李佃贵治疗溃疡性结肠炎经验  

LI Dian-gui's experience in treating ulcerative colitis

作　　者：娄莹莹[1] 霍永利[1] 赵亚萍[1] 张纨[1] 李刚[1] 孙润雪 师虹艳 

机构地区：[1]河北省中医院,石家庄050011

出　　处：《中华中医药杂志》2016年第4期1290-1292,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家中医药管理局全国名老中医药专家传承工作室建设项目;河北省名中医传承工作室建设项目~~

摘　　要：文章总结了李佃贵教授治疗溃疡性结肠炎的辨治经验及临床用药特点:审证求因,谨查病机,认为浊毒内蕴是其病机的关键;提出了化浊解毒的基本治疗大法,一方面给浊毒之邪出路,另一方面截断浊毒的形成,尤其不忘调和气血;同时采取分期论治的方法,分为发作期和缓解期,发作期以实证、浊毒证为主,故以祛邪治标为先,缓解期以脾肾两虚、正虚邪恋为主,故以扶正固本为主;衷中参西,坚持宏观辨证与微观辨证相结合,内治法与外治法联合应用,对提高临床疗效具有一定的价值。The paper summarized professor LI Dian-gui＇s experience and clinical medicine characteristics in treating ulcerative colitis. With the determination of etiologic factors based on differentiation and the investigation of pathogenesis, LI Dian-gui pointed out that turbid toxins accumulated in interior was the key pathogenesis of ulcerative colitis. So the therapy for this disease should pay attention to resolving turbidity and removing toxic substance. On the one hand, giveing turbid toxins a way out; on the other hand, blocking the formation of turbid toxins, especially regulating qi and blood. Ulcerative colitis was divided into acute stage and remission stage, we should treat it by stages. At the acute stage, excess and turbid toxins were the main syndrome. And at the remission stage, spleen and kidney deficiency and lingering pathogen due to deficient vital qi were the main syndrome. Professor LI considered that the therapy for the acute stage was to eliminate pathogenic factor and treat symptoms first, and the therapy for remission stage was given priority to strengthening and consolidating body resistance. He advocated integration of Chinese and western medicine, combination of macroscopic and microcosmic syndrome differentiation, and treating internal and external disease simultaneously, which had a certain value to improve the clinical curative effect.

关 键 词：溃疡性结肠炎 肠澼 浊毒 名医经验 李佃贵 

分 类 号：R249[医药卫生—中医临床基础] R259[医药卫生—中医学]