The mechanism of irritable bowel syndrome(IBS) may be related to such factors as abnormal intestinal motility,visceral hypersensitivity,infection,psychological factors and so on.The role of brain-gut axis has caused widespread concern,and the risk factors mentioned above can be illuminated in the framework of brain-gut interaction.Consequently,brain-gut axis becomes the breakthrough point to research the pathogenesis of IBS.In this article,we will review the role of brain-gut axis in the pathogenesis of IBS from the following aspects: the concept of brain-gut axis,the mechanism of its action,the abnormality of brain-gut axis in IBS incidence,and targeted therapy.