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基于"木郁达之"理论论治功能性便秘合并情绪障碍OA

Treatment of Functional Constipation Complicated with Emotional Disorders Based on the Theory of"Facilitating Stagnant Liver"

中文摘要英文摘要

本文介绍赵斌教授基于"木郁达之"理论论治功能性便秘(FC)合并情绪障碍的临床经验.赵斌教授长期从事盆底功能障碍性疾病及肛门直肠疾病的临床研究,其指出中医药治疗FC具有独特优势,认为FC合并情绪障碍的核心病机为肝郁脾虚、气机失调,病位主要涉及肝、脾、大肠.赵斌教授临证结合"木郁达之"理论,以"达之"为基本治则,确立疏肝健脾、润肠行气、解郁安神的治法,标本同治,身心共调,灵活运用逍遥散合麻子仁丸加减,并辅以其他疗法,旨在平衡阴阳、调畅气机、恢复脏腑功能,临床疗效确切.附验案一则,以资佐证.

This paper introduced Professor ZHAO Bin's clinical experience in treating functional constipation(FC)complicated by emotional disorders based on the theory of"facilitating stagnant liver".Professor ZHAO Bin has long been engaged in the clinical research of pelvic floor dysfunction diseases and anorectal diseases.He pointed out that traditional Chinese medicine had unique advantages in the treatment of FC,and held that the core pathogenesis of FC combined with emotional disorders was liver depression and spleen deficiency as well as disorder of Qi movement,with the disease location mainly involving the liver,spleen,and large intestine.Clinically guided by the theory of"facilitating stagnant liver",Professor ZHAO Bin took"releasing stagnation"as the basic treatment principle,and formulated the therapeutic methods of soothing liver,invigorating spleen,moistening intestines,moving qi,relieving depression,and tranquilizing mind.He treated both manifestation and root cause,and regulated the body and mind simultaneously.The modified Xiaoyao Powder combined with Maziren Pills was flexibly applied,supplemented by other auxiliary therapies,aiming to balance Yin and Yang,smooth Qi movement,and restore visceral functions,with definite clinical efficacy.One proven case was attached for clinical reference.

陈燕萍;赵斌

福建中医药大学附属厦门中医院(福建 厦门 361000)福建中医药大学附属厦门中医院(福建 厦门 361000)

功能性便秘情绪障碍木郁达之逍遥散麻子仁丸名医经验

functional constipationemotional disordersfacilitating stagnant liverXiaoyao PowderMaziren Pillsfamous doctor's experience

《基层中医药》 2026 (5)

12-17,6

2025年度福建省自然科学基金计划项目(2025J011450)

10.20065/j.cnki.btcm.20260110

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