CAJ | 학술논문

慢性便秘可由多种疾病引起，临床治疗以有效通便、合理用药并维持疗效为主要目的，目前西医治疗以泻剂使用为主。中成药作为中医药大家族中的一员，不仅具有对症治疗、寓泄于补、标本兼顾的特点，而且因其使用方便，副作用较少，在临床上被广泛应用。结合文献及临床体会，我们将老年人便秘患者分为大肠热结证、肠道气滞证、大肠湿热证、肺脾气虚证、脾肾阳虚证及经亏血少证等证型，辨证施治，实行个体化治疗，达到疗效较好、副作用较少的目的。
만성편비가유다충질병인기，림상치료이유효통편、합리용약병유지료효위주요목적，목전서의치료이사제사용위주。중성약작위중의약대가족중적일원，불부구유대증치료、우설우보、표본겸고적특점，이차인기사용방편，부작용교소，재림상상피엄범응용。결합문헌급림상체회，아문장노년인편비환자분위대장열결증、장도기체증、대장습열증、폐비기허증、비신양허증급경우혈소증등증형，변증시치，실행개체화치료，체도료효교호、부작용교소적목적。
Chronic constipation is caused by a variety of different diseases. The main clinical goal of this disorder is effective purgation, rational drug use and maintenance of curative effect. Most western medicines contain laxatives. Chinese patent medicine is a member of traditional Chinese medicine, not only has the features of symptomatic treatment, blending invigoration in catharsis, and taking origin and superficiality into account, but also is convenient to use and widely accepted in clinical practice. According to related literatures and our clinical experiences, we divided the constipation in the elderly into 6 types, including syndrome of heat accumulation in the large intestine, syndrome of qi stagnation in the intestines, syndrome of dampness and heat in the large intestine, syndrome of lung-spleen qi deficiency, syndrome of yang-deficiency of both the spleen and the kidney, syndrome of depleted fluid and blood deficiency, To achieve satisfactory therapeutic effect and less side-effect, we gave individualized treatment based on an overall analysis of the illness and the patient’s condition.