“药食同治”思想在顽固性功能性便秘治疗中的应用

Application of the thought of"simultaneous treatment of medicine and food"in the treatment of intractable functional constipation

顽固性功能性便秘是较难治愈的一种便秘类型,临床通常表现为持续性便秘、通便药依赖和(或)通便药治疗无效。近年来随着饮食结构改变、生活节奏加快和受社会心理因素的影响,其发病率逐年上升,严重影响患者的生活质量。姚树坤教授临床治疗顽固性功能性便秘疗效明显,颇具心得。姚教授认为,结合当下人们饮食结构、生活方式及体质变化,目前临床顽固性功能性便秘中医证型以湿热夹瘀为主,宜以清热化湿、理气祛瘀为主要治法;并应注重“药食同治”思想在诊疗过程中的运用,教育患者改变饮食结构以从根本上祛除病因。

Intractable functional constipation is a type of constipation which is difficult to cure,which is usually characterized by persistent constipation,dependence on laxative and/or ineffective treatment of laxative.In recent years,with the change of diet structure,accelerated pace of life and the influence of socio-psychological factors,the incidence rate has increased year by year,seriously affecting the quality of life of patients.Professor Yao Shukun has remarkable clinical effect and experience in the treatment of intractable functional constipation.Professor Yao believes that,combined with the changes of people's diet structure,life style and physique,the main TCM syndrome type of clinical stubborn functional constipation is dampness-heat and blood stasis,and the main treatment should be clearing heat and resolving dampness,regulating qi and removing blood stasis;and we should pay attention to the application of the idea of"Simultaneous Treatment of Medicine and Food"in the process of diagnosis and treatment,and educate patients to change their diet structure in order to fundamentally dispel the etiology.