刘沈林“以补为通,通补兼施”治疗老年性便秘经验  

Summary of LIU Shenlin’s Experience in the Treatment of Senile Constipation with“Supplementing as the Way to Connect and Supplementing Simultaneously”

作　　者：黄栋芳 周静汶 刘玲 张小琴[1] HUANG Dongfang;ZHOU Jingwen;LIU Ling;ZHANG Xiaoqin(Affiliated Hospital of Nanjing University of Chinese Medicine,Jiangsu Nanjing 210000,China;Nanjing University of Chinese Medicine,Jiangsu Nanjing 210023,China)

机构地区：[1]南京中医药大学附属医院,江苏南京210000 [2]南京中医药大学第一临床医学院,江苏南京210023

出　　处：《中医药临床杂志》2024年第10期1916-1919,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：江苏省高校自然科学基金面上项目(项目编号:23KJB360005)。

摘　　要：便秘是老年人常见疾病,且长期便秘会增加心脑血管事件发生率,应引起一定临床关注。刘沈林教授对老年性便秘的治疗有独到心得。认为老年性便秘属本虚标实之病,本虚以脾肾两虚为主,标实以气郁、肠燥为多。主张治病求本,强调健脾、补肾相结合,脾肾阳虚者多用济川煎、附子理中丸、温脾汤等方,肾阴不足者多用增液汤、六味地黄丸等方,脾气虚弱者多用黄芪汤、四君子汤、补中益气汤等方,“以补为通”;补虚的同时注重调气、润燥,标本兼顾,“通补兼施”,从而解决便秘痼疾。Constipation is a common disease in the elderly,and long-term constipation will increase the incidence of cardiovascular and cerebrovascular events,which should attract certain clinical attention.Professor LIU Shenlin has unique experience in the treatment of senile constipation.He believes that senile constipation is a disease of deficiency in the root and excess in the superficial.The deficiency in the root is mainly spleen and kidney deficiency,and the excess in the superficial is mostly Qi stagnation and intestinal dryness.He advocates treating the root of the disease,emphasizing the combination of strengthening the spleen and tonifying the kidney.For those with spleen and kidney yang deficiency,Jichuan Jian,Fuzi Lizhong Pills,Wenpi Decoction and other prescriptions are often used.For those with kidney yin deficiency,Zengye Decoction,Liuwei Dihuang Pills and other prescriptions are often used.For those with spleen deficiency,Huangqi Decoction,Sijunzi Decoction,Buzhong Yiqi Decoction and other prescriptions are often used.“Tonify for unblocking”;while tonifying deficiency,pay attention to regulating Qi and moistening dryness,take into account both the root and the superficial,and“unblock and tonify at the same time”,so as to solve the chronic disease of constipation.

关 键 词：便秘 以补为通 通补兼施 刘沈林 名医经验 

分 类 号：R256.35[医药卫生—中医内科学]