Theoretical Discussion Of The Stagnation And Spleen Deficiency Diarrhea And Clinical

Diarrhea is a clinical common disease and frequently-occurring disease. The clinical manifestation of diarrhea is thin stool even like water, increased defecation frequency but without symptoms of sepsis and tenesmus. We call the symptom of thin stool not so serious xie, while the one more serious, we call that another xie. This disease could be caused by many pathogenic factors, just like pathogenic factors, internal causes and visceral dysfunction etc. Its core pathogenesis is deficiency of spleen and stomach which can not ascende lucidity and descende turbidity, then diarrhea appeared. Whether by the causes of diseases caused by exogenous pathogenic factor or internal injury due to emotional disorder, they all could hurt the spleen and stomach or lead to visceral dysfunction. Among these factors, the most impotant one is liver stagnation and spleen deficiency. Liver like free activity and disl ike stagnation. It is harmful to liver if someone be angry or anxious. Stagnation of liver qi will do harm to spleen. Liver can't do free activities while spleen become deficiency which can not ascende lucidity and then diarrhea occurred. Along with social progress and development, modern people's pressure of study, work and life is getting more and more heavier. Most people are in sub-health state, and most of them are caused by angry, anxious or some bad mood like that. There is some close relationship between mood changing and function of liver. If bad mood still went further, it will do harm to liver, and then cause liver stagnation and spleen deficiency and diarrhea occurred. From a clinical point of view, patients suffered from diarrhea which are getting more. So research and treatment on diarrhea caused by liver stagnation and spleen deficiency do have its clinical significance.This disease is equivalent to IBS-D in western medicine. In recent years, with the increasing incidence, researchers engaged in this area are getting more, and paper informations are also very rich. So in the part of literature review, this paper summarizes therapeutic methods of IBS-D which caused by liver stagnation and spleen deficiency. We hope we can enrich theories and therapeutic methods of diarrhea cause by liver stagnation and spleen deficiency and guide the clinicaltreatment.The dissertation is composed of three parts.The first part is tracing the sources of the theory. TCM has many theories on diarrhea research. In the book internal canon of the yellow emperor, there are rich records of this illness. And subsequent doctors made supplements on this theory. If we want to know the principle of diarrhea cause by liver stagnation and spleen deficiency, we should start with theories of diarrhea. So this paper makes a summarize on theories of diarrhea from reserches by ancient doctors in every destney. After that we come to know the pathogenesis of diarrhea, and the most important one is spleen deficiency. And what are the reasons for spleen deficiency? Liver stagnation and spleen deficiency is an important one. So now we have come up a clue of etiology and pathogenesis, that is diarrhea-spleen deficiency-liver stagnation. Knowing that, we make discuss in details in terms of relationship of liver and spleen, principle of diarrhea cause by liver stagnation and spleen deficiency, main points of differentiationay and clinical therapy infantry. And then, that theories become completely sufficient.The second part is clinical treatment. At first, there are some examples which are from case record. On the mothod of analysising famous ancient case records, we find out therapeutic principles and methods of diarrhea cause by liver stagnation and spleen deficiency. Second, there is the interpretation. By analysising famous ancient case records, we come up with medication regularities and use them to guid clinical treatment. At last, there are discussions on mathods of yi mu fu tu and fu tu yi mu. Basing on the focus point between liver stagnation and spleen deficiency, we offer different clinical treatments in order to get good clinical effect.The third part is the conclusion and discussion. Through the study of diarrhea, spleen deficiency and diarrhea cause by liver stagnation and spleen deficiency, On using the structure of an argument like hourglass-shaped, that is diarrhea-spleen deficiency-liver stagnation-diarrhea cause by liver stagnation and spleen deficiency, we make an detailed argument on principle of diarrhea cause by liver stagnation and spleen deficiency. And we hope we can offer a good guidance to clinical treatment.Basing on needs of clinical treatment, and aiming on getting good clinical effect, this paper tracing the source of the theory of IBS-D which is widely reserched in rescent years, and then we can come up with a clear and comprehensive view of this illness. Finally, we can use the strong advantage of TCM to cure this disease.