补中益气汤加减治疗功能性便秘临床观察  

Clinical observation of modified Buzhong Yiqi decoction on functional constipation

作　　者：袁文贝 李忠卓 刘一灿 YUAN Wen-bei;LI Zhong-zhuo;LIU Yi-can(Graduate School,Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China;不详)

机构地区：[1]辽宁中医药大学研究生学院,沈阳110847 [2]辽宁中医药大学附属第三医院

出　　处：《山西中医》2020年第12期17-19,共3页Shanxi Journal of Traditional Chinese Medicine

摘　　要：目的:观察在“脾胃虚则九窍不通论”指导下,以补中益气汤加减治疗脾虚气弱型功能性便秘的临床疗效。方法:将80例脾虚气弱型功能性便秘患者随机分为两组各40例,对照组予乳果糖口服液治疗,治疗组予补中益气汤加减治疗,两组疗程同为4周。观察并比较两组患者在治疗前后的各项临床症状积分情况。结果:对照组总有效率为72.50%,治疗组总有效率为92.50%。两组比较具有统计学差异(P<0.05)。治疗组各项临床症状积分明显低于对照组,两组比较,差异有统计学意义(P<0.05)。结论:以“脾胃虚则九窍不通论”为理论指导,采用补中益气汤加减治疗脾虚气弱型功能性便秘疗效确切。Objective:To observe the clinical effect of modified Buzhong Yiqi decoction on functional constipation of spleen deficiency and Qi weakness syndrome under the guidance of"theory of nine orifices dysfunction due to spleen-stomach deficiency".Methods:80 cases of patients with functional constipation of spleen deficiency and qi weakness syndrome were randomly divided into control group and treatment group.The control group was treated with lactulose oral liquid,while the treatment group was treated with oral Chinese herbal medicine modified Buzhong Yiqi decoction.For both groups,the course of treatment was 4 weeks.Results:The total effective rate was 72.50%in control group and 92.50%in treatment group,and there was a significant difference compared between two groups(P<0.05).The score of each clinical symptom in treatment group was significantly lower than that in control group,and the comparative difference between two groups was statistically significant(P<0.05).Conclusion:The clinical effect of modified Buzhong Yiqi decoction on functional constipation of spleen deficiency and Qi weakness syndrome is definite.

关 键 词：功能性便秘 脾虚气弱 补中益气汤加减 中医药疗法 

分 类 号：R574.62[医药卫生—消化系统] R256.35[医药卫生—内科学]