从“久卧伤气”辨治脑卒中后便秘  

Treating Post-stroke Constipation from Perspective of"Prolonged Lying Injuring Qi"

作　　者：张菁瑞 崔书克[2] 王冰[1] ZHANG Jingrui;CUI Shuke;WANG Bing(Henan University of Chinese Medicine,Zhengzhou Henan China 450046;The Third Affiliated Hospital to Henan University of Chinese Medicine,Zhengzhou Henan China 450008)

机构地区：[1]河南中医药大学,河南郑州450046 [2]河南中医药大学第三附属医院,河南郑州450008

出　　处：《中医学报》2025年第3期523-526,共4页Acta Chinese Medicine

摘　　要：脑卒中后患者久卧在床,久卧伤气,气失固摄,上逆易发头晕神昏等,可致卒中病情迁延甚至加重;或患者气行缓慢,阻滞肠腑,均易并发便秘。同时,便秘又可作为卒中发病的高危因素,存在诱发卒中再发的风险,久病迁延,致各脏腑气血衰弱,病情难愈。对脑卒中后便秘的治疗宜标本兼治,重视五脏六腑气机运化,以降气逆、理气滞、补气虚为原则遣方用药,辨证加减,中西医结合治疗,可有效提高临床疗效,改善患者生活质量。After stroke,patients lie in bed for a long time,which injures the Qi.Qi goes upward and it is easy to develop dizziness and coma,which can lead to delayed or even aggravated stroke;Maybe,patient′s Qi flows more slowly,which blocks the intestines and bowels,and it is easy to suffer constipation.At the same time,constipation can be a high-risk factor for the development of stroke,and there is a risk of inducing recurrence of stroke.Prolonged delay of the disease,resulting in the weakening of Qi and blood in various Zang and Fu organs,making it difficult to cure the disease,and prone to complication of other diseases.For the treatment of post-stroke constipation,it is advisable to treat both the symptoms and the root cause of the disease,and emphasize on the Qi transportation of the Five Zang and Liu Fu,and use medicines based on the principles of lowering Qi reversal,regulating Qi stagnation,and replenishing Qi deficiency,with integrative medicine,so as to improve the clinical efficacy and the quality of life of the patients.

关 键 词：脑卒中后便秘 “久卧伤气” 降气逆 理气滞 补气虚 

分 类 号：R256.35[医药卫生—中医内科学]