田耀洲教授治疗便秘型肠易激综合征

摘要

田耀洲教授认为便秘型肠易激综合征(C-IBS)发病机制复杂,其发病与胃肠运动功能紊乱、微生物群的改变、内脏高敏感性和脑-肠轴的神经内分泌功能紊乱及肝脾关系密切,主要为长期情志不畅,肝郁气滞,耗血伤津,肠道失润,肝气乘脾,脾运受损,导致肠道传导无力而成便秘.临床主要以“腹痛”和“便秘”为特征,治疗以运脾柔肝为主,临床随证加减,辨证施治.在日常生活中保持乐观和平和的心态、定时排便、加强锻炼及提肛训练、练习腹部按揉法及多食富含纤维及油脂的食物,综合施治.%Professor TIAN Yaozhou considers the pathogenesis of irritable bowel syndrome with constipation type(C-IBS) is complexis.At present,it is thought that the pathogenesis is related to the disorder of gastrointestinal motility,changes of microbial group,visceral hypersensitivity and neuroendocrine dysfunction of brain gut axis.C-IBS belongs to Chinese medicine "abdominal pain","constipation" category,which is closely related to liver and spleen,mainly reflects emotional poor,liver depression and loss of blood and body fluid,intestinal loss of moisture,spleen moved by the liver qi,so the spleen is damaged,which lead to intestinal conduction weakness and constipation.In clinical,This disease mainly characterized by "abdominal pain" and "constipation",treatment is given priority to with transport spleen and flexible liver,clinical with card to add and subtract.In the daily life to maintain an optimistic and balanced state of mind,regular defecation,strengthen the training and levator ani training,practicing abdomen rubbing and eating foods rich in fiber and fat,comprehensive treatment.