运用“脏腑合治”法治疗慢性阻塞性肺疾病便秘探微

A study on treating chronic obstructive pulmonary disease constipation by the combined treatment of internal organs therapy

慢性阻塞性肺疾病(简称慢阻肺)是一种导致肺功能损伤、呼吸困难的疾病。据调查,我国40岁以上人群总体慢阻肺患病率可达8.2%,严重影响患者的生命安全。临床工作中发现,肺系疾病患者住院治疗中常合并便秘等肠腑不适,大便是否通畅已经成为患者出院康复的一项重要指标,便秘是慢阻肺常见的一种并发症。临床研究也发现,慢阻肺发展程度与便秘症状呈正相关关系。慢阻肺患者经常会出现便秘情况,原因大多是患者长期呼吸困难,运动量少,导致身体缺氧、胃肠道蠕动减慢。临床上西医治疗虽能缓解慢阻肺患者的便秘症状,但患者易产生依赖,远期效果较差,病情反复恶性循环,大大影响了患者的生活质量,同时也增加了慢阻肺的治疗难度。文章结合临床,从中医学的整体理论出发,运用中药结合中医外治疗法调节肠腑功能,分享从“脏腑合治”理论角度辨证论治,辨证用药,内外兼治,减轻便秘的成功案例,符合中医审证求因,辨证论治的理念,一定程度上弥补了西医在治疗上的局限性,以期为临床治疗慢阻肺便秘提供新的思路。

Chronic obstructive pulmonary disease(COPD)is a disease that causes damage to lung function and difficulty breathing.According to the survey,the overall prevalence of COPD in people over 40 years old in China can reach 8.2%,which seriously affects the life safety of patients.In clinical work,it has been found that patients with pulmonary diseases are often complicated by constipation and other intestinal discomfort in hospitalization,and whether the stool is smooth has become an important indicator of patient discharge rehabilitation,constipation is a common complication of COPD,and clinical studies have also found that the degree of COPD development is positively correlated with constipation symptoms.Patients with COPD often have constipation,mostly due to long-term dyspnea and low exercise,resulting in hypoxia and slowed gastrointestinal peristalsis.Clinically,although Western medicine can alleviate the symptoms of constipation in COPD patients,patients are prone to dependence,longterm results are poor,and the condition is repeatedly vicious circle,which greatly affects the quality of life of patients and increases the difficulty of COPD treatment.This article combines clinical,starting from the overall theory of TCM,using TCM combined with external treatment of TCM,regulating the function of the intestines,sharing successful cases of differentiation treatment,differentiation medication,internal and external treatment,and alleviating constipation from the perspective of internal organs combined treatment theory,which is in line with the concept of TCM’s examination and seeking of causes and dialectical treatment,and to a certain extent makes up for the limitations of Western medicine in treatment,in order to provide new ideas for the clinical treatment of COPD constipation.