从气机角度探讨攻补兼施法治疗便秘

便秘主要是由大肠传导失司引发的一类疾病。本文认为气机失调是便秘病机关键之一,脾气虚弱、肝气郁滞、肺气宣发肃降失衡、血瘀气滞等均可诱发便秘的形成。中医治疗便秘,多运用攻补兼施法治疗,调节五脏六腑之气,恢复大肠传导功能,根据不同脏腑兼症对便秘进行不同的辨证施治,尽可能做到"扶正不留邪,祛邪不伤正"。

Efficacy of Reinforcement and Elimination in Combination in Treatment of Constipation:An Analysis from the Perspective of Qi Movement

Constipation is a type of disease mainly caused by the lost conduction of the large intestine.The authors of this paper consider that disorder of Qi movement is one of the key factors for constipation,and constipation can be induced by the weakness of spleen Qi,the stagnation of liver Qi,the imbalance in the dispersion and descending of lung Qi,and blood stasis and Qi stagnation.In TCM,the reinforcement and elimination in combination is mostly used to treat constipation.Qi in five viscera and six bowels can be regulated in the aspects of the production of Qi,Qi dredging,and Qi running to restore the conduction function of the large intestine.Constipation should be given syndrome differentiation-based treatment based on the accompanying symptoms in different viscera and bowels,and tries to ensure that"strengthening vital Qi does not allow pathogens,and pathogen-eliminating cannot hurt vital Qi".