基于“肺合大肠”探讨肠易激综合征的治疗思路

Exploring Treatment Strategies for Irritable Bowel Syndrome Based on the Concept of “Lung Being Connected with Large Intestine”

摘要: 肠易激综合征是一种常见的消化道功能性疾病，隶属于中医的“泄泻”、“便秘”、“腹痛”、“肠郁”、“郁证”等范畴。因西医对其发病机制不明，治疗效果欠佳，故本文以中医藏象学中的“肺合大肠”为切入点，通过深入分析肠易激综合征的病机演变，多为肺虚不固、子病及母、肺气失调、肺失通调、悲忧伤肺，临床分别运用益肺固肠法、培土生金法、宣肺理气法、泄肺调肠法、理肺解郁法治疗。肠易激综合征的发生发展虽及于肺，但不独责于肺，临床应用过程中应灵活运用中医整体观念为患者制定符合自身情况的个体化诊疗方案，方能取得良好疗效。

Abstract: Irritable bowel syndrome (IBS) is a common functional gastrointestinal disease, which belongs to the categories of “diarrhea”, “constipation”, “abdominal pain”, “intestinal depression”, “depression syndrome” and so on. Due to the unclear pathogenesis and ineffective treatment in Western medicine, this article takes the concept of “lung combined with large intestine” in traditional Chinese medicine of Doctrine of viscera state as the starting point. Through in-depth analysis of the pathogenesis evolution of IBS, most of which are lung deficiency and instability, disorder of child organ affecting the mother-organ, lung qi disorder, lung failing to regulate the waterways, sorrow damages the lungs. Clinically, the methods of nourishing the lung and strengthening the intestine method, tonifying the spleen and replenishing the lung, promoting lung qi, releasing lung and regulating intestines, and regulating the lungs and relieving depression are used for treatment. Although the occurrence and development of irritable bowel syndrome involve the lungs, it is not solely the responsibility of the lungs. In the clinical application process, the holistic concept of traditional Chinese medicine should be flexibly applied to develop individualized diagnosis and treatment plans that are suitable for the patient’s own situation, in order to achieve good therapeutic effects.