刘绍能教授运用风药治疗便秘经验

Clinical Experience of Professor LIU Shaoneng in Treatment of Constipation by Using Wind Herbs

风药是一类质轻味薄,且具有升散、通行特性的药物,功能祛除外风、平熄内风,主要用于调理气机。此类药物辛香走窜,能疏达肝气,并助脾气升腾,在脾胃病治疗中配伍风药常能取得较好的效果。刘绍能教授善用风药治疗便秘,认为治疗便秘时首先应以辨证分型为基础,顺应便秘不同证型特点及具体药物特性,遵循辨证论治原则使用风药。根据多年临床经验,刘教授认为应用风药时用量宜轻,药味宜精,且注重配伍他药以取风药之长兼制约风药之弊,临床疗效较佳。通过跟随刘教授出诊,查阅相关文献及古籍,收集相关病例,总结、整理了刘绍能教授在治疗便秘中运用风药的方法和经验,并附病案1例,以期为便秘治疗提供新思路。

Wind herbs are a kind of medicines which is lightweight and thin-flavored,and has the characteristics of lifting and dispersing.This kind of medicine can dispel the outside wind or calm the inside wind,and it is mainly used to regulate the activity of Qi.These herbs are pungent warm which can soothe the liver,regulate vital energy and tonify spleen Qi.Compatibility of these herbs for treating some spleen and stomach diseases can usually get a very good effect.Professor LIU Shaoneng treated constipation well by using wind herbs.He advocated that the treatment of constipation should be on the basis of dialectical therapy,and adapted to different syndrome characteristics and drug properties.The principal of using wind herbs should also be based on dialectical therapy.Based on years of clinical experience,professor LIU argued the dosage of wind herbs should be light and the taste should be refined in clinical applications,he also laid emphasis on compatibility with other herbs to take the advantages of wind herbs and restrict the disadvantages.By following professor LIU's clinics,reading relevant literature ancient writings,and collecting clinical cases,we summarized the clinical experience of professor LIU Shaoneng in treatment of constipation by using wind herbs,and accompanied with a typical case,in order to provide new ideas for the treatment of constipation.