张志明基于运脾法治疗慢性便秘经验  

Zhang Zhiming's experience in the treatment of chronic constipation based on the method of invigorating the spleen

作　　者：赵海宏 张录梅 宋忠阳 张志明 ZHAO Haihong;ZHANG Lumei;SONG Zhongyang;ZHANG Zhiming(Gansu University of Chinese Medicine,Lanzhou 730000,China;Affiliated Hospital of Gansu University of Chinese Medicine,Lanzhou 730020,China;Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,China)

机构地区：[1]甘肃中医药大学,兰州730000 [2]甘肃中医药大学附属医院,兰州730020 [3]甘肃省中医院,兰州730050

出　　处：《吉林中医药》2024年第10期1171-1175,共5页Jilin Journal of Chinese Medicine

基　　金：高端人才承担省级科技计划项目(长江学者奖励计划)(甘科计[2021]20号-9);国家中医药管理局全国名老中医药专家张志明传承工作室建设项目。

摘　　要：张志明教授认为,慢性便秘病机在于脾失健运,大肠传导失司,糟粕停滞肠道,为本虚标实之证,本虚为脾肾阳气亏虚,标实为糟粕内停。临证时基于“运脾法”理论,提出脾失健运为慢性便秘的重要病机,分析脾主运化生理功能和病理机制的关联性,探究运脾法的内涵及脾失健运与慢性便秘之间的关系。基于“运脾法”治疗本病,常用“温阳助运”“理气助运”等治疗方法,重在恢复脾胃运化之职,使脾胃调和、脾运复健,从而达到传导正常,便秘自除。Professor Zhang Zhiming argues that chronic constipation is caused by a yang qi deficiency in the spleen and kidney,leading to the dysfunction of the spleen in transportation,and the failure of the large intestine in conduction,and the stagnation of dregs in the intestinal tract.The disease is characterized by a syndrome of deficiency in root and excess in manifestation.Based on the"invigorating the spleen"theory in his clinical practice,he analyzes the correlation between the physiological function of the spleen governing transportation and transformation and the pathogenesis of the disease,exploring the connotations of the spleen-invigorating method and the relationship between the dysfunction of the spleen and chronic constipation.Based on the"spleen-invigorating method",he usually uses the methods of warming yang for assisting in transportation and regulating qi for assisting in transportation,aiming at restoring the function of transportation and transformation in the spleen and stomach,to harmonize the spleen and stomach,and to restore the transportation function of the spleen.As a result,the intestine can normally conduct the wastes and the disease is cured accordingly.

关 键 词：慢性便秘 运脾法 病机 名医经验 张志明 

分 类 号：R249.27[医药卫生—中医临床基础]