经方治疗肝郁脾虚型腹泻型肠易激综合征的中医研究进展

Progress in Traditional Chinese Medicine Research on the Treatment of IBS-D Due to Liver Depression and Spleen Deficiency with Classic Prescriptions

摘要: 腹泻型肠易激综合征(IBS-D)是一种以腹痛、腹胀，伴有稀烂便、排便次数增多为主要症状的功能性胃肠病，其关键病机为肝郁脾虚，焦虑抑郁是肝郁脾虚IBS-D的主要情志表现。IBS-D的治疗上，各医家使用经方，如柴胡桂枝干姜汤、当归芍药散、柴胡加龙骨牡蛎汤、四逆散、乌梅丸、半夏泻心汤、甘草泻心汤均取得显著效果。文章从病因病机、经方治疗两个方面综述肝郁脾虚型IBS-D的中医研究进展，为经方治疗肝郁脾虚IBS-D提供依据。

Abstract: Diarrhea-predominant irritable bowel syndrome (IBS-D) is a functional gastrointestinal disease characterized by abdominal pain and bloating, accompanied by scattered stools, and increased frequency of bowel movements. Its key pathogenesis is liver depression and spleen deficiency, and anxiety and depression are the main emotional manifestations of liver depression and spleen deficiency in IBS-D. In the treatment of IBS-D, doctors have used classic prescriptions, such as Chaihu Guizhi Ganjiang Decoction, Danggui Shaoyao Powder, Chaihu Jialonggu Oyster soup, Sini Powder, Wumei Pill, Banxia Xiexin Decoction, and Licorice Xiexin Decoction, which have achieved remarkable results. This article reviews the progress of traditional Chinese medicine research on liver stagnation and spleen deficiency type IBS-D from two aspects: etiology, pathogenesis, and treatment with traditional Chinese medicine prescriptions, providing a basis for the treatment of liver stagnation and spleen deficiency IBS-D with traditional Chinese medicine prescriptions.