陆金根治疗出口梗阻型便秘经验  

Professor Lu Jin’gen’s experience in the treatment of outlet obstructive constipation

作　　者：孙健 梁宏涛[2] 陆金根[2] SUN Jian;LIANG Hongtao;LU Jin’gen(Shanghai Changning District Tianshan Hospital of Traditional Chinese Medicine,Shanghai 200051,China;Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China)

机构地区：[1]上海市长宁区天山中医医院,上海200051 [2]上海中医药大学附属龙华医院,上海200032

出　　处：《上海中医药杂志》2019年第12期17-20,共4页Shanghai Journal of Traditional Chinese Medicine

基　　金：上海市卫计委中医特色诊疗技术提升项目(zyjx-2017039);国家中医药管理局全国名老中医药专家传承工作室建设项目[国中医药人教教育便函(2016)167号];上海市长宁区卫计委“青年中医医师培养计划”项目(2015CNQNZY005)

摘　　要：以盆底失弛缓综合征、盆底松弛、耻骨直肠肌肥厚及直肠前突引起的便秘为例,介绍陆金根教授治疗出口梗阻型便秘的经验。其临证不提倡常规使用大黄、芦荟、番泻叶等刺激类通下药物,认为治疗此类便秘应在明确具体疾病的基础上结合中医辨证,主张以益气、开秘、通络为大法。并附验案1则。This paper introduces Professor Lu Jin’gen’s clinical experience in the treatment of outlet obstructive constipation exemplified by the constipation cases due to anismus, pelvic floor relaxation(PFR), puborectal muscle hypertrophy(PRMH) and rectocele. In the clinic, Professor Lu does not advocate the over-use of purgative medicinals such as Dahuang(Rhei Radix et Rhizoma), Luhui(Alo?) and Fanxieye(Sennae Folium), etc. as he believes that this type of constipation should be diagnosed with the combination of disease differentiation and TCM pattern identification and he proposes that invigorating qi, relieving constipation and unblocking collaterals should be taken as the major method. A proved case is attached for the supportive illustration.

关 键 词：出口梗阻型便秘 盆底失弛缓综合征 盆底松弛 耻骨直肠肌肥厚 直肠前突 名医经验 陆金根 

分 类 号：R28[医药卫生—中药学]