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毛红从脾胃论治慢性功能性便秘经验

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总结毛红教授从脾胃论治慢性功能性便秘的学术思想与临床经验.毛红认为本病以正气虚损为主,常兼夹诸多实邪,本虚标实,提出了脾胃虚弱,气机郁滞,大肠传导失司的共性病机.在审证求因、辨清虚实主次的基础上,紧扣共性病机,一方面重视脾胃气机升降的重要性,强调治病必求于本;另一方面倡导"以柔克刚、除症护本"的治疗理念,遣方用药注重刚柔并济、攻补兼施,创制了经验方参芪润肠汤.临证时当兼顾个性与地域特性,善用心理疏导,知常达变、灵活运用,切勿一概而论、盲目攻伐.本文综合阐述其辨治理论,以期有益于临床,更好地彰显中医特色.
Mao Hong's Experience in Treating Chronic Functional Constipation from the Spleen and Stomach
Summarize Professor Mao Hong's academic thinking and clinical experience in treating chronic functional consti-pation from the perspective of spleen and stomach.It is believed that this disease is mainly due to the deficiency and damage of healthy qi,often accompanied by many solid evils,and deficiency in origin and excess in superficiality.It is proposed that the spleen and stomach are weak,the Qi mechanism is stagnant,and the large intestine conduction is lost.On the basis of judging the syndrome and seeking the cause and distinguishing the primary and secondary of deficiency and excess,we should pay close atten-tion to the common pathogenesis.On the one hand,we should pay attention to the importance of the rise and fall of the spleen and stomach qi mechanism,and stress that the treatment of diseases must be based on the root;On the other hand,she advocated the treatment concept of"overcoming hardness with softness,eliminating symptoms and protecting the root".She paid attention to the combination of hardness and softness,attack and tonic,and created the empirical prescription Shenqi Runchang decoction.In the clinical treatment,we should take into account personality and regional characteristics,make good use of psychological guidance,know how to change,and flexibly use it.We should not generalize and attack blindly.This paper comprehensively expounds its theory of differentiation and treatment,in order to benefit the clinic and better highlight the characteristics of traditional Chinese medicine.

Functional constipationRise and fall theory of spleen and stomachUse softness to overcome hardnesstFa-mous medical experienceMao Hong

康进、毛红

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四川省第二中医医院,四川成都 610014

功能性便秘 脾胃升降理论 以柔克刚 名医经验 毛红

全国老中医药专家学术经验继承工作项目四川省名中医工作室建设项目四川省中医药局科学技术研究专项

国中医药办人教函[2021]272号川中医药办函[2022]19号2020LC0208

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(3)
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