王爱华教授基于湿热瘀虚治疗溃疡性结肠炎经验  

Experience of Professor Wang Aihua in Treating Ulcerative Colitis Based on Dampness-heat Stasis Deficiency

作　　者：程扬 王爱华[2] 宾东华[2] CHENG Yang;WANG Aihua;BIN Donghua(Hunan University of Chinese Medicine,Changsha 410208,China;Department of Proctology,The First Affiliated Hospital of Hunan University of Chinese Medicine,Hunan Province,Changsha 410007,China)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]湖南中医药大学第一附属医院肛肠科,湖南长沙410007

出　　处：《光明中医》2024年第21期4291-4294,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：湖南省自然科学基金(No.023JJ60339)。

摘　　要：溃疡性结肠炎(Ulcerative colitis,UC)是一种便后大量黏液脓血、吸收功能明显障碍,病理上呈结直肠黏膜下弥漫性、持续炎性改变的疾病,临床表现为反复发作的腹痛、腹泻。中医药在治疗UC方面发挥了重要作用,此文通过总结分析湖南省名中医王爱华教授临床上长期诊治UC的经验,得出UC发病多以脾肾阳虚为基础、胃肠湿热为表征,揭示“湿、热、瘀、虚”在UC发病中的重要病机,在治疗上注重清肠道湿热、温补脾肾,扶正祛邪,标本同治,虚实兼顾。Ulcerative colitis(UC)is a disease characterized by a large amount of mucous,pus,and blood after urination,obvious absorption dysfunction,and pathological submucosal colorectal diffuse and persistent inflammatory changes.The clinical manifestations are recurrent abdominal pain and diarrhea.Traditional Chinese medicine has played an important role in the treatment of ulcerative colitis.By summarizing and analyzing the clinical experience of Professor Wang Aihua,a famous traditional Chinese medicine doctor in Hunan Province,in the long-term diagnosis and treatment of ulcerative colitis,this paper concluded that the incidence of UC is mostly based on spleen-kidney yang deficiency and characterized by gastrointestinal dampness and heat,and revealed the important pathogenesis of“dampness,heat,stasis and deficiency”in the pathogenesis of UC.In the treatment,we should pay attention to clear intestinal damp heat,warm tonifying spleen and kidney,strengthen the body resistance to eliminate pathogenic factors,treating both manifestation and root cause of disease.

关 键 词：泄泻 溃疡性结肠炎 标本同治 王爱华 

分 类 号：R249[医药卫生—中医临床基础] R259[医药卫生—中医学]