李延教授治疗便秘经验总结

Summary of Professor Li Yan′s Experience in Treating Constipation

便秘属临床常见且多发病种,由于现代生活饮食结构的改变、社会及生活的精神心理压力等因素,近年来便秘发病率逐年上升,对人们的生活质量产生了严重影响。文章通过整理研究李延教授的学术著作及大量原始医案,系统的总结了李延教授治疗便秘的临床经验。文中从李延教授对便秘病机的认识入手,李延教授认为便秘的病位在大肠,与肺、肝、脾、胃、肾等脏腑密切相关,当多个脏腑功能失调时都可能会导致大肠传导功能失常,便秘的病机主要可归纳为胃肠积热、气滞痰阻、阳虚寒凝、气血津液不足四类。临床实践中常以清热润肠,疏肝理气、温中泻下、益气养血等治法治则以通便。并总结李延教授治疗便秘常用方药配伍及加减化裁特色,同时附验案举例。系统总结了李延教授治疗便秘的临证思维和诊治特色,对于临床上便秘施治有一定的借鉴和指导意义。

Constipation is a common and frequently-occurring disease,due to changes in the diet and life of the modern society,social and psychological stress of life and other factors.The incidence rate of constipation has been increasing year by year,which has seriously affected people′s quality of life.This paper systematically summarizes Professor Li Yan′s clinical experience in the treatment of constipation by collating and studying his academic works and a large number of original medical cases.This paper begins with professor Li Yan′s understanding of the pathogenesis of constipation.Professor Li Yan believes that the pathology of constipation is in the large intestine,which is closely related to the organs of the lung,liver,spleen,stomach,kidney and other organs.When multiple viscera are dysfunctional,it may lead to the dysfunction of large intestine conduction.Professor Li Yan believes that the pathogenesis of constipation can be summarized as four types of clinical practices:gastrointestinal heat accumulation,Qi stagnation and phlegm obstruction,Yang deficiency and cold coagulation,and insufficient blood and fluid.In clinical practice,it is often treated by clearing heat and moistening intestines,soothing the liver and regulating Qi,warming purgation,nourishing Qi and blood as principles to relieve constipation.This paper also summarizes the characteristics of Li Yan′s commonly used prescriptions and medicines for constipation,along with examples of cases.This paper systematically summarizes Professor Li Yan′s clinical thinking and diagnosis and treatment features for the treatment of constipation,which has certain reference and guiding significance for the clinical treatment of constipation.