基于中医“升降理论”以乙字汤辨治内痔出血及脱出  

Treatment of internal hemorrhoid hemorrhage and prolapse with Yizi Decoction based on“the ascending and descending theory”of traditional Chinese medicine

作　　者：袁润 姜芸 雷沥 李华山[1] YUAN Run;JIANG Yun;LEI Li;LI Huashan(Department of Proctology,Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing100053,China;Graduate School,Beijing University of Chinese Medicine,Beijing100029,China)

机构地区：[1]中国中医科学院广安门医院肛肠科,北京100053 [2]北京中医药大学研究生学院,北京100029

出　　处：《中国医药导报》2022年第32期112-116,共5页China Medical Herald

基　　金：国家自然科学基金面上项目(81673988、82174390)。

摘　　要：升降理论在中医理论体系中具有重要的临床指导意义,在各系统疾病中应用广泛。内痔出血及脱出虽为局部病症,其内在机制却体现整体气血阴阳的动态失衡。临床上中医对于内痔的治疗往往以梳理气机升降为治则。乙字汤作为痔病的良效验方,其辛开苦降,清散并行,亦为调理升降之妙方,对于肛肠诸病皆有沿用。现代医家基于升降理论为指导思想,以乙字汤为基础方加减治疗内痔出血及脱出,运用灵活且取得较好效果。本文介绍了在升降理论的指导下,中医认识内痔的悠久历史及乙字汤组方的宝贵经验。阐述了乙字汤在内痔出血及脱出的调治过程中对升降理论的临床发挥,传承与挖掘内痔出血及脱出的中医辨证论治思路,丰富肛肠疾病的内治方法。The ascending and descending theory is of great clinical significance in the theory system of traditional Chinese medicine,and is widely used in various systemic diseases.Although internal hemorrhoid hemorrhage and prolapse is a local disease,its internal mechanism reflects the dynamic imbalance of the whole qi,blood,yin,and yang.Clinical treatment of internal hemorrhoids in traditional Chinese medicine often card the rise and fall of qi machine.Yizi Decoction is regarded as an excellent prescription for hemorrhoids and also used for many kinds of anorectal diseases because of adjusting the disturbance in ascending and descending,which contains the meaning of acrid opening and bitter downbearing,clearing cooperate with scattering.Modern doctors based on the ascending and descending theory as the guiding ideology,the modified treatment of internal hemorrhoids hemorrhage and prolapse based on the Yizi Decoction,flexible use and achieved good results.This paper introduces the long history of traditional Chinese medicine in understanding internal hemorrhoids and the valuable experience in the formulation of Yizi Decoction under the guidance of ascending and descending theory,and expounds the clinical application of Yizi Decoction in the treatment of internal haemorrhoid hemorrhage and prolapse,inherits and excavates the thinking of traditional Chinese medicine clinical syndrome differentiation and treatment for internal haemorrhoid hemorrhage and prolapse,and enriches the internal treatment methods of anorectal diseases.

关 键 词：升降理论 乙字汤 内治法 便血 内痔脱出 

分 类 号：R657.1[医药卫生—外科学]