朱莹从“肝与大肠相通”辨治溃疡性结肠炎经验探析  

Professor ZHU Ying's experience in pattern-differentiating and treating ulcerative colitis based on the concept of"interconnection between the liver and large intestine"

作　　者：林子熙 龙丹 朱莹 LIN Zixi;LONG Dan;ZHU Ying(The First Clinical School of Chinese Medicine,Hunan University of Chinese Medicine,Changsha,Hunan 410007,China;Graduate School,Hunan University of Chinese Medicine,Changsha,Hunan 410208,China)

机构地区：[1]湖南中医药大学第一中医临床学院,湖南长沙410007 [2]湖南中医药大学研究生院,湖南长沙410208

出　　处：《湖南中医药大学学报》2025年第3期543-547,共5页Journal of Hunan University of Chinese Medicine

基　　金：国家自然科学基金项目(81874466,82374426);2022年全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号)。

摘　　要：溃疡性结肠炎是一种反复发作的慢性疾病,中医药治疗能有效控制其活动期,缓解其症状,降低其疾病复发率,且毒副作用小。朱莹教授从“肝与大肠相通”理论出发辨治溃疡性结肠炎,认为多因情志不畅、肝失疏泄、气机不畅致气滞并伴有湿热蕴结于肠而致病,总结以疏肝解郁、理气祛湿、清热凉血为治则治法,辅以心理疏导及饮食指导进行治疗。从理论内涵、治法用药、辨证论治等方面总结朱莹教授“肝与大肠相通”辨治溃疡性结肠炎的经验,并附验案一则加以佐证。Ulcerative colitis(UC)is a chronic disease characterized by recurrent episodes.Chinese Medicine(CM)therapy has been shown to effectively manage the active phase of this disease,alleviate symptoms,reduce the recurrence rate,and demonstrate minimal toxic or side effects.Professor ZHU Ying differentiates the patterns of UC and treats them based on the theory of"interconnection between the liver and large intestine".She holds that emotional distress impairs the liver function in regulating qi flow and thus disrupts the normal qi movement,which leads to qi stagnation and the resultant accumulation of damp-heat in the intestines,thereby causing the disease.Therefore,therapeutic methods of soothing the liver and relieving depression,regulating qi and eliminating dampness,and clearing heat and cooling blood are proposed,supplemented by psychological counseling and dietary advice.This paper summarizes Professor Zhu's experience in treating UC based on the theory of"interconnection between the liver and large intestine",covering the theoretical connotations,therapeutic methods and medication,as well as pattern differentiation and treatment.Additionally,it includes a case study to support the discussion.

关 键 词：溃疡性结肠炎 痢疾 泄泻 “肝-肠”轴 肠道菌群 朱莹 

分 类 号：R256.34[医药卫生—中医内科学]