基于"膜络一体"理论探讨从理脾阴论治慢传输型便秘机理OA

Slow transit constipation is a common refractory disease in proctology,often persistent and difficult to cure,seriously affecting the overall quality of patients'life.Modern medicine believes that it is mainly related to colorectal neuromuscular dysfunction,chronic inflammation,changes in the intestinal microbiome,etc.The view of"integration of membrane and collaterals"in traditional Chinese medicine holds that the reticular system of the membrane system and collateral is functionally consistent with the"spleen-earth",with its material basis for its functional implementation relying on the"spleen yin".Based on the theory of spleen yin deficiency,starting from the holistic theory,and guided by the theory of membrane and collateral diseases,this paper explores the etiology and pathogenesis of"Zhong Xu Bian Bian".This study posits that"Zhong Xu"leads to impaired transportation and transformation,and the obstruction of the pivot for ascending the clear and descending the turbid.Initially,the qi and blood in the membrane and collateral are stagnated,and the functions of qi and fluid are disordered;Prolonged conditions result in the collaterals change and the membrane damage,ultimately leading to the dysfunction of the intestine conduction and the occurrence of"Bian Bian".For the treatment strategy of slow transit constipation,regulating the spleen yin with sweet and mild herbs should be regarded as the primary method,while also considering ming men,supplemented by dredging sanjiao membrane system.