The application of the theory of "Qi of Three Zang-Organs" in chronic functional constipation
-
摘要: 慢性功能性便秘是临床常见疾病,具有难治、易复发的特点,目前西医治疗有一定局限性,中医辨证治疗可从整体出发,调体质,调功能,往往可收到良效。笔者在导师“肠以气为用,调气以通便”的理论基础上,进一步提出“气三脏”理论,即认为人体主气的三个脏:中焦之脾、肝,上焦之肺功能与便秘密切相关,在临床诊治中重视肺、脾、肝三脏气机的作用和地位,根据临床具体辨证有所侧重的体、用并调,从而使肺气宣降、脾气健运、肝气条达,则三焦通达,周身气机调和,大肠方可正常传输,便秘得解。Abstract: Chronic functional constipation is a common clinical disease, which is difficult to treat and easy to recur. At present, the treatment of Western medicine has some limitations. The treatment based on syndrome differentiation of Traditional Chinese Medicine can adjust the body constitution and function from the whole, it often works well. On the basis of the tutor's theory that "the intestine uses Qi, regulating Qi to relieve constipation", the author further puts forward the theory of "Qi of Three Zang-Organs", that is to say, the spleen and liver in Middle-Jiao and the lung function of Upper-Jiao are the three main organs of Qi in human body, is closely related to constipation. In the clinical diagnosis and treatment, we should pay attention to the function and status of the Qi and mechanism of the lung, spleen and liver, so that the lung-Qi descending, spleen-Qi transport, liver-Qi to reach, then the Three-Jiao access, the whole body Qi-machine harmony, large intestine can be normal transmission, so constipation can be solved.
-
-
[1] 中华医学会消化病学分会胃肠动力学组, 功能性胃肠病协作组. 中国慢性便秘专家共识意见(2019, 广州)[J]. 中华消化杂志, 2019, 39(9): 577-598. doi: 10.3760/cma.j.issn.0254-1432.2019.09.001
[2] 李叶, 尚文璠, 罗云坚, 等. 调肠理气片治疗功能性便秘96例[J]. 新中医, 2005, 37(3): 68-68. https://www.cnki.com.cn/Article/CJFDTOTAL-REND200503033.htm
[3] Ballou S, Katon J, Singh P, et al. Chronic diarrhea and constipation are more common in depressed individuals[J]. Clin Gastroenterol Hepatol, 2019, 17(13): 2696-2703. doi: 10.1016/j.cgh.2019.03.046
[4] 黄钢丁, 姜海行, 唐少波, 等. 排便障碍的功能性便秘患者精神心理因素的研究[J]. 临床消化病杂志, 2019, 31(5): 308-311. https://www.cnki.com.cn/Article/CJFDTOTAL-LCXH201905013.htm
[5] Emmanuel AV, Mason HJ, Kamm MA. Relationship between psychological state and level of activity of extrinsic gut innervation in patients with a functional gut disorder[J]. Gut, 2001, 49(2): 209-213. doi: 10.1136/gut.49.2.209
[6] 丁元伟, 刘伟, 刘翔, 等. 焦虑抑郁状态对老年和非老年功能性便秘患者肛门直肠动力和直肠感觉的影响[J]. 中华老年医学杂志, 2012, 31(4): 322-324. doi: 10.3760/cma.j.issn.0254-9026.2012.04.016
[7] 李敏, 劳慧敏, 陈鲁, 等. 中医药治疗小儿功能性便秘用药规律分析[J]. 中医药导报, 2020, 26(2): 106-110. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZB202002031.htm
[8] 王旭涛, 张亮亮, 张玥. 基于中医辨证施治的一气周流理论用于肠道气滞型便秘诊治分析[J]. 四川中医, 2021, 39(6): 27-29. https://www.cnki.com.cn/Article/CJFDTOTAL-SCZY202106010.htm
[9] 缪青芳, 耿少怡, 王轻轻, 等. 基于"肝-肠轴"观点运用柴枳导滞方治疗小儿功能性便秘的临床观察[J]. 广州中医药大学学报, 2023, 40(1): 95-100. https://www.cnki.com.cn/Article/CJFDTOTAL-REST202301014.htm
[10] 张丽菊, 张白雪, 刘绍能. 从肝论治功能性便秘经验与体会[J]. 河北中医, 2023, 45(4): 651-654. doi: 10.3969/j.issn.1002-2619.2023.04.029
[11] 郭祥祥, 王建民, 李明. 五音疗法联合六磨汤治疗慢传输型便秘伴焦虑抑郁临床研究[J]. 亚太传统医药, 2022, 18(4): 95-98. https://www.cnki.com.cn/Article/CJFDTOTAL-YTCT202204019.htm
[12] 余利华, 赵辉. 基于圆运动升肝降肺汤治疗慢性便秘的临床观察[J]. 中国中西医结合消化杂志, 2022, 30(1): 56-59. https://zxyxh.whuhzzs.com/article/doi/10.3969/j.issn.1671-038X.2022.01.12
[13] 李杰, 王翰林, 朱传旺, 等. 田耀洲运用"运脾柔肝法"治疗功能性便秘经验[J]. 亚太传统医药, 2023, 19(3): 111-114. https://www.cnki.com.cn/Article/CJFDTOTAL-YTCT202303026.htm
[14] 张旭, 王宝迎, 张永萍. 王宝迎教授治疗肺脾气虚型便秘经验探析[J]. 中医临床研究, 2023, 15(2): 57-59. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYLY202302014.htm
[15] 王丹, 王威. 从肝、脾、肾论治慢性便秘探讨[J]. 中医临床研究, 2023, 15(4): 34-37. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYLY202304005.htm
[16] 孙心悦, 孙桂明, 富羽翔, 等. 经方四逆散治疗慢性便秘理论探讨[J]. 河北中医, 2023, 45(7): 1180-1184. https://www.cnki.com.cn/Article/CJFDTOTAL-HBZY202307029.htm
-
计量
- 文章访问数: 544
- PDF下载数: 1340
- 施引文献: 0