文章摘要
林爱珍教授从肝脾论治便秘的临床经验
Professor Lin Aizhen"s clinical experience from liver and spleen
DOI:
中文关键词: 林爱珍  便秘  从肝脾论治  名医经验
英文关键词: Lin Aizhen  constipation  from the liver and spleen on treatment  famous doctor experience
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作者单位邮编
杜燕红 湖北省中医院肛肠科 430061
王军 湖北省中医院肛肠科 
尹诗文 湖北省中医院肛肠科 
林爱珍* 湖北省中医院肛肠科 
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中文摘要:
      便秘是消化系统最常见的病症之一,表现为排便困难和(或)排便次数减少(每周自发排便少于3次)、粪质干硬。多因饮食不节,燥热内结,情志失调或素体亏虚等,致大肠失于濡润,传导功能失常,而便结难出。古代文献中又称“大便难”、“脾约”、“秘涩”、“秘结”等。本病可见于各年龄人群,发病率在3%~21%之间,女性明显高于男性,在60岁以上老年人群的患病率可高达15%~20%,且患病率随年龄增长明显增加[[[] 柯美云,王英凯.老年人慢性便秘的流行病学和研究进展。便秘虽不危及生命,但明显影响患者的生活质量,引起焦虑、抑郁等精神心理障碍,加重社会的经济负担,长期、严重的便秘会增加心脑血管意外的发生率,增加大肠癌、乳腺癌的发病危险。林爱珍教授系博士生导师、第七批全国老中医药专家学术经验继承工作指导老师、全国第三批优秀中医临床人才、全国中医肛肠学科名专家、昙华林名医,深耕中医肛肠领域逾三十载,传承创新,既善于抽丝剥茧抓主要矛盾、运用经方异病同治,又善于把握患者的个体化差异精准施治;擅用脏腑辨证,临证喜用经方。现笔者将第七批师承学习期间跟随导师林爱珍教授出诊中从肝脾论治便秘的临床经验、临证思维和用药技巧进行归纳总结,以飨同道。
英文摘要:
      Constipation is one of the most common symptoms of the digestive system, which is manifested by defecation difficulty and (or) reducing the number of defecation (the frequency of spontaneous defecation is less than 3 times per week), and dry and hard feces. Because of diet, hot and dry internal knot, emotional disorders or physical deficiency, resulting in the large intestine lost in moisten, conduction function disorder, and it is difficult to produce . In ancient literature, it is also called "difficult stool", "spleen about", "secret astringent", "secret knot" and so on. This disease can be seen in all age groups, the incidence is between 3% and 21%, women are significantly higher than men, the prevalence of the elderly population over 60 years old can be as high as 15%~20%, and the prevalence increases significantly with the increase of age. Although constipation is not life-threatening, it obviously affects the quality of life of patients, causes anxiety, depression and other mental disorders, and aggravates the economic burden of the society. Long-term and severe constipation will increase the incidence of cardiovascular and cerebrovascular accidents, and increase the risk of colorectal cancer and breast cancer. Professor Lin Aizhen is a doctoral supervisor, the seventh batch of national old TCM experts academic experience inheritance guidance teachers, the third batch of national outstanding TCM clinical talents, national experts of traditional Chinese medicine anorectal experts, famous Hualin, deep anorectal field of traditional Chinese medicine, inheritance and innovation, both good at grasping the main contradiction, and use the same, grasp the patients; using the individualized differences and using the prescription. Now the author will summarize the clinical experience, temporary thinking and medication skills of the treatment of constipation from the liver and spleen during the seventh batch of learning period, so as to provide the colleagues.
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