曹志群教授治疗能性便秘经验探讨.pdfVIP

The theoretical analysis of Professor Cao Zhiqun ＇s clinical experience on the treatment of Functional Constipation Speciality: Internal Medicine of TCM Author: Park SoYoung Tutor: Professor Cao Zhiqun Abstract Professor Cao Zhiqun, who is my tutor ,has rich experiences in clinical practices and research on constipation . He believes that functional constipation is mostly caused by deficiency of spleen and dysfunction of lung in activating and descending the flow of qi and water . Based on his theory as well as my own expreiences and research in TCM papers ， I have found that the most effective method for treating functional constipation during puberty ,menopause and elderly age,should be invigorating the spleen to moisten the large instestine,and regulating the flow of qi to relieve constipation. This study is also combined with the modern technique such as FC. Key Words Functional constipation ；Cao Zhiqun ；clinical experience 目 录 引 言 1 文献综述 2 1 西医对功能性便秘的认识 2 1.1 发病机理 2 1.2 便秘的分型 4 1.3 功能性便秘的治疗 5 2 中医对于功能性便秘的认识 8 2.1 便秘病名的提出 8 2.2 便秘的各家学说 8 2.3 病因病机 9 2.4 临床研究 10 导师临证经验探讨 14 第一节：导师诊治功能性便秘经验探讨 14 1. 脾气亏虚，肺失宣肃是功能性便秘的主要病机 14 2. 肠燥津亏，气机不畅是病机之关键 14 3. 治则治法 15 3.1 补气健脾是便秘的根本大法 15 3.2 增液润肠是便秘的重要治法 15 3.3 行气导滞通便是便秘的直接治法 16 3.4 调治之后，重在摄养 16 4. 方药分析 16 第二节：导师对特殊人群功能性便秘诊治临证体会 18 1. 青春期患者宜清胃肠郁热，健脾气 19 1.1 病因病机 19 1.2 治则治法 19 1.3 病案举隅 19 2. 围绝经期患者宜补气血、调气机 20 2.1 病因病机 20 2.2 治则治法 20 2.3 病案举隅 21 3. 老年患者宜健脾肾，润肠道 21 3.1 病因病机 21 3.2 治则治法 21 3.3 病案举隅 22 结 语 23 参考文献 24 致 谢 27 引 言 便秘是指粪便在肠内滞留过久，秘结不通，排便周期延长，或周期不长，但粪