腹泻型肠易激综合征其基本病机可归纳为脾虚湿盛,病性证素为虚与湿,主要病位在于脾,多累及到肾."见肝之病,知肝传脾,当先实脾""见脾之病,知脾传肾,首先益肾",从脾与肾的生理、病理、五行生克制化方面分析两者的关系,治疗应以"本在健脾,重在益肾"为重要原则.以健脾益肾法立方的参苓白术散合四神丸加减治疗能够明显缓解症状,提高患者生活质量,反映出健脾益肾法治疗的可行性和重要性.%The basic pathogenesis of irritable bowel syndrome with diarrhea can be summarized insufficiency of the spleen with overabundance of dampness, the factors leading to the disease are insufficiency and dampness, the main disease place is spleen and often developed to the kidney. The points of "if the liver disease, it should be understood that the disease may spread to the spleen and the treatment should be to fill the spleen", "if the spleen disease, it should be understood that the disease may spread to the kidney and the treatment should be to tonify the kidney" show the relationship between spleen and kidney from physiology, pathology and generation-inhibition in five elements, the principle of treatment of IBS-D is to invigorate the spleen and kidney. Shenling Baizhu powder and Sishen Wan, a prescription formed under the guidance of invigorating spleen and kidney, was used to treat IBS-D can significantly alleviate the symptoms and improve the quality of life of patients, this reflects the feasibility and importance of method of invigorating the spleen and tonifying the kidney for IBS-D.
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