中医药治疗功能性便秘研究进展
|
摘要
功能性便秘的发病率逐年上升趋势,西医治疗功能性便秘的药物主要是刺激性泻剂,渗透性泻剂以及润滑性泻剂等,多为对症处理,效果不佳且副作用明显。功能性便秘属于中医"便秘""大便难"等范畴。中医药在治疗功能性便秘上展现出较大优势:安全性好,疗效确切。现通过相关文献进行搜集、整理,从中医病因病机,中医药治疗:内治法、内外同治法、外治法等方面综述,以期为该病中医药治疗提供参考。
The incidence of functional constipation is increasing year by year. Western medicine for the treatment of functional constipation is mainly irritant laxatives, osmotic laxatives and lubricative laxatives. Most of them are symptomatic treatments, with poor results and obvious side effects. Functional constipation belongs to the categories of "constipation" and "difficult stool" in Chinese medicine. Traditional Chinese medicine has shown great advantages in the treatment of functional constipation as good safety and exact curative effect. Through the relevant literature for collection, sorting, from the Chinese medicine etiology and pathogenesis,Chinese medicine treatment as internal treatment, internal and external treatment, external treatment and other aspects were reviewed,in order to provide reference for Chinese medicine in the treatment of functional constipation.
The incidence of functional constipation is increasing year by year. Western medicine for the treatment of functional constipation is mainly irritant laxatives, osmotic laxatives and lubricative laxatives. Most of them are symptomatic treatments, with poor results and obvious side effects. Functional constipation belongs to the categories of "constipation" and "difficult stool" in Chinese medicine. Traditional Chinese medicine has shown great advantages in the treatment of functional constipation as good safety and exact curative effect. Through the relevant literature for collection, sorting, from the Chinese medicine etiology and pathogenesis,Chinese medicine treatment as internal treatment, internal and external treatment, external treatment and other aspects were reviewed,in order to provide reference for Chinese medicine in the treatment of functional constipation.
引文
[1]李桂荣,王英凯,唐岚.功能性便秘的研究进展[J].中国老年学杂志,2011,31(12):2372-2375.
[2]马晶晶,董冰.芪黄通秘软胶囊治疗功能性便秘的临床观察[J].现代药物与临床,2015,30(1):74-78.
[3]秦国累,朱莹.朱莹治疗功能性便秘经验[J].湖南中医杂志,2016,32(4):27-28.
[4]刘丛丛,刁双双,李元涛,等.李国栋辨证治疗慢性功能性便秘经验[J].北京中医药,2016,35(2):130-131.
[5]许杰峰,钱静燕,唐晨.许庸勋治疗功能性便秘的经验[J].江苏中医药,2016,48(8):17-18.
[6]曹小键,司雁菱,王美杰,等.理气润肠方治疗慢性功能性便秘临床疗效观察[J].陕西中医,2015,36(9):1152-1154.
[7]鲍新坤,林爱珍.归芪活血调秘方法治疗中老年功能性便秘疗效观察[J].光明中医,2015,30(12):2577-2578.
[8]姜华,冯丈哲,高强强.浅说通调三焦法治疗功能性便秘的作用机理[J].陕西中医,2014,35(9):1222-1223.
[9]吴义春,王德辰,苏泽琦,等.从湿滞论治便秘新探[J].环球中医杂志,2016,6(6):709-712.
[10]吴桐,姚树坤.姚树坤教授论治功能性便秘经验[J].世界中医药,2015,10(1):67-69.
[11]陆艳,李果烈.李果烈治疗老年性便秘经验[J].河南中医,2015,35(3):503-504.
[12]石玉迎,李辉,郑丽华.浅析疏肝解郁法治疗慢性功能性便秘[J].中华中医药杂志,2017,32(8):3549-3550.
[13]江黎,冯方俊.大承气汤加减治疗脑卒中后功能性便秘临床观察[J].实用中医药杂志,2017,33(9):1007-1008.
[14]刘小艳,柳青.健脾消秘汤治疗功能性便秘60例[J].光明中医,2015,30(6):1248-1249.
[15]张瑛,包向东,傅睿,等.益肾增液汤治疗老年功能性便秘临床研究[J].中华中医药学刊,2015,33(1):143-145.
[16]周静.补气宣上通下汤治疗功能性便秘136例观察[J].实用中医药杂志,2014,30(12):1087.
[17]李静君,麻倩,刘宝林,等.健脾益肾通便法治疗功能性便秘87例临床观察[J].河北中医,2015,37(2):195-196.
[18]马晶晶,董冰.芪黄通秘软胶囊治疗功能性便秘的临床观察[J].现代药物与临床,2015,30(1):74-78.
[19]谭红.加减济川煎治疗老年功能性便秘的临床疗效[J].实用中西结合临床,2017,17(10):63-65.
[20]马洪萍,熊念海,张昶,等.补肾健脾通便颗粒治疗脾肾阳虚型慢性功能性便秘的临床研究[J].医学综述,2013,19(6):3061-3063.
[21]于芳.桃红四物汤治疗老年便秘32例[J].光明中医,2013,28(9):1838-1839.
[22]贾丽娟.柴胡疏肝散加减治疗功能性便秘的临床观察[J].湖北中医杂志,2016,38(1):46-47.
[23]李兴才,攀春华,叶丽红.穴位注射配合中药内服治疗慢性功能性便秘临床观察[J].浙江中西医结合杂志,2015,25(4):358-360.
[24]许奋.推拿联合中药内服治疗儿童功能性便秘(虚证)61例疗效观察[J].中医儿科杂志,2015,11(2):64-67.
[25]黄斌,刘仍海.温阳健脾中药联合穴位埋线治疗功能性便秘临床观察[J].中华中医药学刊,2016,34(4):826-828.
[26]刘磊,艾合麦提·色依提.自拟运脾疏肝活血汤合穴位艾灸治疗成人功能性便秘80例临床观察[J].云南中医中药杂志,2017,38(8):30-31.
[27]金瑞环,叶方盖.消胀通便贴贴敷神阙穴治疗慢性功能性便秘临床观察[J].新中医,2018,50(11):177-179.
[28]张淼,刘华生,高丽娟.温针灸联合穴位敷贴治疗阳虚便秘的临床疗效研究[J].针灸临床杂志,2015,31(5):29-31.
[29]尹平,晧文霞,徐世芬.穴位埋线治疗功能性便秘临床疗效观察[J].四川中医,2016,34(11):180-182.
[30]赵燕.穴位注射治疗功能性便秘46例[J].中国民间疗法,2017,25(9):26.
[31]孙纪峰,王亮,张艳,等.针刺治疗功能性便秘40例临床研究[J].江苏中医药,2016,48(12):61-62.
[32]封以生,陈洪林,吴诗城,等.穴位按摩治疗功能性便秘35例疗效观察[J].湖南中医杂志,2017,33(2):74-75.
[33]廖威,孔欣,赵庚洋,等.艾灸疗法治疗功能性便秘40例临床观察[J].世界中医药,2015,10(11):497.
[34]张云波,韦素丹,韦淑宁.壮医四方木疗法治疗脾肾阳虚型功能性便秘疗效观察[J].广西中医药,2014,37(6):52-54.
[35]卢泽强.针灸配合推拿治疗功能性便秘55例[J].针灸临床杂志,2014,30(11):27-28.
[36]钱宗刚.中药辨证治灌肠治疗功能性便秘临床观察[J].中国农村卫生,2014(6):29-80.
[2]马晶晶,董冰.芪黄通秘软胶囊治疗功能性便秘的临床观察[J].现代药物与临床,2015,30(1):74-78.
[3]秦国累,朱莹.朱莹治疗功能性便秘经验[J].湖南中医杂志,2016,32(4):27-28.
[4]刘丛丛,刁双双,李元涛,等.李国栋辨证治疗慢性功能性便秘经验[J].北京中医药,2016,35(2):130-131.
[5]许杰峰,钱静燕,唐晨.许庸勋治疗功能性便秘的经验[J].江苏中医药,2016,48(8):17-18.
[6]曹小键,司雁菱,王美杰,等.理气润肠方治疗慢性功能性便秘临床疗效观察[J].陕西中医,2015,36(9):1152-1154.
[7]鲍新坤,林爱珍.归芪活血调秘方法治疗中老年功能性便秘疗效观察[J].光明中医,2015,30(12):2577-2578.
[8]姜华,冯丈哲,高强强.浅说通调三焦法治疗功能性便秘的作用机理[J].陕西中医,2014,35(9):1222-1223.
[9]吴义春,王德辰,苏泽琦,等.从湿滞论治便秘新探[J].环球中医杂志,2016,6(6):709-712.
[10]吴桐,姚树坤.姚树坤教授论治功能性便秘经验[J].世界中医药,2015,10(1):67-69.
[11]陆艳,李果烈.李果烈治疗老年性便秘经验[J].河南中医,2015,35(3):503-504.
[12]石玉迎,李辉,郑丽华.浅析疏肝解郁法治疗慢性功能性便秘[J].中华中医药杂志,2017,32(8):3549-3550.
[13]江黎,冯方俊.大承气汤加减治疗脑卒中后功能性便秘临床观察[J].实用中医药杂志,2017,33(9):1007-1008.
[14]刘小艳,柳青.健脾消秘汤治疗功能性便秘60例[J].光明中医,2015,30(6):1248-1249.
[15]张瑛,包向东,傅睿,等.益肾增液汤治疗老年功能性便秘临床研究[J].中华中医药学刊,2015,33(1):143-145.
[16]周静.补气宣上通下汤治疗功能性便秘136例观察[J].实用中医药杂志,2014,30(12):1087.
[17]李静君,麻倩,刘宝林,等.健脾益肾通便法治疗功能性便秘87例临床观察[J].河北中医,2015,37(2):195-196.
[18]马晶晶,董冰.芪黄通秘软胶囊治疗功能性便秘的临床观察[J].现代药物与临床,2015,30(1):74-78.
[19]谭红.加减济川煎治疗老年功能性便秘的临床疗效[J].实用中西结合临床,2017,17(10):63-65.
[20]马洪萍,熊念海,张昶,等.补肾健脾通便颗粒治疗脾肾阳虚型慢性功能性便秘的临床研究[J].医学综述,2013,19(6):3061-3063.
[21]于芳.桃红四物汤治疗老年便秘32例[J].光明中医,2013,28(9):1838-1839.
[22]贾丽娟.柴胡疏肝散加减治疗功能性便秘的临床观察[J].湖北中医杂志,2016,38(1):46-47.
[23]李兴才,攀春华,叶丽红.穴位注射配合中药内服治疗慢性功能性便秘临床观察[J].浙江中西医结合杂志,2015,25(4):358-360.
[24]许奋.推拿联合中药内服治疗儿童功能性便秘(虚证)61例疗效观察[J].中医儿科杂志,2015,11(2):64-67.
[25]黄斌,刘仍海.温阳健脾中药联合穴位埋线治疗功能性便秘临床观察[J].中华中医药学刊,2016,34(4):826-828.
[26]刘磊,艾合麦提·色依提.自拟运脾疏肝活血汤合穴位艾灸治疗成人功能性便秘80例临床观察[J].云南中医中药杂志,2017,38(8):30-31.
[27]金瑞环,叶方盖.消胀通便贴贴敷神阙穴治疗慢性功能性便秘临床观察[J].新中医,2018,50(11):177-179.
[28]张淼,刘华生,高丽娟.温针灸联合穴位敷贴治疗阳虚便秘的临床疗效研究[J].针灸临床杂志,2015,31(5):29-31.
[29]尹平,晧文霞,徐世芬.穴位埋线治疗功能性便秘临床疗效观察[J].四川中医,2016,34(11):180-182.
[30]赵燕.穴位注射治疗功能性便秘46例[J].中国民间疗法,2017,25(9):26.
[31]孙纪峰,王亮,张艳,等.针刺治疗功能性便秘40例临床研究[J].江苏中医药,2016,48(12):61-62.
[32]封以生,陈洪林,吴诗城,等.穴位按摩治疗功能性便秘35例疗效观察[J].湖南中医杂志,2017,33(2):74-75.
[33]廖威,孔欣,赵庚洋,等.艾灸疗法治疗功能性便秘40例临床观察[J].世界中医药,2015,10(11):497.
[34]张云波,韦素丹,韦淑宁.壮医四方木疗法治疗脾肾阳虚型功能性便秘疗效观察[J].广西中医药,2014,37(6):52-54.
[35]卢泽强.针灸配合推拿治疗功能性便秘55例[J].针灸临床杂志,2014,30(11):27-28.
[36]钱宗刚.中药辨证治灌肠治疗功能性便秘临床观察[J].中国农村卫生,2014(6):29-80.