安阿玥教授论治气虚血瘀型功能性便秘经验总结  

Professor An Ayue’s experience in treating functional constipation with type of blood stasis due to qi deficiency

作　　者：白志勇[1] 王茜[1] 王春晖[1] 冯月宁 冯大勇[1] 安阿玥[1] BAI Zhiyong;WANG Qian;WANG Chunhui;FENG Yuening;FENG Dayong;AN Ayue(Department of Anorectal,Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing100102,China)

机构地区：[1]中国中医科学院望京医院肛肠科,北京100102

出　　处：《中国医药导报》2023年第10期117-121,共5页China Medical Herald

基　　金：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(国中医药人教发〔2016〕42号);国家中医药管理局第七批全国老中医药专家学术经验继承工作(国中医药人教函〔2022〕76号);中国中医科学院科技创新工程课题(CI2021A02107)。

摘　　要：功能性便秘是一种常见多发的肠道疾病,随着社会人口老龄化,生活节奏、饮食习惯的改变,已经成为影响生活质量的重要因素。中医很早就对功能性便秘的病因病机有了系统化的认知,历代医家对便秘的辨证论治脉络清晰,且不断发展完善。故中医药治疗便秘优势明显,且远期效果满意。然而近现代以来,居民饮食结构、饮食习惯、生活工作环境均发生了重大改变,传统的便秘辨证思想已经暴露出一定的不足之处。不墨守成规,与时俱进,才能更好地发展中医药。安阿玥教授经多年临床实践及理论研究,提出气滞血瘀型已经成为便秘中的主要辨证分型,故临床当以补气养血活血作为治疗之大法,并辨清权衡病机各要素,创制经验方“益气养血通便方”,取得了较好的临床效果。Functional constipation is a common and frequent intestinal disease.With the aging of the society,changes in the pace of life and dietary habits,it has become an important factor affecting the quality of life.Traditional Chinese medicine has had a systematic understanding of the etiology and pathogenesis of functional constipation for a very long time,and doctors of all dynasties have a clear vein of syndrome differentiation and treatment of constipation,which is constantly developed and improved.Therefore,traditional Chinese medicine has obvious advantages in the treatment of constipation,and the long-term effect is satisfactory.However,since modern times,great changes have taken place in residents’dietary structure,eating habits,living,and working environment,and the traditional thought of constipation syndrome differentiation has exposed certain deficiencies.Only by breaking the rules and keeping pace with the times can traditional Chinese medicine be better developed.After years of clinical practice and theoretical research,Professor An Ayue proposes that type of blood stasis due to qi deficiency has become the main syndrome differentiation type in constipation,so the clinical method should be used to supplement qi,nourish blood,and promote blood circulation as the treatment,and the various elements of pathogenesis should be identified and balanced.The empirical formula“Yiqi Yangxue Tongbian Prescription”is created,which has achieved good clinical effects.

关 键 词：功能性便秘 气虚血瘀 辨证论治 安阿玥 

分 类 号：R256.35[医药卫生—中医内科学]