李德新温肾助阳治疗老年性便秘

Professor Li Dexin's Experience of Treating Senile Constipation

李德新教授认为老年性便秘多责之于脾、肾,病因多为饮食失节、情志失调、正虚津亏,病理性质多为寒、虚、或虚实夹杂、寒热错杂。病机分为气虚阳衰,温煦无力;阳虚体弱,阴寒凝滞;阴亏血少,濡润失常三类。辨证分为气虚便秘、阳虚便秘、血虚便秘。治疗不宜轻用泻药,用则愈泻愈虚,应补泻兼施,泻下宜轻下、润下、缓下。

Modern medicine treatment of senile constipation have more side effects,.Professor Li Dexin has a good effect using traditional Chinese medicine medicinal broth in treatment of the disease.Professor Li think senile constipation in the accountability of spleen and kidney.Often because diet dishonor,emotional disorder, vital qi deficiency and lack of body fluid.The pathological nature is often deserve by cold,deficient,intermingled deficiency and excess,simultaneous occurrence of cold and heat .Pathogenesis is divided into three types：Deficiency of Yang,Yang haemorrheological nature ,little Yin blood,moist embellish disorder.On syndrome differentiation divided into Qi deficiency constipation,Yang deficiency constipation,blood deficiency constipation. The treatment should not be reckless with laxatives,should have use both of catharsis method and filling method. Catharsis should be soft,moist,slowly.