摘要
功能性便秘是儿童常见疾病,可影响儿童生活质量及体格发育。西医将经过积极内科治疗而无法缓解症状的便秘称为顽固性便秘,现代中医学认为其病机主要是脏腑气机升降失常以及肠道津液亏损。闫慧敏教授从络病理论出发论治本病,认为顽固性便秘患儿具有病程长、以功能失常为主导、难治性、缠绵性、易复发等特点,符合络病的临床特点,病机以大肠络瘀滞阻塞,津液不布,肠燥津亏为主,具有“瘀”“虚”“燥”的病理特点,治疗以疏通为要。闫老师治疗顽固性便秘以活血润燥通络,健脾运化津液为法,自拟“通络润燥汤”,全方由桃仁、火麻仁、当归、白术、白芍组成,方中桃仁、麻仁活血润肠,当归、白芍养血润燥,白术健脾化津,临证加减,应注意遵循以辛润为要,不可过于攻伐、滋腻。
Functional constipation is a common disease in children,which can affect children′s quality of life and physical development.Modern medicine refers to constipation which cannot relieve symptoms after active medical treatment as intractable constipation.According to the theory of TCM,the main pathogenesis of constipation is dysfunction of zang-fu organs,disorder of qi movement,and insufficiency of body fluid in the intestines.Professor Yan Huimin treats this disease from the theory of collateral disease.She believes that intractable constipation in children is refractory,lingering and easy to relapse,with a long disease course,and dysfunction as the dominant factor,which is in line with the clinical characteristics of collateral disease.The pathogenesis includes obstruction of large intestine collaterals and stasis,fluid retention,intestinal dryness and fluid deficiency.The treatment of these patients who have pathological characteristics of stasis,deficiency and dryness is mainly dredging.Professor Yan treats the disease by promoting blood circulation,moistening dryness,dredging collaterals,invigorating spleen,and transforming body fluid.The self-made prescription is called"Tongluo Runzao Decoction".The prescription consists of Tao Ren,Huo Ma Ren,Dang Gui,Bai Zhu,and Bai Shao.In the prescription,Tao Ren and Huo Ma Ren can promote blood circulation and moisten intestines;Dang Gui and Bai Shao can nourish blood and moisten dryness;Bai Zhu can invigorate spleen and transform body fluid.The prescription can be modified according to clinical manifestations,and the property of medicinals should be pungent and moistening,and avoid strong and greasy medicinals.
作者
赵骞
何强
ZHAO Qian;HE Qiang(National Center for Children′s Health,China/Beijing Children′s Hospital,Capital Medical University,Beijing 100045)
出处
《世界中西医结合杂志》
2020年第2期266-269,共4页
World Journal of Integrated Traditional and Western Medicine
基金
国家中医药管理局第六批全国老中医药专家学术经验继承项目(国中医药人教发[2017]29号)
闫慧敏全国名老中医药专家传承工作室(国中医药人教发[2016]42号)
关键词
顽固性便秘
儿童
络病
名医经验
闫慧敏
Intractable constipation
Children
Collateral disease
Experience of famous doctors
Yan Huimin
