CAJ | 학술논문

肠易激综合征（ irritable bowel syndrome ，IBS）是以腹痛或腹部不适伴有排便性状或排便习惯异常为其临床特征的一种功能性肠病，根据症状分属于中医“腹痛”、“泄泻”或“便秘”等病症的范畴。中医药在该病的治疗方面进行了多年的探索，本文从文献研究的角度，对IBS中医药治疗模式进行总结分析。研究表明，目前中医药在IBS的临床治疗上已经形成了中药汤药、中成药、针灸、中药灌肠、推拿、穴位敷贴、穴位埋线等多种措施并用的治疗方法体系，其中又以中药汤剂为临床治疗方法的主体。在中药汤药治疗中，以自拟方、传统方药化裁、以法论治及辨证论治为主。在对具体证型及治法的分析中，理脾类与调肝类在IBS的治疗中应用广泛，肝脾同治是IBS疾病治疗的重要特点，反映了肝脾不和为IBS的基本病机。
장역격종합정（ irritable bowel syndrome ，IBS）시이복통혹복부불괄반유배편성상혹배편습관이상위기림상특정적일충공능성장병，근거증상분속우중의“복통”、“설사”혹“편비”등병증적범주。중의약재해병적치료방면진행료다년적탐색，본문종문헌연구적각도，대IBS중의약치료모식진행총결분석。연구표명，목전중의약재IBS적림상치료상이경형성료중약탕약、중성약、침구、중약관장、추나、혈위부첩、혈위매선등다충조시병용적치료방법체계，기중우이중약탕제위림상치료방법적주체。재중약탕약치료중，이자의방、전통방약화재、이법론치급변증론치위주。재대구체증형급치법적분석중，리비류여조간류재IBS적치료중응용엄범，간비동치시IBS질병치료적중요특점，반영료간비불화위IBS적기본병궤。
Irritable bowel syndrome is a common functional bowel disorder , in which abdominal pain or discomfort is associated with defecation or a change in bowel habit , and it belongs to “abdominal pain”,“diarrhea”,“constipation” in TCM.In recent years, many papers have been published about IBS TCM therapy in China and the treatment methods of IBS are summarized and analyzed by literature analy -sis.The results show that the treatment method system includes TCM decoction , Chinese patent medicine therapy, acupuncture, Chinese medicine enema, massage, acupoints application, acupoint catgut embed-ding, and among which, the therapy of TCM decoction, self-made prescriptions, modified TCM prescrip-tions, prescriptions by TCM therapy , and syndrome differentiation and treatment take a high proportion .At the same time, the methods of invigorating the spleen and soothing the liver are two main techniques and the combination of invigorating the spleen and soothing the liver is an important feature in IBS treatment by the analysis of TCM syndromes and specific therapies , which further indicates that incoordination between spleen and liver is the basic pathogenesis of IBS .