国医大师颜德馨应用气血理论治疗功能性便秘学术撷英
Academic Experience of National Traditional Chinese Medicine Master YAN Dexin's Application of Qi and Blood Theory in Treating Functional Constipation
摘要
Abstract
[Objective]To summarize the National Traditional Chinese Medicine Master YAN Dexin's academic ideas and clinical experience in applying Qi and blood theory to treat functional constipation.[Methods]From the perspectives of etiology and pathogenesis,treatment principles and methods,medication characteristics,this article systematically summarizes Professor YAN's academic views on the diagnosis and treatment of functional constipation,and supply with medical records.[Results]Professor YAN proposed that"imbalance of Qi and blood"was the core pathogenesis of functional constipation,and the treatment should take"regulating Qi and blood"as the general principle,combined with differentiation of deficiency and excess of viscera,and based on the classification of Qi(Qi stagnation,Qi deficiency,Yang deficiency)and blood(blood stasis,blood deficiency,Yin blood deficiency).Medication should focus on combination of ascending and descending factors(such as the combination of Vitex trifolia and Semen Lepidii),combination of movement and stillness(such as the combination of Atractylodes macrocephala and Fructus Aurantii),the simultaneous treatment of Qi and blood(such as the combination of Semen Armeniacae Amarum and Persicae Semen),and the complementary effects(such as the combination of Aconiti Lateralis Radix Praeparata and Rhei Radix et Rhizoma).One case involved constipation due to Qi stagnation caused by liver-spleen disharmony,treated with Sini Powder with modifications to regulate Qi flow;the other case involved constipation caused by Yin deficiency and Qi weakness,with pneumonia due to novel coronavirus.Initially,nourishing Yin and increasing body fluid were administered,followed by the use of aconite to promote Qi circulation,the patient's bowel movements became unobstructed.[Conclusion]Professor YAN Dexin took Qi and blood theory as the core in treating functional constipation,harmonized the viscera,demonstrated precise differentiation and delicate medication,fully reflecting the unique advantages and academic inheritance value of traditional Chinese medicine in treating chronic diseases.关键词
国医大师/功能性便秘/气血理论/调气和血/辨证论治/医案/名医经验/颜德馨Key words
National Traditional Chinese Medicine Master/functional constipation/Qi and blood theory/regulating Qi and blood/diagnosis and treatment based on syndrome differentiation/medical records/experience of renowned doctors/YAN Dexin分类
医药卫生引用本文复制引用
刘珺,陈英群,赵严,颜琼枝,王博,朱逸东,孙路路,韩天雄,颜乾麟..国医大师颜德馨应用气血理论治疗功能性便秘学术撷英[J].浙江中医药大学学报,2026,50(3):334-339,6.基金项目
上海市卫生健康委员会课题(201940369) （201940369）
上海市中医药管理局上海市中医药高层次人才引领计划(中医药创新群体类)(沪卫中发[2021]2号) （中医药创新群体类）
上海市卫生健康委员会临床研究专项(202340004) （202340004）
安徽省卫生健康委员会长三角名中医工作室项目颜乾麟(上海市名中医)工作室(皖中医药发展秘[2021]31号) （上海市名中医）
转化医学国家重大科技基础设施(上海)开放课题(TMSK-2021-413) （上海）
上海市卫生健康委员会中医重点病种建设项目(沪卫中管[2025]19号) Project of Shanghai Municipal Health Commission(201940369) （沪卫中管[2025]19号）
The Leading Project for High Level Traditional Chinese Medicine Talents of Shanghai Administration of Traditional Chinese Medicine(H.W.Z.F.[2021]2) （H.W.Z.F.[2021]2）
Clinical Research Special Project of Shanghai Municipal Health Commission(202340004) （202340004）
YAN Qianlin(Famous Traditional Chinese Medical Doctor of Shanghai)Studio of The Yangtze River Delta Famous Traditional Chinese Medicine Studio Project of Anhui Provincial Health Commission(W.TCM.F.Z.M.[2021]31) （Famous Traditional Chinese Medical Doctor of Shanghai）
Open Project of the National Facility for Translational Medicine(Shanghai)(TMSK-2021-413) （Shanghai）
Shanghai Municipal Health Commission's Project for Key Diseases in Traditional Chinese Medicine(H.W.Z.G.[2025]19) （H.W.Z.G.[2025]19）
