功能性便秘的中医治疗研究进展

Research Progress of Traditional Chinese Medicine Treatment for Functional Constipation

功能性便秘是临床常见病和多发病,患病率逐年增高,多发于女性和老年人,在中医上隶属于便秘范畴。便秘是由于热结、寒凝、气滞致使邪滞肠胃、壅塞不通,或气血阴阳亏虚致使肠失温润、推动无力,无论虚实两端均可致糟粕内停,大便难解。中医药治疗功能性便秘方法独特多样,包括中医内治法(如单方单药、中药复方、中成药)与中医外治法(如中药灌肠、针法、灸法、推拿按摩、穴位贴敷、穴位注射、穴位埋线、耳穴)。中医药治疗经中医辨证论治,是一种整体调节、标本兼治、个体化用药的治疗方法,与西医治疗相比具有独特优势,且在临床中取得了良好的疗效。

Functional constipation is a common and frequent clinical disease,the prevalence of which is increasing year by year,mostly in women and the elderly,and belongs to the category of constipation in traditional Chinese medicine(TCM).Constipation is due to heat aggregation,cold condensation,stagnation of qi resulting in evil stagnation in the sto-mach and intestines,congestion and blockage,or qi,blood,yin and yang deficiency resulting in intestinal loss of warmth and promotion,both deficiency and excess can lead to the internal stopping of the dregs and make difficult bowel movements.TCM treatment of functional constipation is unique and varied,including internal treatment(such as single prescription,compound Chinese medicine,TCM patent medicines and simple preparations)and external treatment(such as TCM enema,acupuncture,moxibustion,massage,acupoint application,acupoint injections,acupointembedding,and auricular acupuncture points).TCM treatment,by syndrome differentiation and treatment,is a kind of overall regulation,symptomatic and fundamental treatment,individualized medication,which has unique advantages compared with western medical treatment and has achieved good clinical efficacy.