北京中医药大学学报2026，Vol.49Issue(1)：10-15,6.DOI:10.3969/j.issn.1006-2157.2026.01.002
从"膜腠三焦"理论探析肠易激综合征的病机与治法
Exploring the pathogenesis and treatment methods of irritable bowel syndrome from the"sanjiao composed by membrane-striae"theory
摘要
Abstract
This article adopts Professor CHEN Chaozu's"sanjiao composed by membrane-striae"theory as its foundation to explore the relationship between irritable bowel syndrome and functional/structural abnormalities of the membrane-striae.Sanjiao encompasses both the tangible membrane and the intangible striae.These striae permeate the entire body,and their pathological changes comprehensively reflect qi,body fluids,and fasciae.Based on the physiological function of the membrane-striae in regulating qi and fluids,the pathogenesis of irritable bowel syndrome is characterized by a disharmony of membrane-striae and an imbalance of the qi-fluid interactions.In the early stage,external pathogens,emotional factors,or dietary stimuli often cause membrane-striae constriction and disordered qi-fluid circulation.In the middle stage,stagnant fluids gradually transform into phlegm retention,leading to membrane-striae obstruction.In the late stage,deficiency of vital qi becomes predominant,manifesting as laxity of membrane-striae with impaired control or weakened conduction.The treatment of irritable bowel syndrome should adopt"unblocking"as the guiding principle.In the early stage,therapy should focus on eliminating pathogenic factors and soothing membrane-striae to promptly restore qi-fluid circulation,thereby attaining unblocking through spasm relief.In the middle stage,treatment should focus on resolving tangible obstructions in membrane-striae,achieving unblocking via dredging.In the late stage,the emphasis should shift to reinforcing healthy qi,particularly by strengthening spleen-kidney yang qi,and achieving unblocking through supplementation.Concurrently,throughout the entire treatment process,the regulation of mental state and easing of emotional tension should be integrated to alleviate patient's anxiety,achieving the goal of holistic treatment of both body and mind.关键词
膜腠三焦/筋膜/肠易激综合征/陈潮祖/病机/治法Key words
sanjiao composed by membrane-striae/fascia/irritable bowel syndrome/CHEN Chaozu/pathogenesis/treatment methods分类
医药卫生引用本文复制引用
许燕,杨芳,邵荣世,孙惠丽,李娟,陈欣,韩静..从"膜腠三焦"理论探析肠易激综合征的病机与治法[J].北京中医药大学学报,2026,49(1):10-15,6.基金项目
国家中医药管理局全国名老中医继承工作室建设项目(国中医药人教发[2011]41 号) （国中医药人教发[2011]41 号）
南通市青年医学专家培育项目(通卫科教[2023]8 号) （通卫科教[2023]8 号）
南通市中医医疗联盟课题(No.TZYK202442) National Inheritance Studio Construction Project for Famous and Senior Traditional Chinese Medicine Experts of the State Administration of Traditional Chinese Medicine(No.[2011]41) （No.TZYK202442）
