| Objective:A questionnaire was given to the patients diagnosed as functional constipation in the outpatient and ward of spleen and stomach department of Tianjin Institute of traditional Chinese Medicine.The general situation,related factors and TCM symptoms of the patients were collected.The distribution of clinical TCM syndromes of functional constipation(Functional C onstipation)was analyzed.This paper summarizes Professor Liu Huayi’s understanding of functional constipation and Professor Liu’s clinical experience and medication rules,and provides the basis for the diagnosis and treatment of functional constipation in traditional Chinese medicine.Methods:1.Clinical study.Referring to the relevant literature of functional constipation,referring to the opinions and consensus of experts and scholars,formulating the questionnaire on the condition of functional constipation,collecting the general situation of functional constipation patients,related factors,symptoms of traditional Chinese medicine,To analyze the distribution characteristics of clinical syndrome in patients with functional constipation.All the data of this clinical trial were analyzed by SPSS 20.0 statistical software.2.Professor Liu Huayi’s clinical experience in the treatment of functional constipation was summarized.By collecting the medical records of Professor Liu Huayi in the treatment of functional constipation,Professor Liu Huayi’s understanding of the etiology and pathogenesis of functional constipation,the treatment of principles and the law of drug use were summarized.Results:1.This study included 188 patients with functional constipation,according to population distribution and syndrome distribution statistics,the results are as follows:(1)Demographic characteristics of FC patients are:Young patients slightly more than middle-aged and elderly patients,female patients more than men.FC patients with normal BMI index were the most common,with 25% of patients BMI higher than normal.The number of FC patients drinking less than 1500 ml is the largest;the diet with meat,salty and spicy more.The most common symptoms in 188 patients in this study were prolonged defecation time,dry stool knot,abdominal distension,fatigue and discomfort.(2)Distribution characteristics of syndromes in FC patients:There are differences in the distribution of TCM syndrome types,the specific frequency sequence of syndrome types is: intestinal heat syndrome is the most common,accounting for29.79;followed by liver and kidney yin deficiency syndrome,accounting for 20.74,liver and stomach disharmony syndrome,accounting for 18.62;lung and spleen qi deficiency syndrome,accounting for 17.02;spleen and kidney yang deficiency syndrome,accounting for13.83.There was a correlation between liver and stomach disharmony in FC syndrome type and middle-aged group.Other related factors passed chi-square test,and the p value was greater than 0.05,indicating that the difference was not statistically significant.Of all the syndromes,intestinal heat syndrome was the most common,while liver and kidney yin deficiency syndrome was the most common in elderly patients,spleen and kidney yang deficiency syndrome was the most common in overweight and obese patients,and liver and stomach disharmony was the most common in light and salty FC patients.2.Professor Liu Huayi believes that most of the FC damage the function of spleen and stomach transportation because of diet loss,love to eat fat and sweet taste,emotional failure,etc.,resulting in loss of health,or heat injury,intestinal body fluid loss,unable to promote the downward movement of feces and hair as a FC.Liu Shi treatment to pass as the first priority,or Qi or deficiency,do not blindly use the method of attack,so as not to damage qi caused by exacerbation of the disease.Although FC disease is located in large intestine,it is closely related to spleen,stomach,lung,liver and kidney.Treatment should be detailed syndrome differentiation,intestinal heat syndrome should be diarrhea heat stagnation,moisturizing intestines and defecation,prescription with pockmarked Ren pills;lung and spleen deficiency syndrome should invigorate qi and intestines,invigorate spleen and water,prescription with Huangqi decoction;liver and stomach disharmony syndrome should soothe liver and stomach,prescription with Bupleurum Shugan Powder;spleen and kidney yang deficiency syndrome should warm spleen and kidney,prescription with Jichuan decoction;liver and kidney syndrome should tonify liver and kidney,prescription with Liuwei Dihuang pills Yin deficiency.Professor Liu Huayi treated FC with Atractylodes macrocephala and other drugs,the clinical effect is remarkable.Conclusion:1.The results of this study showed that the occurrence and development of FC were related to sex and age,the prevalence rate of young female patients was higher,the occurrence of FC was related to diet,emotional disorder,eating spicy fat and sweet taste,less drinking water,indicating that healthy lifestyle and reducing psychological stress were beneficial to the treatment of FC.FC TCM syndrome type is more,clinical treatment should distinguish the deficiency and reality in detail,clinical treatment can refer to this syndrome type distribution.2.Professor Liu Huayi believes that FC disease is located in the intestine and is closely related to the lung,liver,spleen and kidney.In treatment,we should take Ma Zi Ren Pill as the main point,reduce heat and stagnation with Ma Zi Ren Pill,nourish qi and moisten intestines with Huangqi decoction,soothe liver and stomach with Bupleurum Shugan Powder,warm spleen and kidney with Jichuan decoction,and tonify liver and kidney yin with Liuwei Dihuang Pill.Make good use of Atractylodes macrocephala to regulate qi and invigorate spleen and defecate,Polygonum cuspidatum to clear away heat and dissipate blood stasis,ascending hemp to raise yang and reduce turbidity,cassia seed to release heat and open the Fu organs,and stir-fry Fructus Aurantii to eliminate qi and expand. |
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