台北中医医学杂志

93.6 长期便秘之中医治疗病例
长期便秘之中医治疗病例
Sever Constipation in Traditional Chinese Medicine: A Case Report
江昆壕1 彭启豪2*
1 长庚纪念医院中医内儿科
2 林口长庚纪念医院
【摘要】
本医案之病人,便秘20 馀年,2-3 日一行,质硬不畅。长年茹素,平日怕冷,嗳气多,稍食瓜果类即频尿。诊为阳虚不运,痰湿内阻,胃失和降。治以温阳化气、袪湿化痰,和胃降逆。主方用桂枝汤、五苓散、温胆汤,治疗1-2 周後,便秘症状明显改善。治疗过程中,没有用到大黄类刺激肠道药物,而是使阳气得行,痰湿得解,胃气得降。
【关键词】
便秘、桂枝汤、五苓散、温胆汤
 
Kun-Hao JiangChi-Hao Peng*
Department of Chinese Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan
Summary
The patient in this case was constipation for more than 20 years with hard stool for 2-3 times a days. She was a long-term vegetarian, usually with cold pattern. The diagnosis was yang deficiency, internal resistance, stomach loss and decline. Treated with warming yang, diminishing phlegm and quieting stomach qi. The main prescription was Guizhi Decoction, Wuling Powder and Wendan Decoction. After 1-2 weeks of treatment, the symptoms of constipation improved significantly. During the treatment, rhubarb drugs was not used for intestinal movement, but to practice the yang and to relieve the phlegm for gastric and intestine function.
Keywords
constipation, Guizhi Decoction, Wuling Powder, Wendan Decoction