李乾构教授基于“病有脾,治肝肺”论治溃疡性结肠炎的经验  

Professor Li Qiangou’s experience in the treatment of ulcerative colitis based on the theory of “disease in the spleen, cure liver and lung”

作　　者：张亮亮 杨帅 于金德 李佳珂 李乾构[2] 汪红兵[2] ZHANG Liangliang;YANG Shuai;YU Jinde;LI Jiake;LI Qiangou;WANG Hongbing(School of Clinical Medicine,Beijing University of Chinese Medicine,Beijing100029,China;Department of Gastroenterology,Beijing Traditional Chinese Medicine Hospital Affiliated to Capital Medical University,Beijing100010,China;Department of Gastroenterology,Yanqing Hospital,Beijing Hospital of Traditional Chinese Medicine,Beijing102199,China)

机构地区：[1]北京中医药大学临床医学院,北京100029 [2]首都医科大学附属北京中医医院消化科,北京100010 [3]北京中医医院延庆医院消化科,北京102199

出　　处：《中国医药导报》2023年第10期113-116,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(81774257)。

摘　　要：唐容川《痢证三字诀》提出“病有脾,治肝肺”,认为痢证虽以损伤脾胃为主,但治疗应重视调治肝肺,使“脾经自治”,李乾构教授根据多年临床经验,多从脾、肝、肺入手治疗溃疡性结肠炎,达到抗溃疡而治痢的目的。饮食不节、肺肠失调、忧思恼怒等病因可引起脾、肝、肺病变,导致大肠传导不利,发为本病,此病病程较长,耗伤正气,李教授临证时以脾胃虚弱、肝失疏泄、肺失宣降为发病机制,治疗以培补脾胃,疏肝理肺为根本大法,结合患者具体情况及肠外表现进行随证加减,临床疗效显著。Tang Rongchuan’s Three-Character Classic for Dysentery Syndrome proposes that“disease in the spleen,cure liver and lung”.He believes that although dysentery syndrome mainly damages the spleen and stomach,attention should be paid to regulating the liver and lung in order to make the“spleen meridian autonomous”,Professor Li Qiangou mainly treats ulcerative colitis from the spleen,liver,and lung to achieve the purpose of anti-ulcer and cure dysentery based on many years of clinical experience.The diseases of spleen,liver,and lung can be caused by improper diet,lung and intestinal disorders,anxiety and irritation,which can lead to the adverse conduction of large intestine,thereby causing disease.It is the disease,which has a long course and consumes vital qi.Professor Li takes the pathogenesis of spleen and stomach weakness,liver failing in conveyance and dispersion,and lung failing in dispersing as its clinical symptoms,and the fundamental method of treatment is to nourish the spleen and stomach,dredge the liver and regulate the lung.Combined with the specific situation of the patient and extraintestinal manifestations in order to add or subtract according to the syndrome.The clinical effect is significant.

关 键 词：溃疡性结肠炎 “病有脾 治肝肺” 名老中医经验 李乾构 

分 类 号：R256.3[医药卫生—中医内科学]