世界中医药
文章摘要
引用本文:郭曼萍1,赵俊男2,徐凤芹2.徐凤芹教授基于脑-肠轴理论运用经方治疗肠易激综合征经验举隅[J].世界中医药,2022,(10):.  
徐凤芹教授基于脑-肠轴理论运用经方治疗肠易激综合征经验举隅
Professor Xu Fengqin's Experience in the Treatment of Irritable Bowel Syndrome with Classical Prescriptions Based on Brain-Gut Axis Theory
投稿时间:2021-02-28  
DOI:10.3969/j.issn.1673-7202.2022.10.017
中文关键词:  脑-肠轴  肠易激综合征  乌梅丸  情志致病  寒热错杂  医案  @ 徐凤芹
English Keywords:Brain-gut axis  Irritable bowel syndrome  Wumei Pills  Diseases caused by emotions  Cold-heat complex  Medical records  Xu Fengqin
基金项目:中医药传承与创新“百千万”人才(岐黄工程)岐黄学者(02045006)
作者单位
郭曼萍1,赵俊男2,徐凤芹2 1 北京中医药大学临床医学院北京100091 2 中国中医科学院西苑医院老年病二科北京100091 
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中文摘要:
      肠易激综合征(IBS)是由中枢神经系统和外周肠道系统功能障碍引起的疾病。抑郁、焦虑等应激相关的精神障碍往往与IBS等胃肠功能紊乱状态并存。虽然IBS的发病机制尚未完全阐明,但脑-肠轴理论已经成为IBS发病机制的研究热点。徐凤芹教授认为肝郁脾虚、肾阳亏虚、寒热错杂是IBS的主要中医证候,中医学上情志致病的病因学说在某种程度上与脑-肠轴学说对IBS发病机制的认识殊途同归,肝、脾、肾对IBS发病机制的影响可能跟通过调节脑的生理功能进而作用于肠道有关。徐教授临证经验丰富,擅用经方治疗内科杂病,本文试举其辨治IBS临床验案1则,以见一斑。
English Summary:
      Irritable bowel syndrome(IBS) is a disease caused by dysfunction of the central nervous system and peripheral intestinal system.Stress-related mental disorders,such as depression and anxiety,often co-exist with gastrointestinal disorders such as IBS.Although the pathogenesis of IBS has not been fully elucidated,the brain-gut axis theory has become a research hotspot in the pathogenesis of IBS.Professor Xu Fengqin believes that liver depression and spleen deficiency,kidney yang deficiency,and cold-heat complex are the main traditional Chinese medicine(TCM) syndromes of IBS.The etiology of emotion in TCM is similar to the brain-gut axis theory in understanding the pathogenesis of IBS to some extent.The influence of the liver,spleen,and kidney on the pathogenesis of IBS may be related to the effect on the intestine by regulating the physiological function of the brain.Professor Xu has rich clinical experience and is good at treating internal miscellaneous diseases with classical prescriptions.
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