摘要
基于大肠的生理病理特点,认为功能性便秘的中医病机主要为大肠津亏、大肠气结、神明失调等,且往往相兼出现。治疗上,津亏者予以增水行舟,用药注重甘寒、甘咸,并辅以仁类药物;气结者立法鼓风扬帆,常用理气、补气、风药等疏理胃肠肝肺气机;神明失调明显者,基于脑肠互动学说,采取肠病治脑法则,除应用心脑安神药物外,尚注重意念腹部及心理疏导。树立缓慢改善肠道功能理念,不盲目使用峻下之品。
Based on the physiological and pathological characteristics of the large intestine,it is believed that the pathogenesis of functional constipation in traditional Chinese medicine is mainly the deficiency of the large intestine fluid,the obstruction of qi in the large intestine,and the disorder of the spirit,etc.,which often occur simutaneously.In terms of treatment,the syndrome of fluid deficiency should be moistened,medication lays emphasis on applying medicinal herbs sweet and cold,sweet and salty in property,which is supplemented with kernel drugs.The syndrome of the obstruction of qi should be relieved by blasting the wind,qi of stomach,intestine,liver and lung is regulated by applying regulating-qi medicinals,tonifying-qi medicinals,and wind medicinals.The syndrome of the disorder of the spirit should be based on the theory of brain-gut interaction,the principle of treating the brain with bowel disease is adopted,and in addition to the application of mind-brain sedative drugs,attention is paid to the abdominal thought and psychological guidance.The concept of slowly improving intestinal function is established and drastic purgative should not be applied blindly.
作者
邵婕
张思超(指导)
SHAO Jie;ZHANG Sichao(Mentor)(College of Traditional Chinese Medicine,Shandong University of Traditional Chinese Medicine,Jinan 250355,China)
出处
《山东中医杂志》
2024年第8期894-897,共4页
Shandong Journal of Traditional Chinese Medicine
基金
全国中医学术流派传承工作室第二轮建设项目(批文号:国中医药人教函[2019]62号)。
关键词
功能性便秘
津气神
张思超
大肠津亏
大肠气结
神明失调
functional constipation
fluid,qi and spirit
ZHANG Sichao
fluid deficiency in the large intestine
large intestine stagnation
mental abnormality
作者简介
邵婕(1997-),女,山东菏泽人,2021年级硕士研究生,研究方向:温病治法研究。邮箱:1417254849@qq.com。
