中医杂志2026，Vol.67Issue(4)：404-409,6.DOI:10.13288/j.11-2166/r.2026.04.011
肠易激综合征的中医诊疗现状、策略与展望
Current Status,Strategies and Prospects of Traditional Chinese Medicine Diagnosis and Treatment for Irritable Bowel Syndrome
摘要
Abstract
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.关键词
肠易激综合征/脾胃病/中医药疗法/诊疗策略/文献综述Key words
irritable bowel syndrome/spleen-stomach diseases/traditional Chinese medicine therapy/diagnosis and treatment strategies/literature review引用本文复制引用
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..肠易激综合征的中医诊疗现状、策略与展望[J].中医杂志,2026,67(4):404-409,6.基金项目
国家自然科学基金(82405373,82274509) （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) （2024XKFZYJ）
