自拟益气润肠通便方治疗慢性便秘298例临床体会

Clinical experience for treating 298 cases of chronic constipation with the Yiqi Runchang Tongbian recipe

目的:探讨中医治疗慢性便秘的临床疗效。方法:笔者采用自拟益气润肠通便方剂对298例患者进行治疗,1个月为1个疗程,温热口服,方药1付/d,连续治疗两个疗程疗效观察。结果:第1个疗程中,治愈139例,治愈率为46.64%,好转125例,为41.95%,有效率85.12%,无效34例,占12.75%。两个疗程共治愈214例,治愈率为71.81%,好转73例,好转率为24.70%,无效11例,为3.69%。结论:该方剂有益气升提,养阴润肠,清热通便之功。对治疗慢性便秘疗效满意,且易于长期巩固治疗,不易产生药物依赖性,对重度及难治型便秘,改善临床症状有独特疗效,经济适用,安全可靠,适合广大基层患者,值得进一步推广。

Objective：To investigate the clinical efficacy of TCM treatment of chronic constipation. Methods：Treating 298 patients a month for a course for two months with the Yiqi Runchang Tongbian recipe. Results：The first course of treatment, 139 cases were cured, the cure rate was 46.64%, improvement in 125 cases, of 41.95%, 85.12% efficiency, ineffective 34 cases, accounting for 12.75%. Two courses of 214 cases were cured, the cure rate was 71.81%, improvement in 73 cases, improvement rate was 24.70%, 11 cases, was 3.69%. Conclusion：the Yiqi Runchang Tongbian recipe has unique effect, is affordable, safe and reliable, suitable for the majority of patients.