摘要
腹泻型肠易激综合征与时间节点关系甚密,应抓住惊蛰、大暑两个关键节点,并应之与时。于惊蛰时分,疏风达肝,加柴胡疏风调肝,佐以少量羌活、紫苏、白芷、防风等风药,既针对其症,又可引药入经、以应其时。大暑之时,调气化湿,此时多取香薷、佩兰、广藿香等解暑化湿、调畅气机。抓住关键节点,及时调整治法,既可救弊于萌芽,达到"未病先防"的目的,又可增强治疗效果,减少复发,对治疗腹泻型肠易激综合征大有裨益。
Diarrhea-type irritable bowel syndrome(IBS-D)is closely related to the time node.We should grasp the two key nodes of awakening from hibernation(惊蛰)and greater heat(大暑),and keep pace with the time.During awakening from hibernation(惊蛰),it should be treated by dispelling wind and soothing the liver.Chaihu(Bupleurum)is added to dispel wind and regulate liver,supplemented with a small amount of wind drugs such as Qianghuo(notopterygium),Zisu(perilla),Baizhi(Angelica dahurica)and Fangfeng(divaricate saposhnikovia root),which can not only aim at treating its symptoms,but also introduce drugs into the meridians to meet the time.During the greater heat(大暑),it should be treated by adjusting qi and resolving dampness.At this time,Xiangru(Elsholtzia),Peilan(Perrin)and Guanghuoxiang(Patchouli)can be used to relieve the heat and resolve dampness and regulate qi.Grasping the key nodes and adjusting the treatment methods in time can not only save the disadvantages in the bud and achieve the purpose of"prevention before disease",but also enhance the treatment effect and reduce recurrence,which is of great benefit to the treatment of IBS-D.
作者
赵倩文
刘文静
韩增银
王盼
王俞铧
许静茹
王雨鸽
刘启泉
ZHAO Qianwen;LIU Wenjing;HAN Zengyin;WANG Pan;WANG Yuhua;XU Jingru;WANG Yuge;LIU Qiquan(The First Affiliated Hospital of Hebei College of Chinese Medicine/Hebei Hospital of Chinese Medicine,Shijiazhuang Hebei China 050011)
出处
《中医学报》
CAS
2022年第1期117-120,共4页
Acta Chinese Medicine
基金
国家中医药管理局全国名中医传承工作室建设项目{国中医药办人教函[2018]119号}
国家中医药管理局全国名老中医药专家传承工作室项目{国中医药人教发[2014]20号}
河北中医学院2021年研究生创新资助立项项目(XCXZZSS2021013)。
关键词
腹泻型肠易激综合征
节点理论
惊蛰
大暑
刘启泉
diarrhea-type irritable bowel syndrome(IBS-D)
node theory
awakening from hibernation(惊蛰)
greater heat(大暑)
Liu Qiquan
