摘要
腹泻型肠易激综合征(IBS-D)是消化系统疾病常见慢性疾病之一,其病位主要在肠道,与肝脾二脏功能失调相关,发病与肠道菌群失调、内脏高敏感性、精神压力等有关。病程长、易反复发作,多数IBS-D患者常会产生抑郁、焦虑等心理。而焦虑抑郁亦会加重患者肠道症状,引起躯体症状,影响治疗效果。同时也会降低患者自身的生活质量,二者互相影响,致IBS-D病情缠绵难愈,甚至不断加重。目前关于IBS-D伴焦虑抑郁状态的研究较少,国医大师李佃贵教授从中医“土中泻木”理论治疗IBS-D伴焦虑抑郁状态,疗效显著,为后期临床治疗IBS-D伴焦虑抑郁状态提供了新的诊疗思路。附验案一则以佐证。
Diarrheal irritable bowel syndrome(IBS-D)is one of the most common chronic diseases of the digestive system,which is mainly located in the intestinal tract and is related to the dysfunction of the liver and spleen,and the onset of the disease is related to the dysfunction of the intestinal flora,the hypersensitivity of the internal organs,and mental stress.The course of the disease is long and prone to recurrent episodes,and most IBS-D patients often suffer from depression and anxiety.Anxiety and depression can also aggravate the patient's intestinal symptoms,cause physical symptoms,affect the treatment effect,and also reduce the patient's own quality of life,so the two affect each other,causing IBS-D to linger and even worsen.At present,there are few studies on IBS-D with anxiety and depression,and Professor Li Diangui,a master of traditional Chinese medicine,treats IBS-D with anxiety and depression from the theory of“Epsom in the Soil”of traditional Chinese medicine,which has a significant curative effect,which provides a new diagnosis and treatment idea for the later clinical treatment of IBS-D with anxiety and depression.An examination case is attached to support it.
作者
刘秋华
李晓静
马益彬
贾雪梅
王杰
赵丹阳
郭榆西
杜姚
才艳茹
杨倩
LIU Qiuhua;LI Xiaojing;MA Yibin(Hebei University of Traditional Chinese Medicine,Shijiazhuang Hebei 050011,China)
出处
《四川中医》
2024年第10期1-4,共4页
Journal of Sichuan of Traditional Chinese Medicine
基金
国家中医药管理局科技项目(编号:GZY-KJS-2023-025)
河北省自然科学基金项目(编号:H2023423001)
河北省中央引导地方科技专项项目(No.246Z7708G)
河北省省级科技计划资助项目(编号:246W7701D)
河北省中医药管理局科研计划项目(编号:2020080、2024010)。
关键词
腹泻型肠易激综合征
焦虑抑郁状态
李佃贵
土中泻木
经验
Irritable bowel syndrome with diarrhea
Anxiety and depressive state
Li Diangui
Epsom in the soil
Experience