肠易激综合征(Irritable bowel syndrome, IBS),属于功能性肠病中的一种,是一组以腹痛、腹胀、排便习惯为主,并伴随大便性状改变的非器质性临床症候群,病程常呈持续或间断发作,目前缺乏明确的生物化学及形态学检测依据。IBS被公认为是...肠易激综合征(Irritable bowel syndrome, IBS),属于功能性肠病中的一种,是一组以腹痛、腹胀、排便习惯为主,并伴随大便性状改变的非器质性临床症候群,病程常呈持续或间断发作,目前缺乏明确的生物化学及形态学检测依据。IBS被公认为是一种世界性功能性肠病,随着生活节奏的加快及饮食习惯的改变,其发病率呈逐年上升趋势,据大量流行病学研究显示,南美洲国家总体发病率最高,约为21.0%;其次为非洲国家,约为19.0%;北欧国家相对较低,约12.0%;东南亚国家最低,约为7.0%。不同国家之间发病率相比,法国为3.3%,偏低,而尼日利亚为31.6%,较高,相同国家不同地区IBS发病率亦有不同,美国国内不同地区IBS发病率差别偏大,约为7.0%~16.0%,而澳大利亚约为7.0%~14.0%,新加坡不同地区发病率则偏小,约为5.0%~10.0%。IBS并非危及生命的疾患,但由于目前尚无针对IBS的特效药,并且常常反复发作,最终给患者带来较大的精神及经济负担,从而降低患者生活质量。Irritable bowel syndrome (Irritable bowel syndrome, IBS) is one of functional bowel diseases. It is a group of non-organic clinical symptoms, mainly abdominal pain, abdominal distension, defecation habits, and accompanied by changes in stool traits. The course of the disease is often continuous or intermittent, and there is no clear biochemical and morphological testing basis. IBS is recognized as a worldwide functional bowel disease. With the acceleration of the pace of life and the change of dietary habits, its incidence is increasing year by year. According to a large number of epidemiological studies, South American countries have the highest overall incidence rate at approximately 21.0%;followed by African countries at approximately 19.0%;Nordic countries were relatively low at approximately 12.0%;and Southeast Asian countries at approximately 7.0%. Compared with different countries, the incidence in France is 3.3%, low, but in Nigeria, 31.6%, the展开更多
慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Disease, COPD)是一种以持续性气流受限为特征的可预防和治疗的疾病,气流受限呈进行性发展,其发病机制与氧化应激、炎症反应、自身免疫及蛋白酶–抗蛋白酶失衡有关。COPD常发生在中老...慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Disease, COPD)是一种以持续性气流受限为特征的可预防和治疗的疾病,气流受限呈进行性发展,其发病机制与氧化应激、炎症反应、自身免疫及蛋白酶–抗蛋白酶失衡有关。COPD常发生在中老年人群,“培土生金”法是徐学义教授在诊疗COPD的过程中总结出来的经验法则,经过长期的临床及实验研究发现“培土生金 ”法能够治疗气道炎症性疾病,它对脾肾两虚型COPD患者具有较好的疗效。徐学义教授是贵州中医药大学第一附属医院国医堂主任医师,从事临床、教学工作40余年,他主张“五行生化”理论,认为“培土生金”法对COPD疾病的治疗具有独特作用,在临床中运用广泛,笔者有幸拜入徐学义教授门下,在跟师学习过程中感受颇深,本文基于“培土生金”理论,结合徐学义教授对肺系疾病的辨证施治及用药特点,初步探讨运用“培土生金”法治疗COPD的临床新用。Chronic obstructive pulmonary disease (COPD) is a preventable and treatable disease characterized by persistent airflow limitation, and its pathogenesis is related to oxidative stress, inflammatory response, autoimmunity and protease-antiprotease imbalance. COPD often occurs in middle-aged and elderly people. “Reinforcing earth (spleen) to generate metal (lung)” method is a rule of thumb summed up by Professor Xu Xueyi in the process of diagnosing and treating COPD. After long-term clinical and experimental research, it is found that “reinforcing earth (spleen) to generate metal (lung)” method can treat airway inflammatory diseases, and it has a good effect on COPD patients with spleen and kidney deficiency. Professor Xu Xueyi is the chief physician of the First Affiliated Hospital of Guizhou University of Chinese Medicine. He has been engaged in clinical and teaching work for more than 40 years. He advocates the theory of “five elements of biochemistry” and believes that “rein展开更多
文摘肠易激综合征(Irritable bowel syndrome, IBS),属于功能性肠病中的一种,是一组以腹痛、腹胀、排便习惯为主,并伴随大便性状改变的非器质性临床症候群,病程常呈持续或间断发作,目前缺乏明确的生物化学及形态学检测依据。IBS被公认为是一种世界性功能性肠病,随着生活节奏的加快及饮食习惯的改变,其发病率呈逐年上升趋势,据大量流行病学研究显示,南美洲国家总体发病率最高,约为21.0%;其次为非洲国家,约为19.0%;北欧国家相对较低,约12.0%;东南亚国家最低,约为7.0%。不同国家之间发病率相比,法国为3.3%,偏低,而尼日利亚为31.6%,较高,相同国家不同地区IBS发病率亦有不同,美国国内不同地区IBS发病率差别偏大,约为7.0%~16.0%,而澳大利亚约为7.0%~14.0%,新加坡不同地区发病率则偏小,约为5.0%~10.0%。IBS并非危及生命的疾患,但由于目前尚无针对IBS的特效药,并且常常反复发作,最终给患者带来较大的精神及经济负担,从而降低患者生活质量。Irritable bowel syndrome (Irritable bowel syndrome, IBS) is one of functional bowel diseases. It is a group of non-organic clinical symptoms, mainly abdominal pain, abdominal distension, defecation habits, and accompanied by changes in stool traits. The course of the disease is often continuous or intermittent, and there is no clear biochemical and morphological testing basis. IBS is recognized as a worldwide functional bowel disease. With the acceleration of the pace of life and the change of dietary habits, its incidence is increasing year by year. According to a large number of epidemiological studies, South American countries have the highest overall incidence rate at approximately 21.0%;followed by African countries at approximately 19.0%;Nordic countries were relatively low at approximately 12.0%;and Southeast Asian countries at approximately 7.0%. Compared with different countries, the incidence in France is 3.3%, low, but in Nigeria, 31.6%, the
文摘慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Disease, COPD)是一种以持续性气流受限为特征的可预防和治疗的疾病,气流受限呈进行性发展,其发病机制与氧化应激、炎症反应、自身免疫及蛋白酶–抗蛋白酶失衡有关。COPD常发生在中老年人群,“培土生金”法是徐学义教授在诊疗COPD的过程中总结出来的经验法则,经过长期的临床及实验研究发现“培土生金 ”法能够治疗气道炎症性疾病,它对脾肾两虚型COPD患者具有较好的疗效。徐学义教授是贵州中医药大学第一附属医院国医堂主任医师,从事临床、教学工作40余年,他主张“五行生化”理论,认为“培土生金”法对COPD疾病的治疗具有独特作用,在临床中运用广泛,笔者有幸拜入徐学义教授门下,在跟师学习过程中感受颇深,本文基于“培土生金”理论,结合徐学义教授对肺系疾病的辨证施治及用药特点,初步探讨运用“培土生金”法治疗COPD的临床新用。Chronic obstructive pulmonary disease (COPD) is a preventable and treatable disease characterized by persistent airflow limitation, and its pathogenesis is related to oxidative stress, inflammatory response, autoimmunity and protease-antiprotease imbalance. COPD often occurs in middle-aged and elderly people. “Reinforcing earth (spleen) to generate metal (lung)” method is a rule of thumb summed up by Professor Xu Xueyi in the process of diagnosing and treating COPD. After long-term clinical and experimental research, it is found that “reinforcing earth (spleen) to generate metal (lung)” method can treat airway inflammatory diseases, and it has a good effect on COPD patients with spleen and kidney deficiency. Professor Xu Xueyi is the chief physician of the First Affiliated Hospital of Guizhou University of Chinese Medicine. He has been engaged in clinical and teaching work for more than 40 years. He advocates the theory of “five elements of biochemistry” and believes that “rein
