国医大师陈民藩以肝脾通腑法治疗便秘型肠易激综合征OA

The key pathogenesis of constipation-predominant irritable bowel syndrome(IBS-C)lies in liver depression and spleen deficiency with qi movement dysfunction,clinically manifesting primarily as abnormal bowel movements.According to the theory of simultaneous regulation of liver and spleen,the TCM Master Chen Minfan proposed the method of regulating the liver and spleen and relaxing bowels,the academic philosophy of which aligns closely with the disease characteristics.Master Chen posits that the liver governs free flow of qi while the spleen governs transportation and transformation.Liver depression leads to qi stagnation,and spleen deficiency results in impaired transportation,ultimately causing intestinal conduction dysfunction and thus constipation.Accordingly,Master Chen proposes the method of soothing the liver and invigorating the spleen to regulate qi movement,combined with relaxing bowels to remove stagnation.His empirically formulated Liqi Peiyuan Tongyou Decoction demonstrates significant clinical efficacy.This therapeutic method prioritizes soothing the liver and alleviating depression to regulate qi movement and invigorating the spleen and reinforcing qi to promote transportation and transformation.The flexible use of laxatives or qi-moving purgatives helps to soothe the liver,enhance the transportation of spleen,and unblock the qi movement in bowels.Clinical studies confirm this method not only alleviates constipation but also alleviates abdominal pain,abdominal distension,and anxiety,with low recurrence rates,highlighting the holistic advantage of TCM.Master Chen's method of regulating the liver and spleen and relaxing bowels offers a novel paradigm for IBS-C management and embodies the TCM principle of treating the root cause,holding substantial clinical value.