摘要
以国医大师张震“一体两翼、疏调气机”学术思想为指导,分析慢性便秘的病机和治疗思路。认为机体感受内外邪气,导致气机失调,进而水液代谢障碍、水湿内停,久滞成浊,凝聚为毒,结于大肠而肠腑传导失司,导致便秘迁延难治。针对慢性便秘“气机失调-水湿不化-浊毒内蕴-肠道传导失司”的病机演变规律,提出慢性便秘的治疗应以疏调气机为基础治法,调畅气机正常运行;通过疏肝、健脾、温肾调和五脏,五脏和平,则六腑通降;将化浊解毒贯穿治疗全程。最终恢复肠道传导功能,使大便通畅。
Guided by the academic thought of Zhang Zhen,a master of traditional Chinese medicine,“one main body with two wings,regulating Qi activity”the pathogenesis and treatment ideas of chronic constipation were analyzed.It is believed that the body feels the internal and external pathogenic Qi,leading to the disorder of Qi movement,and then the water-humor metabolism disorder,water and dampness stagnation,long stagnation into turbidity,condensation into poison,stagnant in the large intestine and failure to conduct and transmit,resulting in constipation protracted refractory.In view of the pathogenesis evolution law of chronic constipation“disorder of Qi movement-disintegration of Water and Dampness-intrinsic accumulation of turbid toxin-disorder of intestinal conduction”,this paper puts forward that the treatment of chronic constipation to regulate the normal operation of Qi movement.By soothing the Liver,strengthening the Spleen,warming the Kidney and harmonizing the five Zang-organs,then regulating five Zang-organs,descending six Fu-organs and eliminating turbid throughout the treatment process to relieve constipation by restoring the intestinal conduction function.
作者
杨欣
蒋萃
何佳忆
郭向鑫
田茸
Yang Xin;Jiang Cui;He Jiayi;Guo Xiangxin;Tian Rong(School of Basic Medicine,Chengdu University of Traditional Chinese Medicine,Chengdu,611137,China)
出处
《成都中医药大学学报》
2024年第3期40-44,共5页
Journal of Chengdu University of Traditional Chinese Medicine
基金
国家自然科学基金项目(81973929)
全国中医药创新骨干人才培训项目(国中医药办人教函〔2019〕91号)
四川省科技厅自然科学基金项目(2023NSFSC1805)
成都中医药大学“杏林学者”学科人才科研提升计划项目(MPRC2022003)。
关键词
慢性便秘
一体两翼
疏调气机
化浊解毒
Chronic constipation
One main body with two wings
Regulating Qi activity
Eliminating turbid and removing toxin
