吉林中医药2024,Vol.44Issue(2) :185-187.DOI:10.13463/j.cnki.jlzyy.2024.02.014

态靶辨治顽固性便秘验案一则

A case of refractory constipation treatment based on the differentiation of state and target

周丽娟 李敏 唐程 田佳星
吉林中医药2024,Vol.44Issue(2) :185-187.DOI:10.13463/j.cnki.jlzyy.2024.02.014

态靶辨治顽固性便秘验案一则

A case of refractory constipation treatment based on the differentiation of state and target

周丽娟 1李敏 1唐程 2田佳星1
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作者信息

  • 1. 中国中医科学院广安门医院,北京 100053
  • 2. 北京中医药大学,北京 100029
  • 折叠

摘要

顽固性便秘是严重的便秘,且尚无疗效确切的治疗药物.中医认为便秘有虚实之分,邪滞胃肠、壅塞不通则致实秘,肠失润养、推动无力而致虚秘.治疗上当明辨病因病机,把握疾病之态,态靶同调,且注重药物量效,方能疗效显著.本案患者长期便秘,排便艰难,为顽固性便秘,且随着年岁增长,气血阴阳皆现不足,故便秘病性为虚,虚态显而易见,因此治疗上以虚态靶方为基础,酌加打靶药物,调态打靶,重视量效,从而攻克顽敌,取得了显著的临床疗效.

Abstract

Refractory constipation is currently the most severe form,and there are yet no effective drugs for its treatment.In traditional Chinese medicine(TCM),it is believed that constipation can be divided into deficient constipation and excessive constipation,with the former caused by pathogenic factors obstructing the gastrointestinal tract,while the latter by malnourished intestines and their weak peristalsis.Accordingly,its treatment requires an accurate differentiation of etiology and pathogenesis,understanding the state of the disease,regulating both its state and targets,and considering the dosage and efficacy of medications to achieve significant clinical outcomes.In this case,the patient suffers from a long-standing constipation characterized by difficult defecation,which belongs to a refractory constipation.With his advancing age and deficiency in qi,blood,yin and yang,the disease develops a deficient nature,clearly displaying the characteristics of a deficient constipation.Therefore,its treatment should focus on targeting the deficient state,deal with the targets with targeted medications,and pay attention to the dosage and effect of these medicines,so as to achieve significant clinical efficacy.

关键词

顽固性便秘/气血阴阳/态靶辨治/经验

Key words

refractory constipation/qi,blood,yin and yang/treatment based on differentiation of state and target/experience

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基金项目

中国中医科学院科技创新工程重大攻关项目(CI2021A01606)

出版年

2024
吉林中医药
长春中医药大学

吉林中医药

CSTPCD
影响因子:0.843
ISSN:1003-5699
参考文献量6
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