23歲女性,主訴便秘9年,頭暈5年。長期服用西藥治療,有服藥才可排便,停藥則仍便祕。中醫依辨證論治法則,補益氣血,養陰潤燥,以歸脾湯、肉蓯蓉為主方加減治療,服藥3星期後,即不頭暈;便祕問題經治療約4個月後,排便問題基本上亦獲得改善。習慣性便秘患者,大多脾胃虛弱,易為苦寒及潤燥養陰之品所傷。麻子仁丸雖是治療便祕的常用方劑,臨床上仍應慎用。
A 23 y/o female complain about constipation for 9 years with dizziness for 5 years. She has been taking conventional medication for a long term, and cannot have bowel movement if she stops the medication. According to TCM diagnosis, the treatment principle is to replenish qi and blood, and to nourish yin. The chief formula is GuiPi decoction with RouCongRong. After taking the herbs for 3 weeks, dizziness is relieved. After taking herbs for 4 months, constipation is improved. Patients with habitual constipation usually have week spleen and stomach, and are easily affected by herbs of bitter and cold nature, and herbs for nourishing yin. Although MaZiRenWan is very common for treating constipation, we need to be cautious about its application.