刘凤斌教授治疗便秘的临证经验

目的]探析刘凤斌教授治疗便秘的临证经验。方法]通过门诊跟师学习，收集整理相关医案，从病因病机、辨证思路及用药特点等方面分析总结刘凤斌教授治疗便秘的临证经验，并列举验案一则加以佐证。结果]刘教授论治便秘多从气虚、阴虚、血虚、肝郁气滞、胃肠积热等方面入手，认为胃气不降是便秘的基本病机，临证时重视调理气机，尤重通降胃气，重用生白术、蒲公英，而且善用药对。所举医案，患者辨证为肝郁气滞，刘教授治以疏肝行气通便，疗效颇佳。结论]刘凤斌教授治疗便秘重视通降胃气、调理气机，重用生白术、蒲公英，善用药对，经验独到，值得学习。

Experience of Professor LIU Fengbin in Treating Constipation

Objective]To explore the clinical experience of Professor LIU Fengbin in treating constipation.Methods]Through attending the outpatient work, collecting relevant medical records, clinical experience of Professor LIU in treating constipation was summarized and analyzed from the aspects of etiology and pathogenesis, ideas of syndrome differentiation and medication characteristics. And one case was presented as proof.Results]Professor LIU not only believes that Qi deficiency, Yin deficiency, blood deficiency, liver Qi stagnation and gastrointestinal heating are the most common types of syndrome, but also insists that failure of stomach Qi to descend is the basic pathogenesis of constipation. His peculiar experience of treating constipation includes paying attention to adjustment of Qi movement, especially regulating the stomach Qi, using high-dose of raw Atractylodes and Taraxacum mongolicum, and using medicine pair wisely. According to the case, the patient was differentiated as liver Qi stagnation, and Professor LIU used the method of soothing the liver and laxativing, and the curative effect was quite good.Conclusion]Professor LIU Fengbin has original experience in the treatment of constipation, including paying attention to regulate the stomach Qi and adjust Qi movement, focusing on the application of raw Atractylodes and Taraxacum mongolicum, and using medicine pair wisely. His experience is unique and worth learning.