首页|张思超从津气神论治功能性便秘经验

张思超从津气神论治功能性便秘经验

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基于大肠的生理病理特点,认为功能性便秘的中医病机主要为大肠津亏、大肠气结、神明失调等,且往往相兼出现。治疗上,津亏者予以增水行舟,用药注重甘寒、甘咸,并辅以仁类药物;气结者立法鼓风扬帆,常用理气、补气、风药等疏理胃肠肝肺气机;神明失调明显者,基于脑肠互动学说,采取肠病治脑法则,除应用心脑安神药物外,尚注重意念腹部及心理疏导。树立缓慢改善肠道功能理念,不盲目使用峻下之品。
ZHANG Sichao's Experience in Treating Functional Constipation from Perspective of Fluid,Qi and Spirit
Based on the physiological and pathological characteristics of the large intestine,it is believed that the pathogenesis of functional constipation in traditional Chinese medicine is mainly the deficiency of the large intestine fluid,the obstruction of qi in the large intestine,and the disorder of the spirit,etc.,which often occur simutaneously.In terms of treatment,the syndrome of fluid deficiency should be moistened,medication lays emphasis on applying medicinal herbs sweet and cold,sweet and salty in property,which is supplemented with kernel drugs.The syndrome of the obstruction of qi should be relieved by blasting the wind,qi of stomach,intestine,liver and lung is regulated by applying regulating-qi medicinals,tonifying-qi medicinals,and wind medicinals.The syndrome of the disorder of the spirit should be based on the theory of brain-gut interaction,the principle of treating the brain with bowel disease is adopted,and in addition to the application of mind-brain sedative drugs,attention is paid to the abdominal thought and psychological guidance.The concept of slowly improving intestinal function is established and drastic purgative should not be applied blindly.

functional constipationfluid,qi and spiritZHANG Sichaofluid deficiency in the large intestinelarge intestine stagnationmental abnormality

邵婕、张思超

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山东中医药大学中医学院,山东济南 250355

功能性便秘 津气神 张思超 大肠津亏 大肠气结 神明失调

全国中医学术流派传承工作室第二轮建设项目

国中医药人教函[2019]62号

2024

山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子:0.431
ISSN:0257-358X
年,卷(期):2024.43(8)
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