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中医导引治疗功能性便秘

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气血与便秘关系密切,气机郁滞,腑气通降失常则大便秘结;饮食劳倦,年老体弱,气虚阳衰,传导无力,而见便滞肠道;素体阴虚,阴亏血少,肠道失润而见大便干燥;瘀血内阻易阻止气机,气不行腑不通,发为便秘;瘀血不祛,新血不生,瘀血内结,无以生新血濡润大肠,发为便秘.中医导引可通过调和气血、疏通经络、调神治疗功能性便秘,根据《诸病源候论》导引法及其思路,编创治疗功能性便秘导引运动处方:上托下按、叫化功、呼字诀、揉腹等,动作幅度较小,更适合中老年功能性便秘患者.但目前中医导引宣传力度不够,且部分练习者并未掌握其基本功法原理,难达满意之效,未来可扩大导引的宣传力度,并将复杂术式简单化.
Study on Traditional Chinese Medicine Conducting Exercise for Functional Constipation
Qi and blood are closely related to constipation,stagnation of qi and abnormal flow of fu qi leading to constipation.Improper diet,fatigue,old age and weak physique,qi deficiency and yang decline,weak transmission,lead to constipation in the large intestine.Constant yin deficiency in the body,insufficient blood,and loss of lubrication in the intestines lead to dry stools.Blood stasis can easily block the qi flow,leading to unsmooth qi and obstruction of the internal organs,resulting in constipation.If blood stasis is not removed,new blood will not generate,blood stasis will accumulate inside the body,and there is no way to produce new blood to moisten the large intestine,leading to constipation.TCM conducting exercise can treat functional constipation by regulating qi and blood,unblocking me-ridians,and calming the mind.Based on the method of conducting exercise and its ideas in Treatise on the Origins and Manifestations of Various Diseases,a series of formulas for treating functional constipation with conducting exercise are created,which include holding up and pressing down,beggars exercise,"Hu"pithy formula,rubbing the abdomen,etc.,with a smaller range of movements,making it more suitable for middle-aged and elderly patients with functional constipation.However,currently propaganda intensity of TCM con-ducting exercise is not enough,and some practitioners have not mastered their basic principles,making it difficult to achieve satisfactory results.In the future,the propaganda intensity of conducting exercise can be expanded,and complex techniques should be simplified.

functional constipationconducting exerciseholding up and pressing downbeggar s exercise"Hu"pithy formularubbing the abdomen

龚卓之、谢继鼎、代金刚

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中国中医科学院望京医院,北京 100102

中国中医科学院医学实验中心,中医药防治重大疾病基础研究北京重点实验室,北京 100700

功能性便秘 导引 上托下按 叫化功 呼字诀 揉腹

中国中医科学院科技创新工程项目

C12021A00205

2024

河南中医
河南省中医药学会 河南中医学院

河南中医

影响因子:0.968
ISSN:1003-5028
年,卷(期):2024.44(6)