▲Wang Mianzhi, Master of Traditional Chinese Medicine (1923-2009)
Wang Mianzhi, a master of traditional Chinese medicine and a professor at Beijing University of Chinese Medicine, has been engaged in clinical, teaching and scientific research of traditional Chinese medicine for more than 50 years, and has accumulated rich experience in the treatment of various difficult and miscellaneous syndromes. Among many diseases, Professor Wang's treatment of constipation is unique, and his experience and scholarship in the treatment of this disease are summarized here.
Examine the cause in detail, cure the disease, and seek the root
Professor Wang attaches great importance to the causes of constipation in the clinical diagnosis and treatment of constipation, and often reminds students of the important role of TCM etiology in the treatment of diseases. He emphasized that constipation is a evidence, internal injury diet is certainly one of the main factors, but also pays more attention to the role of emotion in the occurrence of constipation, if the emotion is not successful, it will affect the viscera qi organ, the qi is unfavorable, the large intestine conduction disorder, and constipation occurs. Professor Wang has a diagnosis of constipation, looking for the root cause, identifying the cause of constipation, or being injured by eating, or disturbed by seven emotions, or sleepy by fatigue, distinguishing between deficiency and reality, cold and heat, checking phlegm, stasis and dampness, strategizing, carefully legislating, carefully organizing, and the effect of each drum.
Heavy viscera and unobstructed ventilator
A proof of constipation, in the final analysis, affects the conduction of the gastrointestinal tract, "Suwen Linglan Secret Classics" cloud: "The large intestine, the official of conduction, changes out of the way." "The gastrointestinal conduction is unfavorable, the large intestine qi is not smooth, and the intestine qi is blocked, resulting in the stagnation of the viscera qi and the spleen and stomach. Professor Wang's differentiation of constipation closely revolves around the basic pathogenesis of the unfavorable large intestine qi, and in line with the principle that the six intestines are used for communication, the legislation revolves around the smooth passage of the large intestine qi to restore its conduction, or warm and clear, or make up for it, or clear and pass, and is not limited to one law.
Professor Wang believes that all five internal organs can cause secrets. In terms of physiological function, the conduction of the large intestine depends on the suppression of lung qi, and the regulation of liver qi, the moistening of heart and blood, and the abundance of kidney essence are also directly related to the normal physiological function of the large intestine. Among them, the kidney is physiologically responsible for the second stool, so the yin and yang prosperity and decline of the kidney is directly related to whether the excretion of the second stool is normal. Once the physiological function of these organs is abnormal, it can affect the normal physiological function of the large intestine and lead to constipation.
Among them, the lungs and liver affect the large intestine because of the unfavorable qi organs, and the heart and kidneys affect the large intestine because of yin and blood deficiency or yang deficiency. However, among the five organs, Professor Wang pays special attention to the role of spleen and stomach function in the occurrence and treatment of constipation. The spleen and stomach are in the middle of the coke, and the main diet is a subtle transport compress, and the subtle ones are spread by the spleen, and the dross is discharged from the body in accordance with the reduction of stomach qi. The digestion and absorption of normal food and drink depend on the spleen and stomach to clear and reduce turbidity and proceed normally, once the viscera is dysfunctional, affecting the spleen and stomach to rise and fall, it will lead to the conduction function of the large intestine is abnormal, and constipation or diarrhea occurs. Constipation is blocked, and it directly affects the spleen and stomach to clear and reduce turbidity, resulting in dizziness, vomiting, and lack of appetite.
Professor Wang believes that constipation in the elderly is mainly due to the decline of visceral function, the loss of yin essence and yang qi of the kidneys, and the loss of the large intestine by the warm promotion of yang qi and the nourishment of yin and jin.
Regulate the spleen and stomach and combine the strengths of others
On the basis of years of clinical evidence, Professor Wang has continuously explored and summarized to create Wang's laxative soup, which has achieved good results. Wang's laxative soup is a combination of the characteristics of Citrus aurantium pills, Citrus aurantium pills, spleen strengthening pills, wood champagne nut pills and other formulas, considering that modern people's constipation is mostly related to uncontrolled diet, transportation and conduction disorders. Fangzhong takes atractylodes bitter, sweet and warm as the king, enters the spleen and stomach meridians, replenishes qi and strengthens the spleen, and helps the spleen and stomach to move, "Materia Medica" says: "Atractylodes, the medicine for the spleen and stomach ......", and "Materia Medica" says that "it can dry and damp the spleen, and restore the spleen and spleen." Modern pharmacological studies have shown that Atractylodes macrocephalus can significantly promote gastric emptying and small intestine propulsion function in mice;
Professor Wang skillfully used the theory related to viscera in the compatibility of prescription medicine, which is the key to the good effect of his prescription. The betel nut is bitter and discharged, which can not only dissipate qi accumulation to guide stagnation, but also slow down diarrhea and laxative. The combination of three medicines, under the dominance of atractylodes, can play the effect of eliminating accumulation and removing ruffian, relaxing the qi machine, and guiding stagnation and laxative, both with a clear division of labor, and with each other, it can be said that complement each other, make up but not stagnation, break but not consume, and take hawthorn, chicken gold, coptis, make the gentleman, and boil licorice as the support, hawthorn is good at eliminating the accumulation of meat, so it can help citrus aurantium, The power of betel nut to eliminate accumulation and stagnation, the gold in the chicken can clear the heat generated by the stagnation of the stomach and intestines for a long time, so that the gentleman can take its function of eliminating the accumulation, help the monarch and the minister to strengthen the spleen and eliminate the accumulation, and the licorice can help the atractylodes to strengthen the spleen and invigorate the qi, and can be willing to ease and reconcile the properties of the medicines. The combination of various medicines plays a role in strengthening the spleen and helping to transport, and eliminating the accumulation of laxatives.
Recuperation is important
Professor Wang strongly advocates the comprehensive treatment of constipation with traditional Chinese medicine combined with diet, health preservation and other auxiliary therapies, emphasizing syndrome differentiation and treatment. He often admonishes patients to have a reasonable diet when prescribing clinical prescriptions, regular bowel movements and regular work and rest in daily life, and emotional efforts to guard against worries and irritations and maintain a good spirit. ■
[Content compiled from: "China Traditional Chinese Medicine News" February 11, 2009 Fourth Edition Author: Beijing University of Traditional Chinese Medicine Yang Yong, Wang Xu]