中医和法治疗肠激惹综合征临床体会（Clinical experience of treating irritable bowel syndrome with traditional Chinese medicine and traditional Chinese Medicine）

中医和法治疗肠激惹综合征临床体会（Clinical experience of treating irritable bowel syndrome with traditional Chinese medicine and traditional Chinese Medicine） 中医和法治疗肠激惹综合征临床体会(Clinical experience of treating irritable bowel syndrome with traditional Chinese medicine and traditional Chinese Medicine) Clinical experience of treating irritable bowel syndrome with traditional Chinese medicine and traditional Chinese Medicine Update Date: 2009-10-22 Click: Li Renxiang, Wang Zhenghua Irritable bowel syndrome is intestinal neurosis, mental factors are main causes and predisposing factors. Modern medicine is mainly based on suggestion and comfort therapy, but the curative effect is not satisfactory. The clinical manifestations of the disease are analyzed from the theory of traditional Chinese medicine. Most of them are abdominal pain, diarrhea, constipation and other diseases. The pathogenesis is characterized by Qi and blood disharmony, liver and spleen disharmony, gastrointestinal disharmony, and disharmony between camp and Wei, as well as those with deficiency syndrome. The author in the clinical for different pathogenesis, governance to reconcile Qi and blood, harmonizing liver and spleen, harmonizing the stomach and intestines, regulating Ying Wei, and other methods, and achieved satisfactory results. Present is as follows. 1 reconcile camp Wei cure constipation and self sweat. A certain woman, 30 years old. Constipation, spontaneous recurrent three years. Visit the mother died three years ago due to emotional discomfort, palpitations, sweating, constipation gradually. Often because of emotional changes and fatigue recurrence, each attack lasted several days to several weeks, have made a variety of checks, no abnormalities found. I take Maren Pills, but easy to relapse after drug withdrawal, the condition gradually worsened. Half and recurrence, heavy clothing edestan, stool 3 ~ 5 day 1 times, but the sweating increased, red tongue, thin white fur, slow pulse. Traditional Chinese medicine is the diagnosis of constipation. Western medicine was diagnosed as irritable bowel syndrome. Governance to reconcile Ying Wei, while nourishing yin runchang. In Guizhi Decoction, Guizhi, windproof, hemp seed, tuckahoe, Li Ren Yu 10g, jujube, rehmanniae, ophiopogon root, jujube 15g, Radix Astragali, Radix Paeoniae Alba, 30g, ginger, licorice 6g. The top 5 service agent, defecate unobstructed, sweating palpitation reduces gradually solution. Following the 5 agent, the symptoms disappeared, followed up for one year before. To reconcile camp Wei law is secondary kageharu sun stroke table virtual disharmony of the law, the patients with emotional discomfort incidence, pathogenesis is also disharmony. Disharmony and muscle cou not solid and sweating, sweating, palpitation and Yin cause constipation. In view of the pathogenesis, method of Zhongjing harmonization of Italy, peony, cassia twig to reconcile camp Wei, ophiopogon root, rehmannia, jujube, nourishing yin and soothe the nerves, Maren Runchang Li Ren depression symptoms, windproof, Huangqifuzheng gubiao. Because of the disease in the medicine, to avoid the simple solution, the recurrence of malpractice, so get more. 2 harmonizing Qi and blood therapy to treat abdominal pain and diarrhea A certain man, 35 years old. Because of recurrent abdominal pain for 10 years, 3 days and treatment recurrence. The cause of illness is tense. Paroxysmal abdominal pain or tingling, diarrhea, 5~8 times a day, watery stools, accompanied by palpitations, insomnia, irritability. Dark red tongue, thin white fur, pulse string astringent. Signs of active bowel sounds, abdominal tenderness (+). Stool routine showed a little pus cells. Chinese medicine for abdominal pain of Qi and blood stasis, qi stagnation and blood stasis syndrome. Western medicine was diagnosed as irritable bowel syndrome. Treating qi and regulating qi and activating qi to remove stasis. With the Shaoyaogancao Decoction and Shixiaosan modified: pollen Typhae, 15g, radix paeoniae rubra and Radix Paeoniae Alba 30g, coix seed, angelica, Radix Aucklandiae, Xuan Hu, Poria, tangerine peel, licorice 10g. The symptoms disappeared after taking the 10 dose. With the above four plus Sijunzi decoction after Qi and spleen, more than 30 service recovery agent. Follow up for 2 years did not develop. According to: "Qi blood disharmony" in the clinical manifestations of a variety of complex symptoms, the disease is the main cause of emotional disorders, qi stagnation obvious. Therefore, in the previous treatment, the use of liver Qi regulating method, although it can receive temporary work, but easy to relapse. The author intends to promoting flow of Qi and blood gas with Qi and blood, blood, blood with the gas line, the symptoms disappeared, and then more than yiqijianpi andreinforce, hence the recovery. This is Qi stagnation, blood stasis, Qi Qi is the rationale for blood flow. 3 and Shaoyang Tiaohe Ganpi solution method in the treatment of alternating diarrhea and constipation syndrome A woman with diarrhea and constipation alternating attack for 3 years, and 10 days after treatment. Patients often have emotional inducement, onset with Maren Pills and peony decoction can be improved, but easy to relapse. The onset of diarrhea, retching, mouth pain, restlessness, red tongue, thin white fur, pulse string. There was no abnormality in colonoscopy, and the diagnosis was irritable bowel syndrome. Pathogenesis of shaoyang disease and liver spleen disharmony. To treat Shaoyang, Tiaohe ganpi. With Xiao Chaihu Decoction and baizhushaoyao Decoction of bupleurum, dried tangerine peel, pinellia, Poria, Atractylodes, jujube 10g, Radix Paeoniae Alba 30g, dangshen 20g. The symptoms disappeared after taking 8 doses. Order to take Xiaoyao pills for 3 months, followed up for 2 years without hair. According to the disease syndrome: disharmony between liver and spleen were more common, and with Shaoyang syndrome is rare. This patient is in this special place. "Typhoid fever" of Xiaochaihutang by discussion, a bitter taste in the mouth, throat and other card. And alternating diarrhea and constipation like relationship with Shaoyang syndrome is similar to cold and heat. Therefore, on the basis of previous experience, Xiao Chaihu Decoction was combined with Baizhu and Peony Decoction to achieve good results. 4 experience The treatment of irritable bowel syndrome with traditional Chinese medicine and traditional Chinese medicine has better curative effect, but the key of syndrome differentiation and treatment should be taken. Accurate differentiation of symptoms and signs, according to the pathogenesis of the disease, try to send the party, there is a certificate, the establishment is the law, the task is sent, and the use of drugs, we can achieve satisfactory results. In addition, the treatment of irritable bowel syndrome should take full account of the emotional factors of patients on the impact of the disease, and when necessary, the use of mental suggestion or placebo treatment, so that patients build confidence in the fight against disease. And for other neurosis such as stomach nervous neurosis, also has good curative effect, this is where the Chinese "different diseases". Of course, whether different diseases or with different treatment, is the key to syndrome differentiation.