基于“脑–肠轴”理论从肝论治功能性便秘的探讨
Based on the “Brain-Gut Axis” Theory, the Treatment of Functional Constipation from the Liver Is Discussed

功能性便秘是慢性功能性胃肠疾病中的常见类型，常伴随心理问题。针对这一现象，在西医理论中，可用“脑–肠轴”学说阐述发病机理；在中医学中，肝主疏泄，主藏血，且易生火，当作用于便秘的发生发展时，常并发精神情志障碍。本研究结合中医基础理论及现代医学研究，阐述现代医学、中医学对“脑–肠轴”的认识，基于“脑–肠轴”功能异常为FC的发病机制，提出与之相应的中医病位在肝，治疗当以肝为本，调畅人体气机，恢复“脑–肠轴”功能，为FC的临床治疗提供思路。
Functional constipation is a common type of chronic functional gastrointestinal disorder and is often accompanied by psychological problems. In view of this phenomenon, Western medicine theory, the “brain-gut axis” theory, can be used to explain the pathogenesis. In traditional Chinese medicine, the liver is mainly drained, the main blood is hidden, and it is easy to make fire, which is used for the occurrence and development of constipation, which is often complicated by mental and emotional disorders. Based on the pathogenesis of abnormal function of the “brain-gut axis” of the “brain-gut axis”, this study proposes that the corresponding TCM disease is located in the liver, and the treatment should be based on the liver, regulate the body’s qi, restore the function of the “brain-gut axis”, and provide ideas for the clinical treatment of FC.