从阴火论治溃疡性结肠炎  

Discussion on the treatment from yin fire on ulcerative colitis

作　　者：王睿清 胡鸿毅[1] 邵家东 孙博云 林江[1] WANG Rui-qing;HU Hong-yi;SHAO Jia-dong;SUN Bo-yun;LIN Jiang(Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China)

机构地区：[1]上海中医药大学附属龙华医院,上海200032

出　　处：《中华中医药杂志》2020年第6期2961-2964,共4页China Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：溃疡性结肠炎具有病程长、虚实夹杂等特点,文章通过研究李东垣著作发现阴火病机与溃疡性结肠炎的发病机制关系密切,阴火乃是由于相火不足,继发的君火亢盛。脾虚即可导致湿热内生。湿与热相合为邪,在气分则可暴注下迫,在血分则血溢血泄,便脓血。治疗当补脾胃、升阳气、泻阴火,临证处方可选升阳除湿汤、升阳去热和血汤。Ulcerative colitis has the characteristics of long course of disease,mixed with false and real,and it is found that the pathogenesis of yin fire is closely related to the pathogenesis of ulcerative colitis by studying LI Dong-yuan’s works.The yin fire is due to insufficient prime fire,and the king fire is booming.Spleen deficiency can lead to endogenous heat and dampness.Wet and heat are combined as evil,and in the level of qi,it can be forced by violent injection.In the blood level,the blood overflows and suffocates.Insufficient spleen deficiency,the spleen is sturdy,the blood is stabbed,and the blood is forced to run.The treatment is to supply spleen and stomach,raise yang qi,and diarrhea yin fire,we can choose Shengyang Chushi Decoction,Shengyang Qure Hexue Decoction.

关 键 词：溃疡性结肠炎 阴火 脾虚 血热 升阳除湿汤 

分 类 号：R259[医药卫生—中西医结合]