摘要
中医学认为,老年便秘是由于阴阳失调,气血虚弱,脏腑功能衰退而导致大肠传导不利,津液不足之故。笔者根据八纲辨证和脏腑辨证等原则,将老年便秘分为肾水不足便秘,治以滋阴生肾水为法,六味地黄丸为代表方;气阴两虚便秘,治以益气养阴,润肺通便为法,加味生脉散为代表方;中气不走便秘,治以调补脾胃,益气升阳为法,补中益气汤为代表方;脏寒便秘,治以温肾逐寒,通阳泻浊为法,加味半硫丸为代表方。
Traditional Chinese medicine suggests that senile constipation may occur under such conditions:阴阳失调Yini-yang Shitiao(Yin-yang imbalance),气血虚弱Qixue Xuruo(weakness of vitality and blood)and脏腑功能衰退Zanfu Gongneng Shuaitui(functional degradation of internal viseral organs),which cause insufficiency of intestinal passage and deficicency of secretion of body fluids.Basing on the traditional theories of八纲辩证Bagan Bianzheng(analysis and differentiation of pathologic condition in coordination with the 8 principal syndromes),and脏腑辩证Zangfu Bianzheng(analysis and differentiation of pathologic conditions in accordance with internal organs),the senile constipation is classifiedinto 4 types:a.肾水不足便秘Shengshui Buzu constipation caused by renal fluid insufficiency and treated by滋阴生肾水Ziyin Shengshenshui methed(nourishing Yin and increased renal fluids using六味地黄丸Rhenia glutinosae pill;b.气阴两虚便秘Qiyie Liangxu constipation caused by deficiency of both vitality and Yin)and润肺能便Runfei Tungbian(moisten the lung and free bowel movement)using加味生脉散Jiawei Shengmei powder(additional drugs to promote the blood circulation by invigorating vital energy;c.中气不足便秘Zhongqi Buzu constipation caused by deficiency of vitality and treated by调补脾胃Tiaobu Piwei(reinforce the stomach and bowels)and益气升阳Yiqi Shengyang(reinforce vitality and increase Yang)using补中益气汤Buzhong Yiqi decoction(drugs to nurish the midtorso and reinforce vitality)and d.脏寒便秘Zanghan constipation caused by coldness of internal viseral organs and treated by温肾逐寒Wenshen Znuhan(warm the Kidney and expel coldness)and通阳泻浊Tongyan Xiezu(clear Yang passage and expel the foul excretion)using加味半硫Jiawei Baliu pill(semi-sulfur adding other herbal drugs).
出处
《北京医学》
CAS
1979年第3期155-157,共3页
Beijing Medical Journal
