摘要
便秘之症首见于《黄帝内经》,临床以排便困难和(或)排便次数减少、粪便干硬为主症.病机为大肠传导功能异常,老年性便秘病性多为本虚标实.审平汤出自宋代陈无择《三因极一病证方论》,为卯酉年运气主方,依据阳明燥金司天,少阴君火在泉的运气格局,总结出卯酉年易出现金燥火烈、木气被郁的致病特点.张斌霞教授跟随龙砂医学流派传承人顾植山教授学习运气理论,应用开阖枢理论、六经欲解时理论,结合司人司天司病症的诊疗思路,运用审平汤在治疗老年性便秘这一疾病上取得了良好疗效.
Clinically characterized by difficult defecation and/or reduced bowel movements with dry and hard stools,constipation was first documented in Huangdi Neij ing(Yellow Emperor's Inner Canon).The pathogenesis involves abnormal intestinal conduction function,and senile constipation typically manifests as root deficiency with branch excess.Shenping Decoction,originating from Chen Wuze's Sanyin J iyi Bingzheng Fanglun(Treatise on Three Categories of Pathogenic Factors)in the Song Dynasty,serves as the principal formula for Mao-You years according to Yunqi theory.Based on the climatic pattern of Yangming Dry Metal governing the heavens and Shaoyin Monarch Fire in the earth,this period is prone to pathological characteristics of metal dryness,fire intensity,and wood qi stagnation.Professor Zhang Binxia,trained by Professor Gu Zhishan(successor of the Longsha Medical School)for Yunqi theory,has achieved remarkable therapeutic effects in treating senile constipation by applying Shenping Decoction through the integration of Opening-Closing-Pivot theory,Six-Channel Resolution Time theory,and the diagnostic approach considering human-heaven-symptom correlations.
作者
戴晨璐
张斌霞
王煊
韩一恒
DAI Chenlu;ZHANG Binxia;WANG Xuan;HAN Yiheng(Nanjing University of Chinese Medicine,Nanjing 210023,China;Changzhou Affiliated Hospital of Nanjing University of Chinese Medicine,Changzhou 213004,China)
出处
《基层中医药》
2025年第4期19-23,共5页
Basic Traditional Chinese Medicine
基金
国家中医药管理局全国中医学术流派传承工作室第二轮建设项目(国中医人教函[2019]62号)
2023江苏省研究生培养创新工程研究生科研与实践创新计划院助项目(SJCX23_0962)。
关键词
运气理论
审平汤
老年性便秘
阳明燥金
Yunqi theory
Shenping Decoction
senile constipation
Yangming Dry Metal
