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从“大肠主津”理论探讨功能性便秘与肠道微生态的相关性 被引量:13

Study on Relationship between Functional Constipation and Intestinal Microecology from Theory of “Large Intestine Dominating Fluid”
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摘要 “大肠主津”是指大肠传导糟粕、吸收糟粕中的多余水分的过程,大肠排泄糟粕有赖于“大肠主津”的生理功能。功能性便秘是脾胃系常见病,肠道微生态失衡是其重要发病机制。肠道微生态的中医本质与“大肠主津”存在一定的理论联系,具体体现在“阴阳平衡”和“整体观念”。肠道微生态维持动态平衡,与中医学大肠吸收和分泌津液的功能关系密切;由肠道微生态失衡导致的功能性便秘,其机制与“大肠主津”理论亦紧密联系、互为相关。本文基于“大肠主津”中医理论,在深入阐述“大肠主津”与糟粕排泄、肠道微生态相关性的基础上,进一步阐明运用“大肠主津”理论调节肠道微生态、改善功能性便秘的思路,以期为功能性便秘的治疗提供新的理论依据和临床指导。 "Large intestine dominating fluid" refers to the process of conducting dregs and absorbing excess water in the dregs of the large intestine. The excretion of dregs of the large intestine depends on the physiological function of "large intestine dominating fluid". Functional constipation is a common disease of spleen and stomach, and the imbalance of intestinal microecology is its important pathogenesis. There is a certain theoretical relationship between the TCM essence of intestinal microecology and "large intestine dominating fluid", which is embodied in "the balance of yin and yang" and "the whole concept". The dynamic balance of intestinal microecology is closely related to the function of absorbing and secreting body fluid in the large intestine of traditional Chinese medicine, and the mechanism of functional constipation caused by the imbalance of intestinal microecology is also closely related to the theory of "large intestine dominating fluid". Based on the TCM theory of "large intestine dominating fluid", and on the basis of in-depth exposition of the correlation between "large intestine dominating fluid" and dross excretion and intestinal microecology,this paper further expounded the idea of using the theory of "large intestine dominating fluid" to regulate intestinal microecology and improve functional constipation, in order to provide new theoretical basis and clinical guidance for the treatment of functional constipation.
作者 田琳 柯晓 吴松鹰 郑榕 黄铭涵 Tian Lin;Ke Xiao;Wu Songying;Zheng Rong;Huang Minghan(The Second People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350003,China;Fujian Academy of Chinese Medical Sciences,Fuzhou 350003,China)
出处 《世界科学技术-中医药现代化》 CSCD 北大核心 2022年第4期1695-1700,共6页 Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology
基金 国家中医药管理局重大课题(2019XZZX-XH001):中医消化领域优势病种(慢性便秘)专科专病循证能力提升建设项目,负责人:柯晓。
关键词 大肠主津 功能性便秘 肠道微生态 Large intestine dominating fluid Functional constipation Intestinal microecology
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