浅析“泻南补北,养阴润燥”法治疗脊髓损伤后便秘  

A Brief Analysis of “Purging Heart Fire to Nourish Renal Water, Tonifying Yin andMoistening Dryness”in Treatment of Constipation After Spinal Cord Injury

作　　者：朱明锦[1] ZHU Mingjin

机构地区：[1]浙江省立同德医院,浙江杭州310012

出　　处：《新中医》2021年第12期207-210,共4页New Chinese Medicine

基　　金：浙江省中医药科技计划(2019ZA028);浙江省“十三五”中医药重点学科建设项目中西医结合神经康复学(2017-XK-A27);浙江省“十三五”中医药重点学科建设项目中医养阴学(2017-XK-B02)。

摘　　要：主要从病因、病机及治法三方面对脊髓损伤后便秘进行论述。确定脊髓损伤后便秘属中医痿证、便秘范畴。其病因为督脉受损为病,肾气失司致秘。结合丹溪关于痿证、便秘的理论,脊髓损伤合并便秘可从丹溪“泻南补北,养阴润燥”之法进行治疗,若加以通督脉、通腑之品可提高疗效。The author discusses constipation after spinal cord injury mainly from three aspects:etiology,pathogenesis,and therapeutic methods.It is certain that constipation after spinal cord injury falls into the category of flaccidity syndrome and constipation.As for its etiology,damaged governor vessel contributes to the disease,and constipation is caused by dysfunction of kidney qi.Combined with ZHU Danxi's theory of flaccidity syndrome and constipation,the author holds that ZHU Danxi's method of“purging heart fire to nourish renal water,tonifying yin and moistening dryness”can be applied to the treatment of constipation after spinal cord injury.If the additional medicine of unblocking governor vessel and dredging the bowels was applied,the curative effect can be enhanced.

关 键 词：便秘 脊髓损伤 朱丹溪 泻南补北 养阴润燥 

分 类 号：R256.35[医药卫生—中医内科学]