以温阳方剂为主治疗功能性便秘阳虚证的研究进展

Research Progress on the Treatment of Functional Constipation with Yang Deficiency Syndrome Mainly by Warming Yang Formulas

摘要: 功能性便秘(FC)是一种病因复杂、病程反复的难治性疾病，严重影响患者的生活质量及心理健康。现代医学在药物治疗便秘时，多选用刺激性泻剂对症治疗，但其仅能短期内缓解便秘症状，有停药即复发的风险。长期使用易引起耐药性及不良反应，导致便秘进行性加重。祖国医学针对阳虚型功能性便秘的根本病机，运用温阳方剂从根本上改善便秘症状，并延长远期疗效。近年来，大量研究表明，温阳方剂联合其他方式治疗便秘的效果显著优于单一疗法。故笔者总结以温阳方剂为主联合其他方式治疗功能性便秘阳虚证进展综述如下。

Abstract: Functional Constipation (FC) is a refractory condition with a complex etiology and recurrent episodes, significantly impairing patients’ quality of life and mental health. Conventional medical treatments often rely on stimulant laxatives for symptomatic relief, which only provide short-term benefits and carry risks of symptom recurrence upon discontinuation. Long-term use may lead to drug tolerance, adverse effects, and progressive worsening of constipation. In Traditional Chinese Medicine, warming yang formulas target the root pathogenesis of FC with yang deficiency, fundamentally alleviating symptoms and sustaining long-term efficacy. Recent studies have demonstrated that combining warming yang formulas with other therapies yields superior outcomes compared to monotherapy. This review summarizes advancements in integrated approaches primarily based on warming yang formulas for treating functional constipation with a yang deficiency pattern.