基于卫气营血理论及窄带成像放大内镜技术探讨溃疡性结肠炎肠镜下微观辨证的思路与方法  

The idea and method of microscopic syndrome differentiation of ulcerative colitis under colonoscopy were discussed based on the theory of Weiqi ying blood and narrow-band imaging amplification endoscopy

作　　者：焦政 白光[1] 李格格 赵佳琪 孟子惠 刘方晓 贾越博 刘林[1] 李玉锋[1] JIAO Zheng;BAI Guang;LI Gege;ZHAO Jiaqi;MENG Zihui;LIU Fangxiao;JIA Yuebo;LIU Lin;LI Yufeng(Department of Spleen and Stomach Diseases,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang,110032,China;School of Acupuncture and Tuina,Liaoning University of Traditional Chinese Medicine;Graduate School of Liaoning University of Traditional Chinese Medicine;Department of Gastroenterology,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine)

机构地区：[1]辽宁中医药大学附属医院脾胃病科,沈阳110032 [2]辽宁中医药大学针灸推拿学院 [3]辽宁中医药大学研究生学院 [4]上海中医药大学附属曙光医院消化内科

出　　处：《中国中西医结合消化杂志》2023年第9期681-685,共5页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

基　　金：国家中医药管理局中医药循证能力建设项目(No:2019XZZX-XH008);辽宁省中医大师(辽宁省名中医)白光传承工作室建设项目[No:辽中医药综合字(2022)12号];辽宁中医药大学自然科学类项目(No:2021LZY030,No:2021LZY017)。

摘　　要：溃疡性结肠炎(ulcerative colitis,UC)是一种非特异性、慢性的炎症性肠病,近年来其发病率和患病率呈增长趋势,中医药在UC各阶段治疗中发挥着重要作用,疗效显著,相关研究表明,UC病情演变规律病机变化符合卫气营血病情演变规律病机变化,本文以卫气营血辨证思维方法为切入点,将窄带成像放大内镜观察到的临床资料提炼、总结并归纳于卫气营血辨证体系中,对UC的本质属性及疾病特点进行新的诠释,以镜为眼,把内镜作为中医望诊的延伸,使UC辨证客观化,丰富UC中医望诊的内容。Ulcerative colitis(UC)is a non-specific and chronic inflammatory bowel disease(IBD).Its incidence and prevalence have increased in recent years.Traditional Chinese Medicine plays an important role in the treatment of UC at all stages.However,for some patients,intestinal manifestations observed under the endoscope are inconsistent with clinical symptoms collected through the four diagnostic methods of Traditional Chinese Medicine,causing difficulties in clinical Traditional Chinese Medicine syndrome differentiation.Studies have shown that the pathogenesis of UC disease evolution is consistent with the pathogenesis of Weiqi ying blood.This paper takes the thinking method of syndrome differentiation of Weiqi ying blood as the starting point.The clinical data observed by magnifying endoscopy with narrow-band imaging(ME-NBI)was summarized and summarized in the syndrome differentiation system of Weiqi ying blood,and the essential attributes and disease characteristics of UC were interpreted.The lens was taken as the eye.Taking endoscopy as an extension of Traditional Chinese Medicine observation,objectified the syndrome differentiation of UC and enriched the contents of Traditional Chinese Medicine observation of UC.

关 键 词：溃疡性结肠炎 微观辨证 卫气营血 窄带成像 

分 类 号：R574.62[医药卫生—消化系统]