功能性腹泻是临床中的常见疾病,现代医学认为其发病可能与胃肠动力异常、精神心理因素、感染、肠道菌群失调及植物神经功能异常有关。中医认为其发病与脾气虚弱、失其健运以致湿盛、食滞、肝郁、脾肾两虚关系密切。中医药分别治之以健脾除湿、运脾化滞、疏肝理脾及补益脾肾,均取得了明显疗效。且脾虚是评估功能性腹泻预后的重要因素。因此,脾虚贯穿于FDI整个发病、治疗的过程中,并且在相当程度上影响该病的预后。
Functional diarrhea is a common disease in clinic. The nosogenesis may be abnormal gastric motility, psychological factors, infection, alteration of intestinal flora and vegetative nerve functional disturbance. It may have close relation to spleen deficiency which leads to wetness hyperactivity, food stag nation, liver stagnation and the Yang deficiency of spleen and renal in Traditional Chinese medicine. The treatment principle of Chinese herbal medicine is invigorating spleen and removing damp, activating spleen and resolving food stagnation, smoothing liver and regulating spleen and reinforcing spleen and kidney, and all gets obvious curative effect. Spleen deficiency can provide important evaluation to the prognosis of functional diarrhea. So spleen deficiency exists in the whole progress of FDI. Moreover, spleen deficiency impacts the prognosis of functional diarrhea to a large extent.