[1]刘子扬,文聪,严红梅.基于“肝与大肠相通”理论探讨肝与便秘的关系及治疗[J].西部中医药,2025,38(12):35-38.[doi:10.12174/j.issn.2096-9600.2025.12.08]
　LIU Ziyang,WEN Cong,YAN Hongmei.The Correlation of Liver with Constipation Based on the Theory of "Liver is Connected to Large Intestine" and the Treatment for Constipation[J].Western Journal of Traditional Chinese Medicine,2025,38(12):35-38.[doi:10.12174/j.issn.2096-9600.2025.12.08]
点击复制

基于“肝与大肠相通”理论探讨肝与便秘的关系及治疗()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年12期
页码:
35-38
栏目:
学术探讨
出版日期:
2025-12-15

文章信息/Info

Title:
The Correlation of Liver with Constipation Based on the Theory of "Liver is Connected to Large Intestine" and the Treatment for Constipation
作者:
刘子扬1, 文聪1, 严红梅1,2
1.湖北中医药大学中医学院,湖北 武汉 430000
2.武汉市中医医院,湖北 武汉 430000
Author(s):
LIU Ziyang1, WEN Cong1, YAN Hongmei1,2
1.College of TCM, Hubei University of Chinese Medicine, Wuhan 430000, China
2.Wuhan Hospital of TCM, Wuhan 430000, China
关键词:
便秘; 肝与大肠相通; 肠-肝轴
Keywords:
constipation; liver is connected to large intestine; gut-liver axis
分类号:
R256.35
DOI:
10.12174/j.issn.2096-9600.2025.12.08
文献标志码:
A
摘要:
文章基于“肝与大肠相通”理论，认为肝与肠道紧密联系，肝郁气滞、肝郁化火、肝血亏虚、肝阴不足均会导致便秘。故从肝论治便秘，以调畅气机、疏通肠腑，疏肝泻火、润肠导滞，滋阴润燥、增液行舟，滋养肝血、濡养大肠等法辨证施治并注重日常调护，往往可取得良好的临床疗效。并附验案1例。
Abstract:
Based on the theory of "liver is connected to large intestine", liver is closely related to the gut, liver depression and Qi stagnation, liver Qi stagnation transforming into fire, liver blood depletion and liver Yin insufficiency lead to constiption. Therefore, constiption is treated from liver, by adopting regulating Qi movement, unobstructing the gut, soothing liver and purging fire, moistening the gut and removing the stagnancy, nourishing Yin and mostening the dryness, nourishing Yin to promote the bowel movement, nourishing liver blood and nourishing the large intestine as therapeutic principles, and emphasizing daily care, which could gain good clinical effects. And one proven case is attached.

相似文献/References:

[1]王晓萍,周明旺,康开彪,等.小承气汤配合中药穴位贴敷治疗中风后便秘的临床观察[J].西部中医药,2012,25(05):10.
　WANG Xiao-ping,ZHOU Ming-wang,KANG Kai-biao,et al.Clinical Observation on XiaoChengQiTang Combined with External Application Therapy in Treating Constipation of Stroke Patients[J].Western Journal of Traditional Chinese Medicine,2012,25(12):10.
[2]赵君健,方健,彭洪,等.中医护理对老年慢性功能性便秘患者便秘知识知晓率及护理满意率的影响[J].西部中医药,2013,26(12):126.
　ZHAO Junjian,FANG Jian,PENG Hong,et al.Effects of TCM Care on Nursing Satisfactory Rate and Constipation Knowledge Awareness Rate of Senile Patients with Chronic Functional Constipation[J].Western Journal of Traditional Chinese Medicine,2013,26(12):126.
[3]韦金秀,谢胜△,周晓玲,等.背俞指针疗法对OOC患者任督二脉穴位皮温的影响*[J].西部中医药,2014,27(05):1.
　WEI Jinxiu,XIE Sheng,ZHOU Xiaoling,et al.Effects of Back Shu Finger-pressure Therapy on Skin Temperature of Conception Meridian and Governor Meridian Acupoints of OOC Patients[J].Western Journal of Traditional Chinese Medicine,2014,27(12):1.
[4]陈燕梅,王璟.辨证施护在预防老年髋部骨折患者便秘中的应用[J].西部中医药,2015,28(08):159.
[5]张春燕.优质护理干预在功能性便秘患者临床诊疗中的实效性[J].西部中医药,2015,28(08):166.
[6]李剑,徐霞,许晓.健胃清肠合剂保留灌肠治疗便秘临床观察[J].西部中医药,2014,27(05):88.
　LI Jian,XU Xia,XU Xiao.Clinical Observation on Treating Constipation by Retention Enema of JianWei QingChang Mixture[J].Western Journal of Traditional Chinese Medicine,2014,27(12):88.
[7]陆凤连.腹部八卦推拿手法对脊髓损伤便秘患者排便的影响[J].西部中医药,2014,27(06):152.
　LV Fenglian.Effects of Abdominal Eight Diagrams Manipulation Maneuver on Bowel Movement of Constipation Patients with Spinal Injury[J].Western Journal of Traditional Chinese Medicine,2014,27(12):152.
[8]李初谊,李 竞,王煜△,等.王自立主任医师中医反治法的临床运用[J].西部中医药,2013,26(05):39.
　LI Chuyi,LI Jing,WANG Yu,et al.Chief Physician WANG Zili's Application of TCM Paradoxical Treatment[J].Western Journal of Traditional Chinese Medicine,2013,26(12):39.
[9]张霞,马玉侠,张中原.基于脐疗治疗便秘的药物功效的文献研究*[J].西部中医药,2014,27(03):83.
　ZHANG Xia,MA Yuxia,ZHANG Zhongyuan.Literature Study on Curative Properties of Drugs in Umbilical Therapy for Constipation[J].Western Journal of Traditional Chinese Medicine,2014,27(12):83.
[10]刘春雨,李晓娟△,刘佳,等.艾灸及护理干预对腰椎术后便秘患者的影响[J].西部中医药,2016,29(02):139.
　Influence of Moxa-moxibustion and Nursing Intervention on Constipation of the Patients after Lumbar Surgery.Influence of Moxa-moxibustion and Nursing Intervention on Constipation of the Patients after Lumbar Surgery[J].Western Journal of Traditional Chinese Medicine,2016,29(12):139.

备注/Memo

备注/Memo:
国家中医药管理局全国名老中医药专家传承工作室项目（国中医药人教函〔2018〕134）；武汉市卫健委武汉中医名师工作室项目（武卫〔2019〕17）。刘子扬（1999—），女，在读硕士研究生。研究方向：中医药防治脾胃病。
更新日期/Last Update: 2025-12-15