“五味”辨治溃疡性结肠炎  

Treatment of Ulcerative Colitis with"Five Flavors"

作　　者：张智伟 周雨 张琳[3] ZHANG Zhiwei;ZHOU Yu;ZHANG Lin(Beijing Fengtai Hospital of Integrated Traditional Chinese and Western Medicine,Beijing 100072,China;Beijing Integrated Traditional Chinese and Western Medicine Hospital,Beijing 100089,China;Beijing Traditional Chinese Medicine Hospital Affiliated to Capital Medical University,Beijing 100010,China)

机构地区：[1]北京市丰台中西医结合医院,北京100072 [2]北京中西医结合医院,北京100089 [3]首都医科大学附属北京中医医院,北京100010

出　　处：《实用中医内科杂志》2024年第7期65-68,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：中央级公益性科研院所基本科研业务费专项资金资助项目(YZ-202132);北京中医药薪火传承3+3工程——王京奇基层老中医传承工作室项目(京中科字〔2008〕2号)。

摘　　要：文章基于“五味”理论探讨溃疡性结肠炎的中医治疗,通过叙述溃疡性结肠炎的中医范畴、病因病机和“酸、苦、甘、辛、咸”等经典方剂、配伍特点,全方位展示“五味”理论治疗溃疡性结肠炎的独到之处。另外,通过总结发现,与溃疡性结肠炎有关的四合方剂主要具有清热化湿、调气和血、益气健脾、疏肝理气等功能。现代医学治疗溃疡性结肠炎的方法多样,但发时治标、缓时治本的治疗原则基本一致,而“五味”理论源于临床,并可指导溃疡性结肠炎各个阶段的用药,故基于“五味”理论辨治溃疡性结肠炎具有一定临床意义。Based on the theory of"five tastes",this paper discusses the traditional Chinese medicine treatment of ulcerative colitis.By describing the category of traditional Chinese medicine,etiology and pathogenesis of ulcerative colitis,and the classic prescriptions of"acid,bitter,sweet,occinent,salty"and so on,the compatibility characteristics of the"five tastes"theory in the treatment of ulcerative colitis are fully demonstrated.In addition,through the summary found that the Sihe prescription related to ulcerative colitis mainly has the functions of clearing heat and dampness,regulating Qi and blood,invigorating qi and spleen,soothing liver and regulating qi and so on.Modern medicine has a variety of treatment methods for ulcerative colitis,but the treatment principle of treating symptoms at the onset and treating the root cause at the delay is basically the same.The"five flavors"theory originates from the clinic and can guide the medication at each stage of ulcerative colitis.Therefore,the differentiation and treatment of ulcerative colitis based on the"five flavors"theory has certain clinical significance.

关 键 词：五味理论 溃疡性结肠炎 治法 四合 辨证论治 

分 类 号：R256.34[医药卫生—中医内科学]