從臨床實證談兒科便秘的治療

The Treatment of Pediatric Constipation Based on the Clinical Evidence

姚明昇(Ming-Sheng Yau)

《中醫兒科醫學雜誌》 13卷1期 (2011/06) Pp. 32-40

https://doi.org/10.30033/JTCDM.201106.0004

摘要

在兒科便秘的臨床實證中，我們發現依賴瀉下劑或軟便劑者眾多，雖然只能取得短暫的療效，但在醫藥界仍視為捷徑，然而無論中藥或西槃皆會造成依賴性或抗藥性。所以如何從病因的差異，運用辨症論治從養陰滋潤、補氣養血、疏肝理氣，慎用瀉下的角度改善兒科頑固性便祕體質，將一個可能形成終身痼疾的症狀，在一開始就消弭於無形，是兒科臨床醫家的重要課題。

關鍵字

瀉下劑 ； 依賴性 ； 頑固性便秘

並列摘要

In the clinical evidence of pediatric constipation, we found many dependents on diarrhea agent or soft stool agents. Although the effect is temporary, it is still regarded as a shortcut in the pharmaceutical sector. However, both traditional Chinese herbs or western drugs may cause dependence or resistance. So that is an important issue to identify the cause of disease, use the method of syndrome differentiation and treatment to tonify yin, tonify qi and blood, soothe the liver and regulate qi, cautiously use purgative medicinal to harmonize the stubborn constipation constitution. By taking these procedure, we can prevent chronic ailments at the beginning.

並列關鍵字

diarrhea agents ； dependent ； intractable constipation