药特色。该病病位虽在肠,但与肝、脾、肾密切相关,治以调肝健中,运脾益肾,注重审证求因,肝脾同调,擅用风药,均衡饮食,身心并调,利于康复。周晓波教授运用中医药治疗腹泻型肠易激综合征的临床经验值得借鉴。
Drug characteristics were discussed with analyzing the clinical thinking of Professor ZHOU Xiaobo through the long-term study,collecting data,reviewing the existing literature on it and discussing the characteristics of the treatment of irritable bowel syndrome with diarrhea with Professor ZHOU Xiaobo in combination with typical case analysis. Professor ZHOU Xiaobo thinks that the pathogenesis is in the intestine,closely related to the liver,spleen,and kidney. Treatment with traditional Chinese medicine(TCM),using the method of regulating liver and invigorating spleen,transporting spleen and invigorating kidney,focusing on the determination of etiologic factors based on differentiation and liver and spleen homology,and using the wind medicine,balancing diet,adjusting physical and mental,to conducive to rehabilitation. Professor ZHOU Xiaobo's experience in the treatment of irritable bowel syndrome with diarrhea with TCM is worthy of using for reference.
Drug characteristics were discussed with analyzing the clinical thinking of Professor ZHOU Xiaobo through the long-term study,collecting data,reviewing the existing literature on it and discussing the characteristics of the treatment of irritable bowel syndrome with diarrhea with Professor ZHOU Xiaobo in combination with typical case analysis. Professor ZHOU Xiaobo thinks that the pathogenesis is in the intestine,closely related to the liver,spleen,and kidney. Treatment with traditional Chinese medicine(TCM),using the method of regulating liver and invigorating spleen,transporting spleen and invigorating kidney,focusing on the determination of etiologic factors based on differentiation and liver and spleen homology,and using the wind medicine,balancing diet,adjusting physical and mental,to conducive to rehabilitation. Professor ZHOU Xiaobo's experience in the treatment of irritable bowel syndrome with diarrhea with TCM is worthy of using for reference.
引文
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[2] Lacy BE,Mearin F,Chang L,et al. Bowel Disorders[J]. Gastroenterology,2016,150(6):1393-1407.e5.
[3]汪红兵,张声生,李振华,等.中医药辨证治疗腹泻型肠易激综合征卫生经济学评价[J].北京中医药,2010,29(3):169-171.
[4]刘春斌,梁谷,郑琴芳,等.广西南宁市社区居民肠易激综合征流行病学现状[J].世界华人消化杂志,2014,22(34):5365-5370
[5]曹正龙,何镔,潘军,等.国医大师徐景藩抑肝扶脾法治疗腹泻型肠易激综合征经验应用的研究[J].中医药临床杂志,2013,25(7):604-606.
[6]闫赵斌,孙盈,李振华.从风药探讨腹泻型肠易激综合征[J].光明中医,2017,32(24):3503-3504.
[7] Creed F,Ratcliffe J,Fernandez L,et al. Health-related quality of life and health care costs in severe,refractory irritable bowel syndrome[J]. Annals of Internal Medicine,2001,134(9 Pt 2):860-868.
[8]何云天.心理干预在肠易激综合征伴抑郁患者治疗中的作用[J].临床消化病杂志,2015,27(5):310-311.
[9]古巧燕,张军.肠易激综合征发病机制研究新进展[J].胃肠病学和肝病学杂志,2017,26(12):1420-1423.
[10]刘巍,史娇.参苓白术散联合整肠生治疗腹泻型肠易激综合征的疗效观察[J].临床医药文献电子杂志,2015,2(20):4255-4256.
[11]刘海泉.痛泻要方加减在肝郁脾虚证腹泻型肠易激综合征中的应用研究[J].当代医学,2015,21(35):40-41.
[12]赵丹阳,杨倩,李佃贵,等.柴胡疏肝散加减治疗腹泻型肠易激综合征35例临床观察[J].湖南中医杂志,2017,33(1):10-12.
[13]雷后亮.酸枣仁、远志催眠组分制备工艺及药效配伍研究[D].杭州:浙江大学,2015.
[2] Lacy BE,Mearin F,Chang L,et al. Bowel Disorders[J]. Gastroenterology,2016,150(6):1393-1407.e5.
[3]汪红兵,张声生,李振华,等.中医药辨证治疗腹泻型肠易激综合征卫生经济学评价[J].北京中医药,2010,29(3):169-171.
[4]刘春斌,梁谷,郑琴芳,等.广西南宁市社区居民肠易激综合征流行病学现状[J].世界华人消化杂志,2014,22(34):5365-5370
[5]曹正龙,何镔,潘军,等.国医大师徐景藩抑肝扶脾法治疗腹泻型肠易激综合征经验应用的研究[J].中医药临床杂志,2013,25(7):604-606.
[6]闫赵斌,孙盈,李振华.从风药探讨腹泻型肠易激综合征[J].光明中医,2017,32(24):3503-3504.
[7] Creed F,Ratcliffe J,Fernandez L,et al. Health-related quality of life and health care costs in severe,refractory irritable bowel syndrome[J]. Annals of Internal Medicine,2001,134(9 Pt 2):860-868.
[8]何云天.心理干预在肠易激综合征伴抑郁患者治疗中的作用[J].临床消化病杂志,2015,27(5):310-311.
[9]古巧燕,张军.肠易激综合征发病机制研究新进展[J].胃肠病学和肝病学杂志,2017,26(12):1420-1423.
[10]刘巍,史娇.参苓白术散联合整肠生治疗腹泻型肠易激综合征的疗效观察[J].临床医药文献电子杂志,2015,2(20):4255-4256.
[11]刘海泉.痛泻要方加减在肝郁脾虚证腹泻型肠易激综合征中的应用研究[J].当代医学,2015,21(35):40-41.
[12]赵丹阳,杨倩,李佃贵,等.柴胡疏肝散加减治疗腹泻型肠易激综合征35例临床观察[J].湖南中医杂志,2017,33(1):10-12.
[13]雷后亮.酸枣仁、远志催眠组分制备工艺及药效配伍研究[D].杭州:浙江大学,2015.