姜树民教授治疗肠易激综合征经验

发布时间：2018-06-07 09:54

  本文选题：肠易激综合征 + 姜树民　； 参考：《辽宁中医药大学》2016年硕士论文

【摘要】：肠易激综合征(irritable bowel syndrome,IBS)是一种以腹痛或腹部不适伴排便习惯改变为特征而无器质性病变的常见功能性肠病。祖国医学无该疾病病名,据其相关症状表现可将其归入“腹痛”、“泄泻”、“便秘”等范畴。而吾师以为,“泄泻”和“便秘”只是根据其某一症状进行分类,并不能完全反映疾病的情况,故而将其归入“腹痛”范畴更为贴切。吾师姜树民,从医30余年,擅于治疗各类消化系统疾病,在肠易激综合征的治疗上亦有独到见解。吾师认为IBS多为在外感、饮食、禀赋、体虚等因素的作用下,气滞、湿浊、污浊三者,或单独出现,或相互为患,阻滞中焦,复加情志因素参杂其中,以致脾胃升降失常,小肠清浊不分,大肠传导失司,从而发为本病。治疗上以“健脾和胃”、“祛湿化浊”、“分清泌浊”、“安神定志”为主要原则,再随证加减药物,用药时顾护脾胃,不额外增加脾胃负担,同时给予患者心理、饮食方面的调护指导,在临床治疗当中取得满意疗效。
[Abstract]:Irritable bowel syndrome (IBS) is a common functional bowel disease characterized by abdominal pain or abdominal discomfort with defecation change without organic lesions. Chinese medicine has no name of the disease, according to its symptoms can be classified as "abdominal pain", "diarrhea", "constipation" and other categories. My teacher thinks that diarrhea and constipation are classified according to one of their symptoms and can not completely reflect the condition of the disease, so it is more appropriate to classify them as "abdominal pain". Jiang Shumin, my teacher, has been a doctor for more than 30 years. He is good at treating all kinds of digestive diseases, and has unique views on the treatment of irritable bowel syndrome. My teacher believes that IBS is mostly caused by exogenous factors, such as qi stagnation, dampness, turbidity, and turbidity, or each other, block the middle coke, and add the emotional factors among them, thus causing the spleen and stomach to rise and fall in an abnormal way, as a result of the influence of factors such as external sensation, diet, endowment, and deficiency of body, etc. The small intestine clears turbidity does not distinguish, the large intestine conduction is lost, thus hair is this disease. In treatment, the main principles were "strengthening the spleen and stomach", "removing dampness and turbid," distinguishing turbidity from bleeding "," tranquilizing the mind ", and then adding and subtracting drugs with the syndrome, protecting the spleen and stomach while taking medicine, not adding extra burden to the spleen and stomach, and at the same time giving the patients psychology. Dietary nursing guidance, in the clinical treatment of satisfactory results.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259;R249
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本文编号：1990773