调肝胆治疗难治性溃疡性结肠炎  

Treatment of Refractory Ulcerative Colitis with Regulating Liver and Gallbladder

作　　者：曹晓丁 曾瑶 李卫强[1] CAO Xiaoding;ZENG Yao;LI Weiqiang(Department of Traditional Chinese Medicine,Ningxia Medical University,Yinchuan 750004,Ningxia,China)

机构地区：[1]宁夏医科大学中医学院,宁夏银川750004

出　　处：《实用中医内科杂志》2024年第8期58-61,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：国家自然科学基金项目(81960859)。

摘　　要：溃疡性结肠炎(Ulcerative Colitis, UC)属自身免疫性疾病,是消化系统难治性疾病之一,西医治疗存在易复发、副作用多等问题,中医药对于减轻UC肠道炎症、调节免疫等方面有较好优势。笔者结合《伤寒论》厥阴病篇下利之论,通过分析肝与人体免疫功能、与中焦脾胃、肠腑之间的相关性,指出UC发病与肝胆气机疏泄失常、肝气下迫肠腑相关,提出从肝胆论治的思路与方法,并对其兼症从中医病机角度进行了分析,以期对UC的临床治疗提供参考。Ulcerative colitis(UC) is an autoimmune disease, which is one of the refractory diseases of the digestive system. Western medicine treatment has problems such as easy recurrence and multiple side effects. Traditional Chinese medicine has good advantages in reducing intestinal inflammation and regulating intestinal immunity. It combines the theory of diarrhoea of Jueyin Disease in the Treatise on Febrile Diseases to analyze the correlation between the liver and human immune function, as well as the spleen, stomach and intestines in the middle energizer. Based on the concept and method of liver and gallbladder treatment, it is proposed that UC is related to the disorder of liver and gallbladder Qi circulation and relaxation, and analyzed its concurrent symptoms from the perspective of traditional Chinese medicine pathogenesis,in order to provide reference for the clinical treatment of UC.

关 键 词：肝 溃疡性结肠炎 《伤寒论》 经方 

分 类 号：R259[医药卫生—中西医结合]