国医大师张志远治疗便秘的临证经验

Experience of TCM master ZHANG Zhi-yuan in treating constipation

国医大师张志远教授,临床经验丰富,临证治疗便秘遣方用药灵活,在化裁古方的基础上,古方新用,创用新方,治疗效果显著。主张从清热润燥、温阳散寒、疏肝理脾和益气滋阴等方面入手,常运用大、小承气汤化裁治疗实热型便秘、四逆散加味治疗肝郁脾约型便秘、炙甘草汤治疗气阴两虚型便秘、桂枝加厚朴杏子汤加减治疗脾肾虚寒型便秘,以及八味润肠丸治疗大肠传导失司所致便秘,突出了治病求本、辨证施治的诊治思想。

Professor ZHANG Zhi-yuan is a TCM master,who has rich clinical experience and is good at treating constipation with flexible prescription. In addition to the flexible use of ancient prescriptions,he also used and created new ones,and the clinical effect was remarkable. This article mainly introduces professor ZHANG’s use of Da Chengqi Decoction and Xiao Chenqi Decoction for the treatment of excess-heat constipation,Sini Powder for the treatment of liver depression and spleen deficiency constipation,Zhigancao Decoction for the treatment of qi and yin deficiency constipation,Guizhi Jia Houpu Xingzi Decoction for the treatment of deficiency-cold constipation and Bawei Runchang Pills for constipation caused by large intestine conduction dysfunction. He highlights the therapeutic thought of searching for the primary cause of disease and treatment based on syndrome differentiation.