肠易激综合证中医治疗一例

黄文川博士

近期治疗一例“肠易激综合证”病例，效果非常明显，我让患者把他的的病情和治疗感受写了下来，与大家一起分享他的喜悦和对中医的信任。

“Began approx.1 year ago (Jan/2009)during hottest part of summertime. I was working hard at the time and under stress, initial symptoms were lack of appetite and not liking food.

Despite finishing that work in Feb, symptoms continued to worsen thorough out the year 2009.appetite was not good and I started having problems urinating. Especially in the wintertime when it was cold, I had sudden desire to go to the toilet –like an emergence. if I could not go to the toilet immediately it would hurt very much in my penis.

Other symptoms that have developed over the past year:

* Not liking the tast of most foods (even things I used to love eating)
* Most food feels very “dry” in my mouth and difficult to chew and swallow.
* I can only eat very small meals at one time.
* about five minutes after eating ,I feel sore/sick in stomach. about 20 minutes after eating, I suddenly feel very ”empty” and  “hollow” inside my stomach.
* Often I feel start to feel dizzy about 5-10 minutes after eating.
* When I feel hungry, it is very painful and sudeen.
* Wake up in the middle of the night covered in sweat and have to urinate urgently.
* Feeling tired and low energy.
* Sometimes stools are very loose, sometimes Ok. Because I eat 5–6 small meal every day, I need to go to the toilet up to 5 times a day to pass stools.

Morning times are usually the worst. My appetite tends to improve in the afternoon and evening.

Jan 27(2010)：Feeling very tired, sore in stomach, passing many small stools(approx.6—7 times/day),no appetite but get sudden feeling of intense hunger.
(first day of treatment, receive little acupuncture, begin taking herbs)
feeling good immediately after treatment, appetite has returned but after arriving home and eating I feel very sore in stomach again.

Jan 28: Morning : feeling very sore in stomach, dizzy, lightheaded.
Afternoon: improving. Evening: feeling Ok. sleep well. No night sweats.

Jan 29: wake up feeling very good. This continues all day. Appetite good, stools good, stomach feels normal, digestion is good . I have more energy.

Jan 30: still a little sore in lower bowels in morning before passing stool but OK apart from that, Generally feeling very good.

Feb 1: Finish herbs this morning. Feeling very high energy all day (almost manic).

Feb 2: feel slight symptoms in morning (empty, hollow feeling in stomach after eating).Get more herbs and acupuncture

Feb 3: feeling good in stomach, stools slight soft and runny, feeling slighty tired, sleeping well.

Feb 4: slighty liquid stools feel unsettled in stomach. Have a acupuncture in Dr Win Clinic.

Stephen Mcintyre”

根据患者的症状和检查我诊断为“肠易激综合证”。肠易激综合征（IBS）是胃肠道功能紊乱的一种表现，是胃肠道最常见和最典型的功能性疾病，临床表现为腹痛、腹胀、排便习惯和大便性状异常持续存在或间歇发作的一组综合征。本病的病因尚不明确，精神因素和饮食因素可能是两大促发因素。

从我们的经验看，有这种病的人，多数有精神因素、食物生冷、食物过敏的历史。与中医的肝郁脾虚征有相同的病机，而抑肝扶脾法可以明显地改善此症状。我选择中药和针灸治疗这种疾病 ，中药用炒白术15克、炒白芍15克、佛手10克、陈皮10克、防风6克、郁金10克、甘草6克、柴胡10克、煨木香10克（后下）、山楂10克、煨葛根10克、独活15克、龙骨10克、牡蛎10克水煎服。连用7—14剂。针灸以胃经穴位和头部穴位为主。（请浏览 www.drwin.co.nz 黄博士诊所 09 5296185）