基于“一气周流"理论从“气-湿-燥"辨治便秘型肠易激综合征

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本文引用：.基于“一气周流"理论从“气-湿-燥"辨治便秘型肠易激综合征[J].湖南中医药大学学报，2025，45（4）：731-735.

[关键词］便秘型肠易激综合征；一气周流；气机；燥湿相混；《四圣心源》 [中图分类号]R256.3 [文献标志码]A [文章编号]doi：10.3969/j.issn.1674-070X.2025.04.022

[Abstract]Thetheoryof"qicirculation"representsHUANGYuanyu'sinheritanceanddevelopmentoftheconceptsof Qimonismandharmonybetweenhumanandnature.Itformsathinking modelcenteredoncentralqiastheaxis，pivoting thefourphases，toelucidatehuman lifeactivities，diseasepathogenesis，andgudedisease treatment.Combining thesymptoms ofconstipation-predominantiritablebowelsyndrome（BS-C），itisproposedhattherotcauseliesinthedisorderofcentral axisqimovement，withthecriticalinksmanifestedasGengjinBuchuan（dysfunctionoflungandlargeintestineqitrasiion） andMuyuJinni （liverqistagnationwithupwardrebellionoflungqi）.Thedepletionofyangrotandyinessenceare contributigfactorstothechronicityofthecondition，closelyassociatedwithqimovementdisorder，dampnessinthemiddle jiao，andintestinaldryness.Thispaperhassummarized’themethodsoftreating IS-Cfromtheperspectivesofqidampess， anddrynes，aimingtorestoretheascendinganddescendingfunctionsofthecentralaxisqimovement，promotethecircular rotationofthefourphases，ensurethesmothcirculationofqi，andmoisturizeandpromotethedescentofthelargeintestine.

[Keywords]constipation-predominantiritable bowel syndrome；qi circulation;qi movement；mixed drynessanddampness;Si Sheng Xin Yuan （The Source of Four Saints‘Wisdom）

便秘型肠易激综合征（constipation-predominantirritablebowelsyndrome，IBS-C）是肠易激综合征的常见分型之一，表现为与排便相关的反复发作的腹痛，伴有排便频率和粪便性状的改变，至少 25% 的粪便为Bristol粪便性状量表中的1＼～2型，6＼～7型少于 25%[1 。（剩余7982字）