基于"补土"观探讨老年功能性便秘虚证论治OA
The Treatment of Functional Constipation Deficiency in the elderly based on the Concept of"Invigorating Soil"
功能性便秘作为老年人常见难治性临床疾病,临床多表现为排便困难,粪质干结,排便次数减少,排便周期延长或正常等,会降低老年人生活质量,给老年人造成身体负担.因老年人素体多虚,故临床上老年人多表现为虚证."补土"思想源远流长,是李东垣的重要思想,其中心思想为通过顾护脾胃,恢复各脏腑生理功能."补土"在辨治老年功能性便秘方面具有优势,可指导临证合理用药选方,根据便秘病因的区别,运用不同组方加减以调节各脏腑功能,在治疗上发挥良好成效.
Functional constipation is a common and intractable clinical disease in the elderly.It is often manifested as difficulty in defecation,dry stool,reduced defecation frequency,prolonged or normal defecation cycle,etc.,which will reduce the quality of life of the elderly and cause physical burden to the elderly.Because the elderly are mostly weak,they often show deficiency syndrome in clinical practice.The idea of"Tonifying Earth"has a long history and is an important idea of LI Dongyuan.Its central idea is to restore the physiological functions of various organs by protect-ing the spleen and stomach."Tonifying Earth"has advantages in the diagnosis and treatment of functional constipation in the elderly.It can guide the rational selection of prescriptions in clinical practice.According to the difference in the causes of constipation,different prescriptions can be added or subtracted to regulate the functions of various organs,and good results can be achieved in treatment.
江冰瑜;徐立军
湖北中医药大学 湖北武汉 430065||湖北中医药大学附属黄冈中医医院 湖北黄冈 438000湖北中医药大学附属黄冈中医医院 湖北黄冈 438000
中医学
补土思想李东垣功能性便秘老年人
Tonifying earth ideaLI DongyuanFunctional constipationElderly
《中医药临床杂志》 2024 (008)
1493-1497 / 5
湖北省"十三五"中医重点专科黄冈市中医医院脾胃病科(鄂卫办通[2019]125号)
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