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经典名方济川煎主治“肾虚便秘”辨惑 被引量:9
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作者 贺亚星 韩滋芸 +3 位作者 黄兰琳 余炳辉 王大伟 严夏 《中国实验方剂学杂志》 CAS CSCD 北大核心 2022年第9期192-197,共6页
济川煎出自明代医家张景岳所著的《景岳全书》,由当归、牛膝、肉苁蓉、泽泻、升麻及枳壳6味药物组成,是国家中医药管理局首批公布的百首经典名方之一。原书载“凡病涉虚损,而大便闭结不通,则硝、黄攻击等剂必不可用,若势有不得不通者,... 济川煎出自明代医家张景岳所著的《景岳全书》,由当归、牛膝、肉苁蓉、泽泻、升麻及枳壳6味药物组成,是国家中医药管理局首批公布的百首经典名方之一。原书载“凡病涉虚损,而大便闭结不通,则硝、黄攻击等剂必不可用,若势有不得不通者,宜此主之。”笔者通过古今文献考证发现济川煎的功效主治存在古今演变,明清及近代医籍中其主治多是以原书记载的“虚性便秘”为根本展开,而现代则多围绕肾(阳)虚便秘、阴亏便秘展开,尤其是现代以来,中医院校规划教材中将济川煎的主治功效描述为肾虚便秘,笔者对此存在疑惑,并积极响应习总书记的号召,加强古典医籍精华的梳理和挖掘,以《景岳全书》为基础,通过原文探析、药物组成、溯源及后世发挥3个方面进行分析论证,得出济川煎是因“虚人便秘,津液亏虚,法当急下”而设,治疗虚人津亏便秘证,而非现代教材所描述的“肾虚便秘”证。济川煎的创立有渊源,后世医家从肝肾角度、土湿木郁来理解济川煎也蕴含一定道理,但还有待临床进一步挖掘和验证。通过对济川煎功效主治的梳理与讨论,可为今后经典名方济川煎的临床应用及现代开发提供理论依据与参考。 展开更多
关键词 济川煎 功效主治 便 虚人便秘 津亏便 土湿木郁
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Clinical study on Tuina plus umbilical therapy for senile functional constipation
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作者 Gong Xu-fang 《Journal of Acupuncture and Tuina Science》 CSCD 2021年第6期438-443,共6页
Objective To observe the clinical efficacy of Tuina(Chinese therapeutic massage)plus umbilical therapy for senile functional constipation due to Qi deficiency of lung and spleen.Methods A total of 60 patients who met ... Objective To observe the clinical efficacy of Tuina(Chinese therapeutic massage)plus umbilical therapy for senile functional constipation due to Qi deficiency of lung and spleen.Methods A total of 60 patients who met the inclusion criteria were randomly divided into a control group and an observation group by the random number table method,with 30 cases in each group.The patients in the control group were given lactulose oral solution,while the patients in the observation group were treated with Tuina and umbilical therapy.After two weeks of treatment,the scores of the Wexner continence grading scale(WCGS)and patient assessment of constipation-quality of life questionnaire(PAC-QOL)were observed.The effective rates in the two groups were compared.Results After two weeks of treatment,the total effective rate in the observation group was 90.0%,while that in the control group was 76.7%,presenting a significant difference between the two groups(P<0.05).There were no significant differences in the WCGS and PAC-QOL scores between the two groups before treatment(P>0.05).After two weeks of treatment,the WCGS and PAC-QOL scores of both groups decreased significantly compared with those before treatment(P<0.05),and the two scores in the observation group were lower than those in the control group(P<0.05).Conclusion The efficacy of Tuina plus umbilical therapy for senile functional constipation is confirmed.This method can improve patients’quality of life.Its efficacy is better than that of taking lactulose oral solution. 展开更多
关键词 TUINA MASSAGE Point Shenque(CV 8) Administration on Umbilicus Acupoint Sticking Therapy CONSTIPATION Qi Deficiency of Spleen and Lung Aged
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