腹泻型肠易激综合征的中医病因病机认识

Understanding the Etiology and Pathogenesis of Diarrhea-Type Irritable Bowel Syndrome in Traditional Chinese Medicine

摘要: 腹泻型肠易激综合征是一种常见的消化道功能性疾病，严重影响患者生活质量。本研究旨在深入探讨中医对该病的病因和病机的认识。通过对古代医籍和现代中医研究的新进展进行系统梳理，加深对此病中医病因、病机的理解。研究发现此病可由感受外邪、饮食不节、情志内伤或其他病理产物等因素发病，以脾胃虚弱、肝失疏泄、肾阳虚弱为主要病机，并由现代医家进一步发展出适用于临床的新病机。研究丰富了中医对此病的理解，也为临床治疗提供了新的思路和方法。

Abstract: Diarrhea predominant irritable bowel syndrome is a common functional gastrointestinal disease that seriously affects the quality of life of patients. This study aims to explore in depth the understanding of traditional Chinese medicine on the etiology and pathogenesis of this disease. By systematically reviewing the new developments in ancient medical literature and modern traditional Chinese medicine research, we aim to deepen our understanding of the TCM etiology and pathogenesis of this disease. Research has found that this disease can be caused by factors such as susceptibility to external pathogens, improper diet, emotional injuries, or other pathological products. The main pathogenesis is spleen and stomach weakness, liver dysfunction, and kidney yang weakness, which have been further developed by modern doctors for clinical use. Research has enriched traditional Chinese medicine’s understanding of this disease and provided new ideas and methods for clinical treatment.