| [Objective] To explore Professor XU Luzhou's clinical experience in the treatment of diarrheal irritable bowel syndrome. [Methods] The clinical experience of Professor XU Luzhou and his thoughts on prescription and medication were introduced from the aspects of etiology, pathogenesis and prescription of diarrheal irritable bowel syndrome. A proved case was presented.[Results] Professor XU Luzhou believes that the diarrhea irritable bowel syndrome is dominated by dampness and heat in the prodromal and the early stage, the treatment principle should be clearing heat and dampness, strengthening the spleen and facilitating transportation. In the middle stage, it is dominated mainly by cold and wet, with deficiency of spleen Yang and deficiency of soil and exuberance of wood, the treatment principle should be warming Yang and strengthening spleen, and harmonizing soil and wood. In the later stage, spleen deficiency leads to kidney deficiency and liver infringe upon spleen, the treatment principle should be warming kidney and helping Yang, nourishing and softening the liver Yin. Wind evil can be infested in any stage of the disease, so promoting Yang and removing wind evil should run through the beginning and the end of the disease. In the case presented, the patient suffered from chronic disease, cold and dampness retardation, spleen-kidney Yang deficiency, and imbalance of liver and spleen, which resulted in diarrhea. The treatment was to strengthen and moisten the spleen, warm the spleen and kidney, soothe the liver and regulate Qi, dispel wind and stop diarrhea. Professor XU Luzhou's self-designed experience method “Baishi wenpi decoction” plus or minus was proved to be effective. [Conclusion] Professor XU Luzhou's unique insights and experience in the staging treatment of diarrhea irritable bowel syndrome show remarkable clinical efficacy, which is worthy of further research and promotion. |