中医从虚论治便秘的临床研究概况  

Overview of Clinical Research on Treating Constipation From Deficiency in TCM

作　　者：常殊宝 张坤 李玲玲[2] 宋易华[2] CHANG Shu-bao;ZHANG Kun;LI Ling-ling;SONG Yi-hua(Graduate School of Hebei University of Chinese Medicine,Shijiazhuang 050091)

机构地区：[1]河北中医学院研究生学院,石家庄050091 [2]河北省中医院肛肠二科,石家庄050011

出　　处：《河北中医药学报》2020年第5期57-61,共5页Journal of Hebei Traditional Chinese Medicine and Pharmacology

基　　金：河北省中医药管理局资助项目:No.2020112。

摘　　要：便秘是指自主排便次数减少(每周少于3次),甚则数日不解,排便无规律、便质干结,和(或)排便困难等其他不适症状的临床证候群。中医学认为,便秘分型不外乎虚秘、实秘两类,目前临床便秘中又以功能性便秘为主,属虚秘范畴。从虚论治便秘,与其发生、发展及其预后密切相关。本文经过对近年来相关文献的汇总、分析,系统整合各医家从虚论治便秘的经验体会,提示在中医治疗便秘时应以补虚作为疾病诊治的切入点,经辨证而酌情运用益气、补血、滋阴及温阳等治法,旨在临证时为便秘的治疗提供诊治思路。Constipation refers to the clinical syndrome group,including reduced frequency of spontaneous defecation(less than 3 times a week),even several days of confusion,irregular defecation,dry stool,and(or)difficulty in defecation.According to traditional Chinese medicine,constipation can be divided into two types:deficiency and excess.At present,functional constipation is the main type in clinical constipation,which belongs to the category of deficiency constipation.The treatment of constipation from deficiency is closely related to its occurrence,development and prognosis.Based on the summary and analysis of the relevant literature in recent years,this paper systematically integrates the experience of various physicians in treating constipation from deficiency,and suggests that tonifying deficiency should be taken as the starting point of disease diagnosis and treatment in TCM,and the methods of replenishing qi,tonifying blood,nourishing yin and warming yang should be used according to syndrome differentiation,so as to provide diagnosis and treatment ideas for the treatment of constipation.

关 键 词：便秘 阴结 大便难 脾约 从虚论治 气血阴阳亏虚 

分 类 号：R256.35[医药卫生—中医内科学]