基于《伤寒论》从肝论治溃疡性结肠炎的思路和方法  

Ideas and methods of treating ulcerative colitis from the liver based on the Treatise on Cold Pathogenic Diseases

作　　者：李铮 程翻娥 白星 朱西杰[1] 李卫强[1] LI Zheng;CHENG Fane;BAI Xing;ZHU Xijie;LI Weiqiang(Ningxia Medical University,Yinchuan 750004,China)

机构地区：[1]宁夏医科大学,银川750004

出　　处：《吉林中医药》2025年第1期22-26,共5页Jilin Journal of Chinese Medicine

基　　金：国家自然科学基金项目(82260916);宁夏回族自治区一流课程《伤寒论》建设项目。

摘　　要：溃疡性结肠炎(ulcerative colitis,UC)为自身免疫性疾病,从溃疡性结肠炎的自身免疫反应出发,分别阐释肝与自身免疫系统的关系、溃疡性结肠炎与厥阴肝相关性及溃疡性结肠炎属于下利,当属厥阴肝之病症,指出肝与自身免疫功能直接相关,自身免疫失调与肝之气机疏泄失常密切相关,结合《伤寒论》厥阴病篇提出溃疡性结肠炎属于下利,为厥阴病症,探讨从肝论治溃疡性结肠炎的思路和方法:临床诊治应抓主证,分析溃疡性结肠炎的病机本质,注重方证统一。Ulcerative colitis(UC)is an autoimmune disease.Starting from the modern pathogenesis of UC--autoimmune reaction,this article explores the relationship between the liver and the autoimmune system,the relationship between ulcerative colitis and Jueyin liver disease.As ulcerative colitis is a diarrhea syndrome,it should be grouped into the category of Jueyin liver disease.The paper points out that the liver is directly related to the autoimmune function,and the autoimmune disorder is closely related to the disorder of the liver qi,Combined with the chapter of Jueyin disease in the Treatise on Cold Pathogenic Diseases,it is proposed that UC belongs to the category of diarrhea,which is the syndrome of Jueyin disease,and the ideas and methods of treating UC from the liver are given:In clinical diagnosis and treatment,practitioners should pay attention to the main syndrome,identifying the pathogenesis nature of UC,paying attention to the unity of prescriptions and syndromes,making good use of traditional Chinese medicine thinking,and flexibly applying classic prescriptions.

关 键 词：溃疡性结肠炎 《伤寒论》 厥阴病 从肝论治 思路和方法 

分 类 号：R574[医药卫生—消化系统]