[1]刘会敏,时素华,高俊霞,等.“养心调肠”针法治疗腹泻型肠易激综合征肝郁脾虚证理论探讨[J].陕西中医,2023,(10):1427-1430.[doi:DOI:10.3969/j.issn.1000-7369.2023.10.021]
　LIU Huimin,SHI Suhua,GAO Junxia,et al.Theoretical discussion on the treatment of diarrhea-predominant irritable bowel syndrome with liver depression and spleen deficiency syndrome by “nourishing heart and regulating intestines” acupuncture[J].,2023,(10):1427-1430.[doi:DOI:10.3969/j.issn.1000-7369.2023.10.021]
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“养心调肠”针法治疗腹泻型肠易激综合征肝郁脾虚证理论探讨
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2023年10期
页码:
1427-1430
栏目:
学术探讨
出版日期:
2023-10-05

文章信息/Info

Title:
Theoretical discussion on the treatment of diarrhea-predominant irritable bowel syndrome with liver depression and spleen deficiency syndrome by “nourishing heart and regulating intestines” acupuncture
作者:
刘会敏1; 时素华1; 高俊霞1; 李志刚2; YIRAN LI3(加拿大)
(1.北京中医药大学第三附属医院康复科,北京100029; 2.北京中医药大学针灸推拿学院,北京100029; 3.北京中医药大学国际学院,北京 100029)
Author(s):
LIU Huimin; SHI Suhua; GAO Junxia; LI Zhigang; YIRAN LI
(Department of Rehabilitation,Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China)
关键词:
“养心调肠”针法;  心小肠藏象系统;  脑-肠轴;  腹泻型肠易激综合征;  肝郁脾虚证
Keywords:
Nourishing heart and regulating intestine acupuncture;  Heart and small intestine visceral system;  Brain-gut axis;  Diarrhea-predominant irritable bowel syndrome;  Liver depression and spleen deficiency syndrome
分类号:
R 245.3
DOI:
DOI:10.3969/j.issn.1000-7369.2023.10.021
文献标志码:
A
摘要:
腹泻型肠易激综合征(IBS-D)是以腹部不适、粪便含水量升高、排便习惯改变为主要表现的慢性功能性肠道病,常伴有失眠、疲劳、抑郁和焦虑等非消化道症状。目前多数学者认为心神失调是IBS-D的病机关键。“养心调肠”针法是基于“心小肠藏象系统”理论,结合现代医学的“脑-肠轴”理论而创立的心肠同调的针刺方法,缓解胃肠道症状的同时,得以从根本上解决IBS-D的发生,减少其复发率。该针法临床应用疗效突出,对于各种证型的IBS-D均有良效。其中,以肝郁脾虚证临床最为常见,故基于“心小肠藏象系统”和脑肠轴理论,从脏腑、经络、病机角度探讨“养心调肠”针法治疗IBS-D肝郁脾虚证的理论依据,并为临床治疗IBS-D提供新的思路和方法。
Abstract:
Diarrhea-predominant irritable bowel syndrome(IBS-D)is a chronic functional disease of intestinal tract,which is characterized by abdominal discomfort,increased water content of feces,and changes in bowel movement.It is often accompanied by non-gastrointestinal symptoms,such as insomnia,fatigue,depression and anxiety.At present,most scholars believe that mental disorder is the key to the pathogenesis of IBS-D.The acupuncture method of “nourishing heart and regulating intestine” is based on the theory of “heart and small intestine visceral system” and combined with the theory of “brain-gut axis” in modern medicine.It can not only relieve gastrointestinal symptoms,but also fundamentally solve the occurrence of IBS-D and reduce the possibility of recurrence.The clinical application of this method is outstanding,and it is effective for IBS-D of various syndromes.Among them,liver depression and spleen deficiency syndrome are the most common syndromes in clinic.Therefore,based on the theory of “heart and small intestine visceral system” and brain-gut axis,this paper will explore the theoretical basis of “nourishing heart and regulating intestine ” acupuncture in the treatment of IBS-D liver depression and spleen deficiency syndrome from the perspective of viscera,meridians and pathogenesis.What's more,it will provide new ideas and methods for clinical treatment of IBS-D.

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备注/Memo

备注/Memo:
基金项目:国家重点研发计划项目(2019YFC1709004)
更新日期/Last Update: 2023-10-09