从“一气周流”圆运动论治功能性便秘

On the Treatment of Functional Constipation from the Perspective of “One Breath Circulation”-Circular Movement Theory

摘要: 功能性便秘是临床常见的功能性胃肠病，严重影响患者生活质量。基于“一气周流”圆运动理论，认为功能性便秘的核心病机在于中轴升降失序，肝气郁结、轮翼失用为发病的关键环节，久病则累及肾元、致使周流衰惫。治疗需健运中土以复轴运、疏达木郁以调升降、滋养肾元以资气化，旨在从多脏腑整体调节出发，恢复“轴运轮行，轮运轴灵”的圆运动平衡状态，以期为临床治疗功能性便秘提供参考。

Abstract: Functional constipation is a common clinical functional gastrointestinal disorder that significantly impairs patients’ quality of life. Based on the “one qi circulation”-circular movement theory, the core pathogenesis of functional constipation is considered to be the disorder of the ascending and descending movement of the central pivot. The stagnation of liver qi and the failure of the rotation movement serve as key initiating links, and when the condition becomes chronic, it involves the kidney essence, leading to exhaustion of the circulatory motive force. The treatment should focus on strengthening the middle earth to restore the pivot movement, soothing the wood element depression to regulate the ascending and descending balance, and nourishing the kidney essence to support the qi transformation. Through holistic regulation of multiple zang-fu organs, the aim is to restore the balanced state of circular movement characterized by “the pivot drives the rotation, and the rotation facilitates the pivot”, thereby providing a reference for the clinical treatment of functional constipation.