基于“津血同源”理论治疗老年功能性便秘的临床应用探讨  

Clinical Application of“Blood and Fluid Homology”Theory in the Treatment of Functional Constipation in the Elderly

作　　者：吴东迪 隋楠[2] WU Dongdi;SUI Nan(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;The Third Afflicted Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110003,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属第三医院,辽宁沈阳110003

出　　处：《辽宁中医药大学学报》2024年第10期79-83,共5页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：国家自然科学基金(82174370)。

摘　　要：老年功能性便秘(FC)是老年人中一种常见的疾病,主要表现为排便困难,排便次数减少或排便不尽感,该病病程较长,病势缠绵,且易反复发作。中医学认为,气血津液不足是老年人的生理常态,也是该病的重要病机。文章基于“津血同源”理论,分析津血在老年功能性便秘因机证治全过程的重要意义,阐述了津血与此病的密切相关性,认为该病之病机关键在于老年人脏腑虚衰,气血生化乏源,肠道失于濡养。同时将“津血同源”理论作为治疗此病的切入点,对近年来相关文献进行梳理、分析,对老年功能性便秘的相关治疗方法及用药规律进行归纳总结,将治疗概括为“养血润肠通便”“增液滋阴通便”两法。在疾病诊治时重视补虚,根据辨证酌情采用补血、滋阴、益气、活血等药物,从而发挥疗效显著、不良反应少、依赖性小等优势,为临床治疗该病开拓新的诊疗思路。Functional constipation in the elderly is a common disease in the elderly.The main manifestations are difficult defecation,reduced frequency of defecation or incomplete defecation.According to the medical theory of traditional Chinese medicine,deficiency of Qi,blood and body fluid is the normal physiological condition of the elderly,which is also an important pathogenesis of this disease.Based on the theory of“homology of fluid and blood”,this paper analyzes the significance of body fluid and blood in the whole process of pathogenesis,syndrome and treatment of functional constipation in the elderly,and expounds the close correlation between body fluid and blood and this disease.It is believed that the key to the pathogenesis of this disease is the deficiency of viscera in the elderly,the deficiency of Qi and blood biochemical source,and the loss of intestinal nourishment.At the same time,the theory of“homology of fluid and blood”was used as the entry point for the treatment of this disease,the relevant literature in recent years was sorted out and analyzed,and the relevant treatment methods and medication rules of functional constipation in the elderly were summarized.The treatment was summarized as“nourishing blood,moistening intestine and purging”and“increasing fluid and nourishing Yin and purging”.In the diagnosis and treatment of the disease,attention should be paid to tonifying deficiency,and drugs such as tonifying blood,nourizing Yin,benefiting Qi,and promoting blood circulation should be used according to the dialectic situation,so as to exert the advantages of significant efficacy,less adverse reactions,and less dependence,and open up new diagnosis and treatment ideas for the clinical treatment of the disease.

关 键 词：津血同源 老年功能性便秘 中医药治疗 

分 类 号：R256.35[医药卫生—中医内科学]