王爱华教授治疗功能性便秘经验举隅

发布时间：2018-04-05 11:21

本文选题：功能性便秘　切入点：肠胃积热　出处：《湖南中医药大学学报》2017年03期

【摘要】：湖南省名中医王爱华教授认为功能性便秘往往寒热虚实错杂,其病位主要在大肠,病机为脾虚津亏、肠失通降,与肺、脾、肝、肾关系密切,提出健脾生津、宣肺通降的基础治疗大法,临证中将其分为5型论治:肠道实热证,治以清热润肠,选方自拟通便方加减;肝郁气滞证,治以疏肝解郁、顺气导滞,选方加味四磨汤加减;肺脾气虚证,治以益气润肠,选方益气滋阴汤加减;脾肾阳虚证,治以温润通便,选方加味济川煎加减;肠燥津亏证,治以滋阴益气,润燥通便,选方加味增液汤加减。
[Abstract]:Professor Wang Aihua, a famous Chinese medicine doctor in Hunan Province, thinks that functional constipation is often complicated by deficiency of cold and heat, and its disease location is mainly in the large intestine. The pathogenesis of the disease is deficiency of spleen and deficiency of blood, loss of intestine, close relationship with lung, spleen, liver, and kidney.The basic treatment of Xuanfei Tongjiang is divided into 5 types: intestinal syndrome of solid heat, treating with clearing heat and moistening the intestine, selecting prescription to add and subtract from the prescription of open stool, liver stagnation of qi to relieve stagnation of the liver, shun qi to guide stagnation, and to choose the prescription to add and subtract the modified Simo decoction;Lung and spleen qi deficiency syndrome, treatment with Yiqi Runchang, select prescription Yiqi Ziyin decoction to reduce; spleen and kidney yang deficiency syndrome, treatment with warm moisturizing defecation, plus or minus Jichuan decoction; intestinal dryness deficiency syndrome, moisturizing Qi, moisturizing dryness and defecation, selecting modified plus liquid decoction to reduce.
【作者单位】：湖南中医药大学第一附属医院肛肠科;
【基金】：湖南省教育厅课题资助(16C1224)
【分类号】：R249;R256.35

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