摘要
气血与便秘关系密切,气机郁滞,腑气通降失常则大便秘结;饮食劳倦,年老体弱,气虚阳衰,传导无力,而见便滞肠道;素体阴虚,阴亏血少,肠道失润而见大便干燥;瘀血内阻易阻止气机,气不行腑不通,发为便秘;瘀血不祛,新血不生,瘀血内结,无以生新血濡润大肠,发为便秘。中医导引可通过调和气血、疏通经络、调神治疗功能性便秘,根据《诸病源候论》导引法及其思路,编创治疗功能性便秘导引运动处方:上托下按、叫化功、呼字诀、揉腹等,动作幅度较小,更适合中老年功能性便秘患者。但目前中医导引宣传力度不够,且部分练习者并未掌握其基本功法原理,难达满意之效,未来可扩大导引的宣传力度,并将复杂术式简单化。
Qi and blood are closely related to constipation,stagnation of qi and abnormal flow of fu qi leading to constipation.Improper diet,fatigue,old age and weak physique,qi deficiency and yang decline,weak transmission,lead to constipation in the large intestine.Constant yin deficiency in the body,insufficient blood,and loss of lubrication in the intestines lead to dry stools.Blood stasis can easily block the qi flow,leading to unsmooth qi and obstruction of the internal organs,resulting in constipation.If blood stasis is not removed,new blood will not generate,blood stasis will accumulate inside the body,and there is no way to produce new blood to moisten the large intestine,leading to constipation.TCM conducting exercise can treat functional constipation by regulating qi and blood,unblocking meridians,and calming the mind.Based on the method of conducting exercise and its ideas in Treatise on the Origins and Manifestations of Various Diseases,a series of formulas for treating functional constipation with conducting exercise are created,which include holding up and pressing down,beggar's exercise,"Hu"pithy formula,rubbing the abdomen,etc.,with a smaller range of movements,making it more suitable for middle-aged and elderly patients with functional constipation.However,currently propaganda intensity of TCM conducting exercise is not enough,and some practitioners have not mastered their basic principles,making it difficult to achieve satisfactory results.In the future,the propaganda intensity of conducting exercise can be expanded,and complex techniques should be simplified.
作者
龚卓之
谢继鼎
代金刚
GONG Zhuozhi;XIE Jiding;DAI Jingang(Wangjing Hospital of CACMS,Beijing,China,100102;Experimental Research Center,China Academy of Chinese Medical Sciences,Beijing Key Laboratory of Basic Research on Traditional Chinese Medicine Prevention and Treatment of Major Diseases,Beijing,China,100700)
出处
《河南中医》
2024年第6期849-852,共4页
Henan Traditional Chinese Medicine
基金
中国中医科学院科技创新工程项目(CI2021A00205)。
关键词
功能性便秘
导引
上托下按
叫化功
呼字诀
揉腹
functional constipation
conducting exercise
holding up and pressing down
beggar's exercise
"Hu"pithy formula
rubbing the abdomen
