便秘的中西醫探討

Constipation Viewpoint in Traditional Chinese and Western Medicine

便秘是非常常見的而普遍的問題，但在中醫的分型中，除了西醫有注意到的膳食部分及瀉劑的使用之外，更注意到了氣虛及津液不足或是分布不均的部分，對於情緒的部分中醫也多有涉獵，因此中醫能更有效地調整改善便秘的狀況。現代人的生活飲食，常喜食生冷、烤炸辣之物，再加上工作壓力大，又伴隨熬夜等壞習慣，故常出現氣陰兩虛、陽虛、虛實夾雜之便秘證型。但臨床上最常看到的治療方式，則是病人有出現便秘的症狀，便給予調胃承氣湯，大黃等攻下藥，雖然對於便秘有一時之效，但長期使用損傷氣血，且對於非實熱便秘之證型，只是治標不治本，甚致有時根本沒效，或是病人一提藥之後，便又故態復萌，便秘依舊。因此臨床上仍應按便秘的辨證分型，找出確切的病因病機，才能更有效地治療擾人的便秘。 Constipation is a common, well-classified in Traditional and Western medicine. The causes were diet, emotion, as well as lack of Qi and body fluid distributed. Traditional theory was classified as qi and yin deficiency, yang deficiency, and the actual situation of mixed constipation type. Therefore, more education to find out the exactly etiology and pathogenesis to more effectively therapy in disturbing constipation was needed.

Constipation is a common, well-classified in Traditional and Western medicine. The causes were diet, emotion, as well as lack of Qi and body fluid distributed. Traditional theory was classified as qi and yin deficiency, yang deficiency, and the actual situation of mixed constipation type. Therefore, more education to find out the exactly etiology and pathogenesis to more effectively therapy in disturbing constipation was needed.