基层中医药2026，Vol.5Issue(2)：1-7,7.DOI:10.20065/j.cnki.btcm.20260044
国医大师陈民藩以肝脾通腑法治疗便秘型肠易激综合征
TCM Master Chen Minfan Manages Constipation-Predominant Irritable Bowel Syndrome by Regulating the Liver and Spleen and Relaxing Bowels
摘要
Abstract
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.关键词
肠易激综合征/陈民藩/肝脾同调/肝脾通腑法/理气培元通幽汤/肝郁脾虚/气机失调Key words
irritable bowel syndrome/Chen Minfan/simultaneous regulation of liver and spleen/method of regulating liver and spleen and relaxing bowels/Liqi Peiyuan Tongyou Decoction/liver depression and spleen deficiency/qi movement dysfunction引用本文复制引用
张艺林,陈祖清..国医大师陈民藩以肝脾通腑法治疗便秘型肠易激综合征[J].基层中医药,2026,5(2):1-7,7.基金项目
国家中医药管理局第四届国医大师传承工作室建设项目(国医大师陈民藩传承工作室)(国中医药办人教函[2022]245号) （国医大师陈民藩传承工作室）
