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中医学认为,老年便秘是由于阴阳失调,气血虚弱,脏腑功能衰退而导致大肠传导不利,津液不足之故。笔者根据八纲辨证和脏腑辨证等原则,将老年便秘分为肾水不足便秘,治以滋阴生肾水为法,六味地黄丸为代表方;气阴两虚便秘,治以益气养阴,润肺通便为法,加味生脉散为代表方;中气不走便秘,治以调补脾胃,益气升阳为法,补中益气汤为代表方;脏寒便秘,治以温肾逐寒,通阳泻浊为法,加味半硫丸为代表方。
Chinese medicine believes that elderly constipation is due to the imbalance of yin and yang, qi and blood weakness, organ dysfunction caused by adverse conduction of the large intestine, body fluid inadequate. The author based on the eight syndrome differentiation and viscera syndrome differentiation and other principles, the elderly constipation is divided into kidney deficiency constipation, Zhizi Zhixin kidney water for the law, represented by Liu Wei Di Huang Wan; Qi and Yin constipation, governance to Qi Yin, Lungs and catharsis for the law, add Shengmaisan as the representative party; in the gas does not take constipation, rule to adjust the spleen and stomach, Qi Yang as the law, Bu Zhong Yi Qi Tang as the representative side; dirty constipation, governance temperature Kidney cold, Tong Yang diarrhea for the law, add half-sulfur pills on behalf of the party.