从先后天理论探讨威灵仙汤对ICU中脾肾亏虚型便秘的影响  

Discussion on Weilingxian Decoction in the Treatment of Constipation of Spleen and Kidney Deficiency Type in ICU from Theory of Congenital and Acquired Cohabitation

作　　者：郭建平 GUO Jianping(Department of Critical Care Medicine,Laizhou Hospital of Traditional Chinese Medicine,Shandong Province,Laizhou 261400,Shandong,China)

机构地区：[1]莱州市中医医院重症医学科,山东莱州261400

出　　处：《光明中医》2023年第20期4035-4037,共3页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：莱州市科技发展计划项目。

摘　　要：基于顾护先后天的中医理论,对ICU中脾肾亏虚型的便秘病因病机进行探讨。在重症监护期间,患者在病理及药物等因素作用下出现阴阳气血津液的损耗,直至耗伤脾肾先后天之精元,出现各种脏腑功能的异常,其中肠道功能异常在ICU尤其多见。运用古方威灵仙丸加减,温肾健脾,润肠通便以保先天、顾后天的治法针对病机治疗。在ICU抢救患者用药的同时应注意先后二天的顾护,改善肠道功能,对缩短患者住ICU时间有很大意义。Objective Based on the theory of congenital and acquired cohabitation,the etiology and pathogenesis of constipation with spleen and kidney deficiency in ICU were discussed.During the intensive care period,under the action of pathological and drug factors,the loss of yin-yang qi-blood body fluid occurs in patients until the essence of the spleen and kidney is damaged for several days,and various abnormalities of viscera function occur,among which intestinal function abnormalities are especially common in ICU.The ancient formula Weiling Xian pill was used for warming kidney and strengthening spleen,moistening bowel to protect the congenital,care for the acquired treatment for the pathogenesis.When rescuing patients in ICU with medication,attention should be paid to care for two days successively to improve intestinal function,which is of great significance to shorten the time of patients staying in ICU.

关 键 词：便秘 先后天理论 脾肾亏虚证 威灵仙丸 

分 类 号：R256.35[医药卫生—中医内科学]