TCM treatment of IBS etiology and pathogenesis

Irritable bowel syndrome (IBS) is a relatively common chronic intestinal dysfunction disease. The pathophysiological basis of IBS is mainly abnormal gastrointestinal motility and visceral perception, and the mechanism of these changes has not been fully elucidated. Western medicine treatment of IBS has side effects, and its clinical application is subject to many restrictions, and patients are reluctant to accept it. Many patients will seek TCM treatment, so what method and theory should TCM treat IBS?

1. Soothing the liver and regulating qi, improving abnormal emotional pain
Patients seeking treatment for IBS often have emotional disorders, suggesting that the symptoms may be related to abnormal central emotion and pain perception. IBS disease is located in the intestine, and its pathogenesis is liver depression and spleen failure. Soothing the liver and regulating qi can obviously improve the abnormal central emotion and pain, and the traditional Chinese medicine for soothing the liver can obviously alleviate and improve symptoms. The treatment medication focuses on regulating qi.

2. Invigorate the spleen and replenish qi, regulate the intestinal transport function
IBS patients’ bowel habits change, suggesting that there may be intestinal dysfunction, the disease is located in the spleen, and the main pathogenesis is deficiency. Clinically, by eliminating the hyperresponsiveness of intestinal smooth muscle. So as to alleviate the symptoms of abdominal pain and diarrhea in IBS patients.

3. Dispel dampness and turbidity, improve the environment in the intestine
Deficiency of the spleen and loss of transport, diarrhea, accumulation of damp heat or cold and dampness, loss of intestinal conduction, and poor qi flow. When the spleen rises and the stomach falls, the dampness will rise and fall abnormally, especially the stagnation of qi. It is seen that there is pain in the abdomen or bowel diarrhea, sticky stools, foaming, or diarrhea and constipation. Therefore, the general combination of dampness and qi regulation.

It can be seen that the pathogenesis of IBS is mainly liver depression and spleen deficiency, and the liver and spleen are closely related to the internal organs. The main principle of treatment is to sooth the liver, invigorate the spleen and dissipate dampness.

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