陈民藩教授治疗虚证便秘临证经验  

Professor Chen Minfan′s clinical pattern experience in treating constipation in deficiency syndrome

作　　者：吴燕燕[1] 魏晓美 许圳鹏 WU Yanyan;WEI Xiaomei;XU Zhenpeng(The Second Department of Anal and Intestinal Medicine,People's Hospital of Fujian University of Traditional Chinese Medicine,Fujian Province,Fuzhou 350004,China;The First Clinical College,Fujian University of Traditional Chinese Medicine,Fujian Province,Fuzhou 350122,China)

机构地区：[1]福建中医药大学附属人民医院肛肠二科,福建福州350004 [2]福建中医药大学第一临床医学院,福建福州350122

出　　处：《中国当代医药》2025年第4期115-119,共5页China Modern Medicine

基　　金：第七批全国老中医药专家学术经验继承工作项目(国中医药办人教函〔2021〕272号)。

摘　　要：便秘是一种常见的慢性消化道疾病,在中老年等特定人群中发病率极高。中医学认为便秘病位在大肠,却受脾、胃、肺、肾等多个内脏器官影响。其基础病理机制是大肠的传导功能出现异常。疾病的性质可以总结为虚与实的两个方面,现今便秘多存在于老年患者中,而老年患者以虚证便秘多见。国医大师陈民藩教授认为虚证便秘与脏腑气血津液虚衰密切相关。陈教授在治疗此类便秘具有多年临床经验,治疗上未随意泻火通便,而是在辨证论治的基础上进行施治,运用“以补为通”法,个体化地对虚损的脏腑进行补益,施以补益肺脾法、益气养血滋阴法等,以治其本,使之达到气血阴阳和合的动态平衡。本文通过对陈民藩教授运用“以补为通”法治疗虚证便秘的临床经验加以归纳总结。Constipation is a common chronic gastrointestinal disorder with a high prevalence in specific populations such as the middle-aged and elderly.According to Chinese medicine,constipation is located in the large intestine but is affected by several internal organs such as the spleen,stomach,lung and kidney.The underlying pathological mechanism is an abnormality in the conduction function of the large intestine.The nature of the disease can be summarized as the two aspects of deficiency and reality,nowadays constipation is mostly present in elderly patients,and elderly patients with deficiency constipation is common.Professor Chen Minfan,a master of Chinese medicine,believes that constipation is closely related to the deficiency of qi,blood and fluid in the internal organs.Prof.Chen has many years of clinical experience in the treatment of this type of constipation,the treatment is not arbitrary cure constipation with laxatives.Rather,on the basis of evidence-based treatment,the diagnosis and treatment,the use of using the method of"tonicity as a means to pass",individualized to the deficiency of the internal organs for the tonic,the application of tonic lung and spleen method,the benefit of qi and blood nourishing yin,etc.,in order to treat the root cause,so as to achieve the dynamic balance of qi and blood,yin and yang,and harmony.This article summarizes the clinical experience of Professor Chen Minfan in treating constipation with deficiency syndrome by using the method of"tonicity as a means to pass".

关 键 词：便秘 虚证 以补为通 临证经验 

分 类 号：R256[医药卫生—中医内科学]