刘群教授治疗功能性便秘临证经验

Professor Liu Qun's Clinical Experience in Treating Functional Constipation

功能性便秘是消化科常见病,以大便次数减少、粪质干结、排便不尽感为主要临床表现,严重影响患者的身心健康和生活质量。刘群教授从事中医治疗消化道疾病研究多年,认为脾虚肝郁是功能性便秘的核心病机,发病因素包括饮食不节、情志不遂等,治疗以健脾疏肝、滋阴润肠为关键,调脾胃、畅肝气,使肠道通降功能趋于正常。该文整理了刘群教授治疗功能性便秘的临证经验,以期为临床辨证治疗功能性便秘提供更多的思路和方向。

Functional constipation is a common disease in gastroenterology department,and the main clinical manifestations include the decreased frequency of defecation,dry stools,and the feeling of incomplete defecation,which seriously affect the patient's physical and mental health as well as quality of life.Professor Liu Qun has been engaged in research on the TCM treatment of digestive tract diseases for years,and proposes that liver depression and spleen deficiency is the core pathogenesis of functional constipation.The improper diet and emotional upsets are the pathogenic factors.The key treatment principles are invigorating spleen,soothing liver,nourishing yin and moistening intestines.By regulating the spleen and stomach and soothing the liver Qi,the intestine resumes its function of defecation.This paper sorts the clinical experience of Professor Liu Qun in treatment of functional constipation,aiming to provide more ideas and directions for the treatment of functional constipation based on clinical syndrome differentiation.