The preliminary exploration of the modified Xuanbai Chengqi Decoction in treating community-type hot constipation due to functional constipation——Based on the theory of “lung and large intestine being mutually related”
宣白承气汤加减应用于社区热秘型功能性便秘的初步探索——基于“肺与大肠相表里”理论

摘要

功能性便秘属于功能性肠病的一种，主要表现为排便困难、排便次数减少或排便不尽感，老年人群高发。目前，中医全科门诊主要参考中医和中西医结合指南，但在临床使用中，常出现见效较慢，效果不尽如人意的情况。本研究所在机构受“肺与大肠相表里”理论的启发，以“宣白承气汤”为基础，重组“宣白承气汤加减”，突破传统应用场景，调整君臣佐使关系，强化通便为主、宣肺为辅的配伍逻辑。采取“小方原则”适配社区需求，降低调配难度和成本。为基层热秘型便秘提供了一种理论自洽、操作简便、成本低廉的中医解决方案，填补了社区中医药适宜技术的空白。

Abstract

Functional constipation is a type of functional bowel disorder, mainly characterized by difficulty in defecation, reduced frequency of defecation, or a feeling of incomplete evacuation. It is more common in the elderly population. Currently, the main reference for traditional Chinese medicine general outpatient clinics is the traditional Chinese medicine and integrated traditional Chinese and Western medicine guidelines. However, in clinical use, there are often situations where the effect is slow and unsatisfactory. This research institution, inspired by the theory of “Lung and Large Intestine being Corresponding”, based on “Xuanbai Chengqi Decoction”, reorganized “Xuanbai Chengqi Decoction with modifications”, broke through the traditional application scenarios, adjusted the relationship between the sovereign, assistant, and auxiliary herbs, and strengthened the main function of promoting defecation while assisting in promoting lung function. The “small formula principle” was adopted to adapt to community needs, reducing the difficulty and cost of preparation. It provides a theoretically coherent, operationally simple, and cost-effective traditional Chinese medicine solution for hot constipation type functional constipation at the grassroots level, filling the gap in community-based traditional Chinese medicine appropriate technologies.