便秘中医病因病机的多维度思考  

Multi-dimensional thinking on TCM etiology and pathogenesis of constipation

作　　者：吴锋[1] 

机构地区：[1]厦门市中医院,福建厦门361009

出　　处：《中医临床研究》2024年第27期140-143,共4页Clinical Journal Of Chinese Medicine

基　　金：2020年厦门市医疗卫生指导性项目(3502Z20209129)(厦门市科学技术局文件序号129)。

摘　　要：随着现代生活节奏的增快、社会人口老龄化的加速,以及人们饮食结构的改变与精神心理、社会因素的影响,近年来我国慢性便秘的发病率呈逐年上升趋势。长期便秘不仅可诱发肛门直肠疾病、心脑血管等不良事件,增加癌变的风险,而且影响患者的精神心理健康,降低生活质量。慢性便秘是一种常见的心身疾病,发病率高,治疗困难,病情容易反复。慢性便秘属于中医内伤病,虽然是一种症状,中医认为它不是一种独立的疾病,而是人体脏腑功能失调的一种临床表现,可见便秘的病因病机之复杂。病因是指导致人体发生疾病的原因,又称作“致病因素”。中医治疗疾病讲究辨证论治,着眼于病机。病机是用中医理论分析疾病现象,从而得出的对疾病内在、本质、规律性的认识,是防治疾病的依据,所以受到历代医家的极大重视。慢性便秘的病因较多,病机仍缺乏统一的认识。目前慢性便秘的病因病机学说较为复杂且缺乏系统的总结,难以有效地指导中医临床实践。本研究试从气血阴阳、五脏、三焦、大肠及经络等方面对慢性便秘的中医病因病机做一阐述,以期为慢性便秘的临床治疗提供参考。便秘的病机理论目前还不够完善,有待进一步的总结,以期为便秘的临床中医治疗提供更好的理论基础。With the rapid pace of modern life,the acceleration of aging of social population,and the change of people’s diet struc-ture and the influence of mental,psychological and social factors,the incidence of chronic constipation in China has been increasing year by year in recent years.Long-term constipation can not only induce anorectal diseases,cardiovascular and cerebrovascular adverse events,increase the risk of cancer,but also affect patients’mental health and reduce the quality of life.Chronic constipation is a common psycho-somatic disease with high incidence,which is characterized by difficult treatment and easy recurrence.Although chronic constipation is a symptom,Chinese medicine believes that it is not an independent disease,but a clinical manifestation of the dysfunction of the viscera of the human body,showing that the etiology and pathogenesis of constipation are complex.Etiology is the cause of diseases that guides the human body,it is also known as“pathogenic factors”.Traditional Chinese medicine pays attention to the treatment of diseases based on syndrome differentiation and pathogenesis.Pathogenesis is the understanding of the intrinsic,essence and regularity of the disease obtained by the analysis of the disease phenomenon with the theory of traditional Chinese medicine,which is the basis for the prevention and treat-ment of the disease,so it has been attached great importance by the doctors of all dynasties.There are many causes of chronic constipation,and the pathogenesis is still lack of unified understanding.At present,the etiology and pathogenesis of chronic constipation are complex and lack of systematic summary,which is difficult to effectively guide the clinical practice of traditional Chinese medicine.This paper attempts to elaborate the etiology and pathogenesis of chronic constipation from the perspective of Qi(气),blood,Yin(阴)and Yang(阳),five viscera,three Jiao(三焦),large intestine and meridians,in order to provide references for the clinical treatment of chronic con-st

关 键 词：便秘 病因病机 中医 

分 类 号：R256.35[医药卫生—中医内科学]