马万千老中医基于体质辨识运用食疗方治疗便秘临床经验总结

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马万千老中医基于体质辨识运用食疗方治疗便秘临床经验总结

作者：孙颂歌 马万千 邱新萍 来源：《世界中医药》2018年第10期

摘要便秘是临床常见病证，马万千名老中医认为便秘与体质因素关系密切，通过长期临床发现，便秘患者体质多为气虚质、阳虚质、阴虚质、气郁质和湿热质，马万千老中医根据其临床经验，运用药食同源的药物，综合考虑口味等因素，针对不同的体质制定不同的食疗方，不仅治疗便秘，同时改善患者体质，取得了良好的临床疗效，值得临床推广。 关键词便秘;体质;食疗方;个性化;治疗效果;名老中医;临床经验; @ 马万千

Clinical Experience Summary of Ma Wanqian in Treating Constipation Using Diet Prescription Based on Physique Identification

Sun Songge，Ma Wanqian，Qiu Xinping

（Beijing Hospital Traditional Chinese Medicine Shunyi Hospital，Beijing 101300，China） AbstractConstipation is a common clinical disease.Ma Wanqian believes that the relationship between constipation and physique is close.Through longterm clinical experiences，he finds that the physique of patients with constipation is often accompanied with qi deficiency，yang deficiency，yin deficiency，qi stagnation or dampnessheat.According to the clinical experiences of drug use，Ma Wanqian takes advantages of the homology of medicine and food，and takes the taste and other factors into consideration to develop different diets for patients with different physiques，which is not only for the treatment of constipation，but improves patients′ health with good clinical efficacy，and is worthy of promotion.

Key WordsConstipation; Physique; Diet prescription; Individuation; Treatment effects; Famous old doctor of traditional Chinese medicine; Clinical experiences; @ Ma Wanqian 中图分类号：R2492/7文獻标识码：Bdoi：10.3969/j.issn.1673-7202.2018.10.043

马万千主任医师是全国基层名老中医药专家、北京市级名老中医、第4批北京市级名老中医药专家学术经验继承工作指导老师，临证40余年，擅长中医辨证论治脾胃病，尤其对便秘的治疗积累了丰富的临床经验。我有幸随其学习，获益良多，现将马万千老中医治疗便秘的经验介绍如下，以飨同道。 1便秘与体质因素