首页|期刊导航|中医杂志|肠易激综合征的中医诊疗现状、策略与展望

肠易激综合征的中医诊疗现状、策略与展望OA

Current Status,Strategies and Prospects of Traditional Chinese Medicine Diagnosis and Treatment for Irritable Bowel Syndrome

中文摘要英文摘要

肠易激综合征(IBS)是一种以腹痛、排便习惯改变为主要表现的功能性肠病.近年来中医在IBS的证候分布、中药复方发掘及临床疗效评价、外治疗法及精神心理调节等多方面取得进展,但仍面临诊断标准过度依赖症状而缺乏生物标志物、缺乏高质量中药复方治疗IBS的循证依据等问题.提出中医诊疗应遵循整体观与辨证论治相结合、联合中医外治法(如针灸、穴位贴敷)、注重精神心理异常的个体化诊疗策略.未来应结合多组学技术、人工智能等方法,深化IBS的发病机制及中药复方研究,推动中医药在IBS诊疗中的标准化与国际化.

Irritable bowel syndrome(IBS)is a functional bowel disorder characterized primarily by abdominal pain and altered defecation habits.In recent years,traditional Chinese medicine(TCM)has made progress in multi-ple aspects of IBS research and treatment,including syndrome distribution,development of TCM formulas,clinical efficacy evaluation,external therapies,and psychosocial regulation.However,it still faces challenges such as over-reliance on symptomatic manifestations rather than biomarkers for diagnostic criteria,and the lack of high-quality evi-dence-based data supporting the efficacy of TCM formulas in treating IBS.This paper proposed that TCM diagnosis and treatment of IBS should adhere to the strategy of integrating the holistic concept with syndrome differentiation and treatment,combining TCM external therapies such as acupuncture,moxibustion and acupoint application),and emphasizing individualized diagnosis and treatment for psychosomatic abnormalities.Future research should integrate multi-omics technologies,artificial intelligence and other methods to deepen the understanding of the pathogenesis of IBS and the mechanisms of TCM formulas,so as to promote the standardization and internationalization of TCM in the diagnosis and treatment of IBS.

温艳东;葛文通;赵晓凡;刘畅;唐旭东;杨治;黄绍刚;李中玉;马祥雪;徐晴;杜立青;原博超;田依冰

中国中医科学院眼科医院,北京市石景山区鲁谷路33号,100040中国中医科学院西苑医院脾胃病研究所中国中医科学院西苑医院脾胃病研究所中国中医科学院西苑医院脾胃病研究所中国中医科学院西苑医院脾胃病研究所中国中医科学院西苑医院脾胃病研究所广州中医药大学第一附属医院中国中医科学院眼科医院,北京市石景山区鲁谷路33号,100040广州中医药大学第一附属医院中国中医科学院眼科医院,北京市石景山区鲁谷路33号,100040广州中医药大学第一附属医院中国中医科学院眼科医院,北京市石景山区鲁谷路33号,100040中国中医科学院眼科医院,北京市石景山区鲁谷路33号,100040

肠易激综合征脾胃病中医药疗法诊疗策略文献综述

irritable bowel syndromespleen-stomach diseasestraditional Chinese medicine therapydiagnosis and treatment strategiesliterature review

《中医杂志》 2026 (4)

404-409,6

国家自然科学基金(82405373,82274509)中国科学技术协会2024年中医脾胃病学学科发展研究(2024XKFZYJ)

10.13288/j.11-2166/r.2026.04.011

评论