肉从蓉、火麻仁、当归治疗老年性便秘——仝小林三味小方撷萃

Treatment of Senile Constipation with Roucongrong, Huomaren and Danggui——Three Prescription by Professor TONG Xiaolin

老年性便秘是由于老年人排便动力减弱引起的便秘。老年人长时间过度用力排便不仅会导致肛肠病,还可增加老人发生心脑血管意外的风险。60岁以上老年人群出现长期便秘患病率高达20%以上,老年性便秘难治愈易复发。仝小林院士认为肾阳虚衰,津血俱亏为老年性便秘的核心病机,应治病求本、治疗时寓通于补,精选肉从蓉、火麻仁、当归组成三味小方,肉苁蓉补肾阳,益精血而通便;火麻仁润燥滑肠通便;当归补血通便。三药合用,标本兼治,补虚润肠通便。其中肉从蓉常用剂量为6~30 g,火麻仁常用剂量为15~60 g,当归常用剂量为9~30 g。

Senile constipation is caused by the decrease of defecation power in the elderly. Excessive defecation for a long time in the elderly will not only lead to anorectal disease, but also increase the risk of cardiovascular and cerebrovascular accidents in the elderly. The prevalence of long-term constipation in the elderly over 60 years old is as high as 20%, which is difficult to cure and easy to relapse. Academician TONG Xiaolin believes that kidney yang deficiency and blood deficiency are the core pathogenesis of senile constipation. It is necessary to seek the root cause of the disease, and integrate the Tongyu and Bupleurum in the treatment. Roucongrong, huomaren and Danggui are selected to form three small prescriptions. Cistanche can nourish kidney yang, benefit blood essence and relieve constipation;hemp seed can moisten dryness and smooth intestines, and Angelica sinensis can replenish blood and relieve constipation. The combination of the three drugs can treat both the symptoms and the symptoms. The common dosage of Roucongrong was 6-30 g, hemp seed was 15-60 g, and Angelica was 9-30 g.