张立平治疗功能性便秘经验

ZHANG Li-ping’s experience in the treatment of functional constipation

功能性便秘是一种常见的消化系统疾病,其发病机制复杂,现代医学仍缺少疗效确切的治疗办法,相较之下中医治疗有其优势。张立平教授在治疗功能性便秘方面,见解独特。张教授认为,功能性便秘病位在脾胃,要能够在一些实性症状下,抓住患者脾虚的本质,认清虚实夹杂,脾虚肝郁的病机。在论治方面,则当以虚实同治,补脾疏肝为则,用药具有补脾温和不峻烈,调拨气机轻灵不伤正的特点,随证加减,并结合心理疏导使患者放松情绪改善作息,临床疗效显著。

Functional constipation is a common digestive disease with complex pathogenesis,and there’s less effective treatment in modern medicine while Chinese medicine has its advantages.Professor ZHANG Li-ping holds special views in treating functional constipation.Professor ZHANG thinks that the disease location is spleen and stomach,we should distinguish the spleen deficiency within some excess symptoms,recognize the pathogenesis which is deficiency-excess mixing,spleen deficiency and liver stagnation.The therapeutic principle is tonifying spleen and smoothing liver.ZHANG uses herbs which are soft to tonify spleen,which are light to disperse qi and revises the decoction with symptoms.At the same time,she tells patients to be relax by psychotherapy and to improve daily routines.All of these methods achieves significant curative effect.