慢性功能性便秘的病因病机及针灸治疗

Pathogenesis and Acupuncture Treatment of Chronic Functional Constipation

便秘是常见的胃肠消化系统疾病,指的是排过程中不顺利的状态,同时伴有排便困难、粪便干结,每周排便少于2~3次。发病原因的差异所导致的就是便秘类型的区别,便秘有器质性便秘以及功能性便秘(FC)两种类型。FC即机体不存在器质性消化系统疾病的前提条件下,患者出现包括大便不畅以及粪便硬和排便困难以及排便次数降低等各种症状。症状持续6个月以上就能够被断定为慢性功能性便秘(CFC)。慢性功能性便秘患者的排便时间相对较长,目前并没有明确的致病原因,但基本确定与患者的排便习惯以及饮食习惯生活方式之间存在着比较密切的关系。慢性功能性便秘带给患者痛苦是非常大的。对这种疾病进行治疗的过程当中,西医绝大部分选择开具灌肠剂或者泻药等药物,希望能够使得患者的临床症状得到有效缓解,由于治疗所选择的药物都会具有着很强的药物作用,从而使得患者的胃肠道受到比较严重的伤害。除此之外,患者易出现药物依赖性,从而使治疗效果下降。从中医的角度出发,慢性功能性便秘应当属于虚密之症。致病机制则是由于机体的气血两虚,从而导致相应的肠道无力运动,失去濡养的相应肠壁就会导致便秘情况的出现。因此,在对便秘情况进行治疗的过程当中,应当将治疗重点放置在养阴润燥以及补益气血,通过对肠道气机的通畅,实现对肠道蠕动等有效促进,生津润肠的同时实现患者便秘症状的有效缓解。对中医而言,针灸在慢性功能性便秘的治疗过程当中可起到非常好的治疗效果,文章正是基于该现象,来对慢性功能性便秘所具有的发病机制以及通过针灸进行治疗的具体知道机制作出深入的探索和分析。

Constipation is a common gastrointestinal digestive disorder,which refers to a state of irregular scheduling,accompanied by difficulty in defecation,dry fecesand defecationless than 2 ~ 3 times a week. The difference in the causeis the different types of constipation. Constipation has two types: Organic constipation and functional constipation( FC). The main clinical symptom of FC is that patients appearstool disorders and fecal difficulties and decreased times of defecation when the body does not have the premise of organic digestive diseases. This symptom more than 6 monthscan be diagnosed as chronic functional constipation( CFC). Patients with CFC have a relatively long period of defecation and there is no clear cause of the disease,but there is a close relationship between the patients’ defecation habits and eating habits and actual lifestyle. Chronic functional constipation causes great pain to patients. In the course of the treatment of this disease,the vast majority of Western medicine choose to prescribe enemas or laxatives and other drugs,hoping to make the patients’ clinical symptoms effectively alleviated. The problem is that the treatment of the drug selected will have a strong drug effect,and then the patients’ gastrointestinal tract has more serious injury. In addition,patients taking the drug are more likely to become drug-dependent,resulting in a sharp decline in treatment effectiveness. From the point of view of traditional Chinese medicine,CFC should belong to the disease of deficiency constipation. The pathogenic mechanism is due to the body’s Qi and blood,resulting in the corresponding intestinal weakness movement. The loss of the corresponding intestinal wall will lead to the emergence of constipation. Therefore,in the course of the treatment of constipation,the treatment should be placed in the treatment of nourishing Yin and moistening the dryness and supplementing Qi and blood,through the smooth flow of intestinal Qi,to achieve the effective promotion of intestinal peristalsis and at the same time to achieve effective relief of the patients’ constipation symptoms. For traditional Chinese medicine,acupuncture in the treatment process of CFC can play a very good therapeutic effect. Based on this phenomenon,this articlemade the in-depth exploration and analysis of the pathogenesis and specific understanding mechanism of acupuncture treating chronic functional constipation.