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  方药组成:生白术60克,麦冬30克,生地黄18克,炒枳实30克,柴胡30克,元参18克,厚朴30克,熟大黄6克。水煎服,每日一剂,分3次服。

  此方为贵州名医石恩骏教授治疗习惯性便秘之专用经验方。石氏认为人体气机升降出入,乃各脏腑组织之综合作用,而肾与脾之功能十分重要,大肠中糟粕之运行排泄,肠道本应自然下行之气机正常与否,又主要在于脾之健运与否。若升降正常,出入有序,则可维持正常之排泄,反之则有习惯性便秘等顽症。凡习惯性便秘者,多长期服用清热泻下或润下之剂,甚或灌肠治疗,脾胃正气必然伤损。临床常为两种表现,一为大便干结如羊屎,一为大便虽数日或周余不解并无干结,患者多精神不振,面虚肿有晦气。其病理多湿气盛而津液亏,皆因脾虚不能旋化,故两相矛盾之病理同时并存。

  本方中主药白术乃补脾之正药,必当生用取其燥湿补脾之功用,除却湿邪,脾之正气渐生,而肠道之津液亦渐生。脾气健则能升清气而降浊气,习惯性便秘之根本问题始能得以解决。本方中白术用量需60克上下为宜,大剂量始有宣通功力,若少用常反致腹胀壅滞。

  方中柴胡味苦平,本主心腹肠胃中结滞之气,《本经》谓其推陈致新,用量也需30克以上,大量单味柴胡即有通便作用,此系柴胡升清自然降浊之药理,顺畅肠道条达之性。

  麦冬、元参、生地黄乃有增液之用,大便若干结如羊屎者,用量均在30克以上,若大便不干燥,用量也均在20克上下。熟军仅借其推陈致新之力,不在其推荡泻下之力,固不可缺,量也不宜大,以不腹痛腹泻为宜。

  厚朴、枳实行气燥湿,除肠中滞留之糟粕浊气,必用至30克,因有大量白术,并无耗气伤津之弊端,若年老体衰者,加泡参45克。

  若畏寒肢冷,其阳气也乏,本方可加熟附子、仙灵脾、肉苁蓉;年高血亏者,可加当归、火麻仁。

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channelId 1 1 中医治疗习惯性便秘专用经验方 1 方药组成:生白术60克,麦冬30克,生地黄18克,炒枳实30克,柴胡30克,元参18克,厚朴30克,熟大黄6克。水煎服,每日一剂,分3次服。