老年慢性便秘的中医病机分析及调肠汤组方特点的探讨

Analysis of the TCM pathogenesis of senile chronic constipation and prescription characteristics of Tiaochang Decoction

目的本文通过探讨老年慢性便秘的中医病机及调肠汤的组方特点,为诊治老年慢性便秘提供经验与思路。方法结合老年人的特点,从脏腑、气机、病理因素等方面探讨老年慢性便秘的中医病机。结合甘爱萍教授治疗老年慢性便秘的思想分析其经验方调肠汤的用药特点。结果老年慢性便秘的中医病机归纳为“气阴两虚是核心”“气郁瘀热是重点”。调肠汤的组方特点归纳为“以补为通,阴阳平调”“调气助行,升清降浊”“祛邪治标,谨守正气”。结论调肠汤的组方用药契合老年慢性便秘的中医病机特点,值得临床推广。

Objective To explore the TCM pathogenesis of senile chronic constipation and the prescription characteristics of Tiaochang Decoction,so as to provide experience and ideas for the treatment of senile chronic constipation.Methods Combined with the characteristics of the elderly,the TCM pathogenesis of senile chronic constipation was explored in terms of viscera,Qi activity and pathological factors.Based on Professor Gan Aiping’s thought on treating senile chronic constipation,this study analyzed the characteristics of the experiential prescription Tiaochang Decoction.Results The TCM pathogenesis of senile chronic constipation can be summarized as follows:“deficiency of Qi and Yin as the core”,and“Qi depression and heat stasis as the key”.The ingredients of Tiaochang Decoction were characterized by“invigorating for being unobstructed,coordinating Yin and Yang”,“regulating Qi to help the movement,ascending lucidity and descending turbidity”,“eliminating pathogen,curing symptoms and keeping the healthy Qi”.Conclusion The prescription of Tiaochang Decoction fits the pathogenesis characteristics of senile chronic constipation and is worthy of clinical promotion.