以“痈疡”论治溃疡性结肠炎临证经验荟萃  

Clinical Experience of Treating Ulcerative Colitis with“Carbuncle”

作　　者：奚玉杰 崔海栋 梁国英 XI Yujie;CUI Haidong;LIANG Guoying(Heilongjiang University of Chinese Medicine,Harbin 150040,China;Qingdao Weiliao Biotechnology Co.,Ltd.;The First Affiliated Hospital of Heilongjiang University of Chinese Medicine)

机构地区：[1]黑龙江中医药大学,哈尔滨150040 [2]青岛卫疗生物科技有限公司 [3]黑龙江中医药大学附属第一医院

出　　处：《浙江中医药大学学报》2024年第3期332-336,共5页Journal of Zhejiang Chinese Medical University

基　　金：全国中医临床特色技术传承骨干人才培养项目(国中医药人教函﹝2019﹞36号);黑龙江中医药大学合作科研项目(22012210013)。

摘　　要：[目的]总结现代医家以“痈疡”论治溃疡性结肠炎(ulcerative colitis,UC)的经验,以期为中医药治疗UC提供更多思考。[方法]从以“痈疡”论治UC角度出发,通过整理现代医家相关经验文章,总结现代医家以“痈疡”论治UC的病因病机、辨证特色及治疗策略。[结果]现代医家以“痈疡”论治UC,认为其病因与感受外邪、饮食失节、情志不遂、体虚劳倦有关,病机为本虚标实,虚实夹杂,以脾虚为本,湿、热、瘀、毒诸邪兼夹,在疾病的活动期以邪实为主,缓解期以脾肾亏虚为主,辨证重视局部辨证和阴阳辨证,在治疗中灵活运用“消、托、补”三法,痢痈同治,内外兼治。[结论]以“痈疡”论治UC是一种行之有效的中医诊疗思路,为探索中医药治疗策略提供了参考。[Objective]To summarize the experience of modern doctors in treating ulcerative colitis(UC)with“carbuncle”,in order to provide more thinking for the treatment of UC by traditional Chinese medicine(TCM).[Methods]From the perspective of treating UC with“carbuncle”,the etiology,pathogenesis,syndrome differentiation and treatment strategy of modern doctors treating UC with“carbuncle”were summarized by collating relevant experience articles of modern doctors.[Results]Modern doctors treat UC as“carbuncle”,and believe that the cause of UC is related to exogenous evil,improper diet,mood failure,body deficiency and fatigue,the pathogenesis of which is the deficiency in origin and excess in superficiality,deficiency and excess are mixed with spleen deficiency,dampness,heat,blood stasis and poison.In the active stage of the disease,the main cause is evil and excess;in the remission stage,the main cause is spleen and kidney deficiency.Local syndrome differentiation and Yin-Yang syndrome differentiation are emphasized.In the treatment,the three methods of dispersing,promoting and tonifying are applied flexibly,dysentery and carbuncle are treated together,both inside and outside should be treated.[Conclusion]Treating UC as“carbuncle”is an effective TCM diagnosis and treatment idea,and provides a reference for exploring TCM treatment strategies.

关 键 词：溃疡性结肠炎 中医药 痈疡 消、托、补三法 名医经验 综述 

分 类 号：R574[医药卫生—消化系统]