消痈愈溃汤治疗复发型溃疡性结肠炎经验  

Experience of Xiaoyong Yukui Decoction in the Treatment of Recurrent Ulcerative Colitis

作　　者：贺晓宇 王智慧 吕祺超 牛兴东 高原 HE Xiaoyu;WANG Zhihui;LYU Qichao;NIU Xingdong;GAO Yuan(Inner Mongolia Traditional Chinese Medicine Hospital,Hohhot 010020,China)

机构地区：[1]内蒙古自治区中医医院,内蒙古呼和浩特010020

出　　处：《中国中医药信息杂志》2024年第7期166-170,共5页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：内蒙古自治区中医药中青年领军人才培育项目(2022年);内蒙古医科大学联合项目(YKD2021LH051);内蒙古自治区卫生健康科技计划项目(202201131)。

摘　　要：复发型溃疡性结肠炎是临床治疗难点,其中医病性乃本虚标实。脾阳亏虚,久则及肾;太少两感,久则累及厥阴,三阴合病,阳气大伤;湿热、浊毒、寒凝、食滞等邪气外侵内袭,伏于肠络,瘀阻化热,熏蒸脂膜而成内疡。正虚无力托疮是发病之本,肠络瘀滞是发病之标,“瘀”作为主要病理因素贯穿疾病始终。采用托疮祛瘀的思路论治,自拟消痈愈溃汤托疮生新,祛瘀消滞,燮理寒热,以扶正托毒,祛瘀通络,使邪去正安,内疡愈合,临证治疗复发型溃疡性结肠炎取得良好疗效。Recurrent ulcerative colitis is a difficult point in clinical treatment.Its TCM property is deficiency in nature and excess in superficiality.Deficiency of spleen yang for a long time will affect the kidney;if Taiyang and Shaoyin meridians are attacked for a long time,Jueyin will be involved.San yin diseases will occur,and yang qi will be severely injured;dampness and heat,turbid poison,cold coagulation,food stagnation and other pathogenic factors invade and attack from outside to inside,lie down in the intestinal collaterals,remove heat by stasis,fumigate the lipid membrane and form internal ulcers.Deficiency of healthy qi,weakness and sores are the origin of the disease,stagnation of intestinal collaterals is the superficiality of the disease,and“stasis”as the main pathological factor carries out the disease from beginning to end.According to the idea of supporting sores and removing blood stasis,the self-made Xiaoyong Yukui Decoction can support sores to generate new ones,remove blood stasis and eliminate stagnation,and help regulate cold and heat,so as to strengthen the health and reduce toxin,remove blood stasis and unblock collaterals,so that the pathogenic factors can be removed and health can be restored,and the internal ulcer can heal,achieving good clinical efficacy in treating recurrent ulcerative colitis.

关 键 词：溃疡性结肠炎 复发型 托疮祛瘀法 消痈愈溃汤 中医药治疗 

分 类 号：R259.74[医药卫生—中西医结合]