从脾虚痰瘀论治老年代谢综合征患者便秘理论探源

Theory exploration of the treatment for constipation in elderly patients with metabolic syndrome from spleen defi ciency and phlegm and blood stasis

便秘是老年人临床常见症状之一,见于多种急慢性疾病过程。它在给患者带来很大痛苦的同时,也在不同程度影响着脏腑机能状态,所谓"魄门亦为五脏使"。代谢综合征是多种心血管危险因素集结的状态,其发病率与年龄呈正相关。老年代谢综合征患者伴随便秘的情况较之年轻人更为严重。文章以老年代谢综合征便秘为例,根据老年代谢综合征的特点,结合部分古、现代文献,提出老年代谢综合征便秘从脾虚痰瘀论治的观点。

Constipation is one of the elderly clinical common symptoms in a variety of acute or chronic diseases. It not only brings great pain to the patients, but also affects visceral function in varying degrees, which is called ＇Po-men is conducted by five viscera as well＇. The metabolic syndrome represents a combination of cardiovascular risks, and its incidence has a positive relationship with age. The constipation condition in elderly patients with metabolic syndrome is more serious than that in young people. According to the characteristics of the elderly metabolic syndrome and the ancient or modem literatures, it puts forward a point that the constipation in elderly patients with metabolic syndrome can be treated from spleen deficiency and phlegm and blood stasis.