国医大师王自立治疗便秘经验  

TCM Master Wang Zili's Experience in Treating Constipation

作　　者：田苗 王煜[1] 王自立(指导)[1] TIAN Miao;WANG Yu;WANG Zili(Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,China)

机构地区：[1]甘肃省中医院,甘肃兰州730050

出　　处：《西部中医药》2023年第7期46-49,共4页Western Journal of Traditional Chinese Medicine

基　　金：2020年兰州市科技发展指导性计划项目(2020-ZD-41)。

摘　　要：国医大师王自立认为便秘病理变化主要在肠,与肺、脾胃、肝、肾密切相关,临床当分虚实论治,实者宜攻,虚者当补。尤其习惯性便秘者多因便秘日久,邪滞不去,日久暗耗气阴;或反复使用泻下之剂,耗伤津气,终至津亏,肠腑失于濡润,气虚肠道运行无力,而以大便秘结不通为标,气血津液枯槁、肠道运行无力为本;故治疗时不主张峻攻,倡补而通之;自拟运肠润通汤以补虚运肠为主,俟气复津回,肠腑得以润降,则便秘自愈。TCM master Wang Zili holds that pathological changes of constipation are mainly located in the intestine,closely related to lung,spleen and stomach,liver and kidney,he treats constipation according to deficiency and excess,purgation in excess pattern and nourishing in deficiency pattern.Particularly for habitual constipation patients,the symptom lasting long and evil stagnating and lingering consume Qi and Yin insidiously;or frequent use of purgative agents would consume body fluid and Qi,till the depletion of body fluid,intestine failing in moistening,Qi deficiency leading to poor bowel movement,therefore,he thinks that constipation is the symptom,while Qi,blood and body fluid consumption and poor bowel movement are the root causes;hence,he doesn't adopt purgation as the treatment,applying tonifying in unobstructing the intestine;selfmade intestine�moving moistening and dredging decoction could mainly tonify the deficiency and move the intestine,Qi recovery could help body fluid restoring,which could moisten and clear the intestine,consequently constipation could be cured.

关 键 词：便秘 临证经验 国医大师 王自立 

分 类 号：R256.35[医药卫生—中医内科学]