通讯作者: 杨雪, 2729189655@qq.com

DOI：10.12201/bmr.202604.00040

Exploring the Pathogenesis and Treatment Approach of Functional Constipation Based on the Theory of Interdependence of Ascending and Descending

• 摘要：本文基于中医升降相因理论,对功能性便秘的病机特点及治疗思路进行探讨。功能性便秘是一种以排便困难、排便次数减少或粪便干结为主要表现的肠道功能障碍性疾病,其核心病位在脾胃大肠,基本病机为脾胃大肠升降失常,气机逆乱。脾升不及则清阳不升、运化失司,大肠降失度则糟粕内停、传导不利,二者相互影响,加之肝郁气滞、肾阳不足等因素交织,最终导致糟粕壅滞肠道而成便秘,日久还可引发气滞、血瘀、津亏等变证。针对升降失常的核心病机,遵循升降相因的理论内涵,采用升清降浊、健脾助运、理气通腑、温阳通便、滋阴润下等治法,恢复脾胃大肠升降相因的生理功能,推动肠道糟粕传导,从而改善便秘症状,为功能性便秘的中医辨证施治提供新的理论参考。

  关键词： 升降相因; 功能性便秘; 病机特点; 治疗思路

   

  Abstract: SBased on the theory of interdependence of ascending and descending in traditional Chinese medicine, this paper discusses the pathogenesis and treatment approach of functional constipation. Functional constipation is a functional intestinal disorder primarily characterized by difficulty in defecation, reduced stool frequency, or dry and hard stools. Its core pathological location is the spleen, stomach, and large intestine, with the fundamental pathogenesis being the dysfunction of ascending and descending of qi in these organs. When the spleen fails to ascend, clear yang does not rise and transportation is impaired; when the large intestine fails to descend, waste products accumulate and transmission is hindered. These factors, along with liver qi stagnation and kidney yang deficiency, ultimately lead to the accumulation of waste products in the intestines and the development of constipation. Targeting the core mechanism of ascending and descending dysfunction, treatment methods such as ascending the clear and descending the turbid, strengthening the spleen, regulating qi, unblocking the bowels, warming yang, and nourishing yin are employed to restore normal physiological function and improve defecation. This provides a new theoretical reference for the TCM syndrome differentiation and treatment of functional constipation.

  Key words: ; ; ; 

  提交时间：2026-04-07

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• 序号	提交日期	编号	操作
  1	2026-03-29	10.12201/bmr.202604.00040V1	下载

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