老年功能性便秘辨治经验

Experience in the Diagnosis and Treatment Senile Functional Constipation

摘要: 功能性便秘是老年人中最为常见的胃肠道疾病之一，且随着年龄的增加，发病率逐年上升，严重影响老年人生活质量。西医临床治疗虽然可在短时间内改善症状，但长期服用容易产生依赖性和耐药性。中医药治疗功能性便秘具有显著优势。中医学注重整体观念与辨证施治，治疗方案灵活多变，能够根据患者的体质差异进行个性化调整，疗效稳定且副作用较小，适合老年人群体的治疗需求。现总结郑丽红教授治疗老年人功能性便秘临证经验，从而为中医药防治老年功能性便秘拓展更多方案。

Abstract: Functional constipation represents one of the most prevalent gastrointestinal disorders in the elderly population, with incidence rates progressively increasing with advancing age and exerting a substantial negative impact on patients’ quality of life. While conventional Western medical interventions can provide rapid symptomatic relief, their prolonged use is frequently associated with issues such as drug dependence and the development of resistance. Traditional Chinese Medicine (TCM) demonstrates distinct therapeutic advantages in the management of functional constipation. Grounded in the principles of holism and syndrome differentiation, TCM offers individualized and adaptable treatment strategies that align with the patient’s constitution. These approaches are characterized by stable efficacy, minimal adverse effects, and enhanced suitability for the geriatric demographic. This paper presents a summary of Professor Zheng Lihong’s clinical experience in addressing functional constipation in older adults, thereby contributing to the body of knowledge supporting the application of TCM in the prevention and treatment of this condition.