| 引用本文: |
宾东华,高亚,朱卫,李逵,王爱华.王爱华教授治疗功能性便秘经验举隅[J].湖南中医药大学学报,2017,37(3):285-287[点击复制] |
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| 王爱华教授治疗功能性便秘经验举隅 |
| 宾东华,高亚,朱卫,李逵,王爱华 |
| (湖南中医药大学第一附属医院肛肠科, 湖南 长沙 410007) |
| 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。 |
| 关键词: 功能性便秘 肠胃积热 肝郁气滞 阴亏血少 阴寒凝滞 健脾生津 宣肺通降 王爱华 |
| DOI：10.3969/j.issn.1674-070X.2017.03.014 |
| 投稿时间：2016-11-10 |
| 基金项目:湖南省教育厅课题资助（16C1224）。 |
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| Experiences from Professor Wang Aihua in Diagnosing and Treating Functional Constipation |
| BIN Donghua,GAO Ya,ZHU Wei,LI Kui,WANG Aihua |
| (Anorectal Department, the First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China) |
| Abstract: |
| Famous traditional Chinese medicine professor Wang Aihua of Hunan province advocates that functional constipation is often cold and heat syndromes located mainly in the large intestine. The pathyogenesis of functional constipation is deficiency of both spleen and body fluid, and unsmooth defecating. That is closely associated with lung, spleen, liver and kidney. Foundation treatment is invigorating the spleen and promoting the production of body fluid, and ventilating lung Qi for lowering adverse Qi. Clinical treatment of functional constipation is divided into five types. The excessive heat of intestine syndrome was treated by clearing heat and moistening intestine with modified Tongmai prescription. Liver depression and Qi stagnation was treated by dispersing liver and relieving depression and regulating Qi-flowing for activating stagnancy with modified Simo decoction. The Qi deficiency of lung-spleen syndrome was treated by tonifying Qi and moistening intestine with Yiqi Ziyin decoction. The Yang deficiency of spleen-kidney syndrome was treated by warming to relaxing bowels with Jichuan decoction. The intestine dryness due todeficiency of fluid syndrome was treated by benefiting Qi and nourishing Yin and moistening dryness for relaxing bowels by Zengye decoction. |
| Key words: functional constipation gastrointestinal heat accumulation liver depression and Qi stagnation deficiency of Yin and blood stagnation of Yin cold invigorating the spleen and promoting the production of body fluid ventilating lung Qi for lowering adverse Qi Wang Aihua |
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