International Journal of Frontiers in Medicine, 2023, 5(8); doi: 10.25236/IJFM.2023.050813.
Yue Wang1, Yongpan Xu2, Yu Jia1, Yanzhao Zhang1
1Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, 712046, China
2Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, 712000, China
Diarrhoeal irritable bowel syndrome (IBS) is a common functional disease. Due to the complexity and diversity of its course, recurrent attacks and no specificity, simple western medicine treatment is mainly to alleviate symptoms, which seriously affects the quality of life and work of patients.This study, combined with relevant research in recent years, reviewed the etiology and pathogenesis of diarrhea predominant irritable bowel syndrome, Chinese medicine treatment, Chinese medicine treatment, integrated traditional and western medicine treatment and other aspects, looking for a treatment plan for diarrhea predominant irritable bowel syndrome, hoping to provide ideas and reference for subsequent clinical diagnosis and treatment.
diarrhea predominant Irritable Bowel Syndrome; basic pathogenesis; spleen deficiency and liver depression; traditional Chinese medicine
Yue Wang, Yongpan Xu, Yu Jia, Yanzhao Zhang. Discussion on the Treatment of Diarrhea Type Irritable Bowel Syndrome from the Basic Pathogenesis. International Journal of Frontiers in Medicine (2023), Vol. 5, Issue 8: 93-99. https://doi.org/10.25236/IJFM.2023.050813.
[1] Study Group of Functional Gastrointestinal Disorders, Study Group of Gastrointestinal Motility, Chinese Society of Gastroenterology, Chinese Medical Association. Chinese expert consensus of irritable bowel syndrome in 2020[J]. Chinese Journal of Digestion, 2020, 40(12):803-818.
[2] Xu Xiaojuan, Liu Liang, Yao Shukun, et al. Visceral sensitivity, gut barrier function and autonomic nerve function in patients with diarrhea-predominant irritable bowel syndrome [J]. Journal of Central South University (Medical Science), 2017, 42(5):522-528.
[3] Zhu Jiajie, Liu Shan, Zhao Pengcheng, Lu Yin, Yaxin Liu, Dengke Liu, Wei Wei. Epidemiological research progress of irritable bowel syndrome [J]. International Journal of Digestive Diseases, 2017, 37 (05): 271-273.
[4] Li Junxiang, Chen Xuan, Tang Xudong, et al. Consensus on Integrated Chinese and Western Medicine in Diagnosis and Treatment of Irritable Bowel Syndrome (2017) [J]. Chinese Journal of Integrated Traditional and Western Medicine on Digestion, 2018, 26 (03): 227-232.
[5] Yang Fang, Yan Jing, Liu Lina, et al. New progress in the study of the etiology and pathogenesis of irritable bowel syndrome [J]. Journal of Hebei Medical University, 2020, 41 (08): 987-992.
[6] Zhang Shengsheng, Wei Wei, Yang Jianqin. Expert consensus on diagnosis and treatment of irritable bowel syndrome (2017) [J]. Journal of Traditional Chinese Medicine, 2017, 58(18): 1614-1620.
[7] Zhao Haiyan, Hu Naiqiang, Huang Shi, et al. Treatment of irritable bowel syndrome based on syndrome differentiation of five internal organs [J]. Liaoning Journal of Traditional Chinese Medicine, 2017, 44 (02): 271-273.
[8] Gu Zheyuan, Ye Wei. Experience Introduction of YE Wei Treating Irritable Bowel Syndrome of Diarrheic Type from Liver and Spleen [J]. Journal of New Chinese Medicine, 2022, 54 (08): 228-231.
[9] (Qing Dynasty) Ye Tianshi, Xu Lingtaizhu, Clinical guideline medical record [M]. Science and Technology Health Publishing House, 1959.
[10] Medical essay volume 1 [M] Yangzhou: Jiangsu Guangling Ancient Book Engraving Press, June 1984.
[11] Li Zhongyu, Chen Ting, Wang Yang, Xu Qing, Wen Yandong. Theoretical and Methodological Studies on Treating Diarrhea-Predominant IBS with Classical Prescriptions [J]. Chinese Journal of Integrated Traditional and Western Medicine, 2022, 42 (01): 107-111.
[12] Chen Jingye, Diao Peisi. Observation on safety and efficacy of Tongxie Yaofang on irritable bowel syndrome [J]. Clinical Journal of Chinese Medicine, 2019, 11 (20): 59-61.
[13] Bai Guisheng. Analysis of the therapeutic effect of modified Xiaoyao Pills combined with psychotherapy on patients with irritable bowel syndrome of liver depression and spleen deficiency type [J]. Psychological Monthly, 2021, 16(11):55-56.
[14] Guo Rui, Tang Xudong, Ou Yuyang, Zeng Enjin, Guo Peng. A case of irritable bowel syndrome treated by liver dispersing with spleen strengthening method [J]. Tianjin Journal of Traditional Chinese Medicine, 2019, 36 (12): 1210-1212.
[15] Su JianBin, Zhang Lun. Clinical Observation of Self-prescribed Peitu Shunmu Decoction for the Treatment of Diarrhea-predominated Irritable Bowel Syndrome of Liver Stagnation and Spleen Deficiency Type [J]. Journal of Guangzhou University of Traditional Chinese Medicine, 2022, 39 (12): 2776-2781.
[16] Zhao Hanqing. Screening of superior schemes and research on potential mechanism of action of external treatment of Chinese medicine for diarrhea predominant irritable bowel syndrome based on clinical evidence [D]. Shandong University of Traditional Chinese Medicine, 2019.
[17] Yang Min, Zhou Li, Xu Paidi, Zou Ran, Li Yue. Analysis on effect of acupuncture combined with ginger partitioned moxibustion on treating stagnation of liver qi and spleen deficiency type of irritable bowel syndrome [J]. Chongqing medicine, 2021, 50 (16): 2726-2730.
[18] Wang Qian, Chen Kanjun, Yu Ansheng. Therapeutic effects and mechanism of acupuncture on hepatic spleen deficiency and irritable bowel syndrome [J]. Chinese Journal of Integrated Traditional and Western Medicine on Digestion, 2019, 27 (07): 520-524.
[19] Han Zhicun, Ren Lili, Ruan Chen, Shao Chunqi, Hu Yijuan. Clinical observation on auricular point sticking in the treatment of 40 cases of diarrhea type irritable bowel syndrome [J]. Zhejiang Journal of Traditional Chinese Medicine, 2018, 53 (11): 831.
[20] Wei Jingjing, Hao Lili, Wang Hongxia, Kang Hongchang, Wang Wei, Yue Yan. Clinical observation and safety evaluation of acupoint embedding combined with soothing the liver and strengthening the spleen in the treatment of irritable bowel syndrome-diarrheal of liver depression and spleen deficiency [J]. Tianjin Journal of Traditional Chinese Medicine, 2021, 38 (05): 620-624.
[21] Wei Huihui. Clinical effect evaluation of Chinese herbal essential oil massage on irritable bowel syndrome of diarrhea type due to liver stagnation and spleen deficiency [J]. The Medical Forum, 2021, 25 (16): 2350-2351.
[22] Wang Zhengfang, Jia Yu, Hou Yanan. Clinical Observation on therapy of Soothing the Liver and Strengthening the Spleen in Diarrhea-Predominant Irritable Bowel Syndrome(IBS-D) of Liver Depression and Spleen Deficiency Syndrome and Its Influence on Serum Brain-gut Peptide Level [J]. World Chinese Medicine, 2016, 11 (12): 2685-2688.
[23] Huo Yongli, Mao Jingyu, Hou Zilei, Liu Hao, She Yanfen. Curative effect observation of Wenjing Tongluo Hot Ointment combined with Tongxie Yaofang on diarrhea-type irritable bowel syndrome of liver depression and spleen deficiency [J]. China Journal of Traditional Chinese Medicine and Pharmacy, 2021, 36 (09): 5689-5692.
[24] Zhang Shuqing, Zha Ansheng, Zou Xiaohua, et al. Clinical Effect of Xiaoyao Decoction Combined with Acupoint Application in Treatment of Diarrhea-predominant Irritable Bowel Syndrome with Liver Depression and Spleen Deficiency [J]. Journal of Anhui University of Chinese Medicine, 2020, 39 (01): 16-20.
[25] Chen Yong, Ren Chenghua, Wu Zuolin, et al. Observation on the therapeutic effect of "soothing liver and regulating qi, regulating mind and relieving depression" massage combined with western medicine on diarrhea type irritable bowel syndrome [J]. Asia-Pacific Traditional Medicine, 2018, 14 (07): 163-165.