基于“伏毒”理论探讨溃疡性直肠炎的病因病机及诊疗思路  

Discussion on the Etiology,Pathogenesis,and Diagnostic Approach of Ulcerative Proctitis Based on the“Latent Toxin”Theory

作　　者：赵春智 李晓华 Zhao Chunzhi;Li Xiaohua(Hebei University of Chinese Medicine,Hebei,Shijiazhuang 050091,China)

机构地区：[1]河北中医药大学,河北石家庄050091 [2]河北省沧州中西医结合医院,河北沧州061013

出　　处：《中国中医急症》2025年第3期439-442,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：河北省中医药管理局中医药类科技计划项目(2021320)。

摘　　要：溃疡性直肠炎归属于炎症性肠病的范畴,其具有反复发作、迁延难愈的特点,严重影响患者身心健康及生活质量。伏毒是潜伏在人体内不即刻发病、遇感而发的毒邪。本文认为溃疡性直肠炎的病因病机与“伏毒”存在紧密关联,湿热毒邪积聚于肠络,正邪相争,致使毒盛暴发,正虚邪恋,最终导致脏腑功能失调,气血失和,阴阳失衡。在“伏毒”理论指导下,依据疾病发展不同时期,审因察机,辨证论治。本文旨在为溃疡性直肠炎的中医治疗提供新的临床思路。Ulcerative proctitis falls within the scope of inflammatory bowel disease and is characterized by recurrent episodes and chronicity,which can significantly impact patients′physical and mental health as well as their quality of life.The concept of“latent toxin”refers to toxic pathogens that remain dormant within the body and become activated under certain conditions.This article posits a close relationship between the etiology and pathogenesis of ulcerative proctitis and the“latent toxin”theory.Accumulation of damp-heat toxins in the intestinal network leads to a struggle between pathogenic and righteous qi,resulting in toxin proliferation and acute flare-ups.Over time,this weakens the body′s defenses,allowing the toxins to persist,ultimately disrupting organ function,impairing the balance of qi and blood,and causing disharmony between yin and yang.Guided by the“latent toxin”theory,this article advocates for careful analysis of the disease mechanisms at different stages of its progression,emphasizing syndrome differentiation and individualized treatment.The article aims to provide new clinical insights into the traditional Chinese medicine treatment of ulcerative proctitis.

关 键 词：溃疡性直肠炎 伏毒 清热解毒 扶正补虚 尽清伏毒 

分 类 号：R574.62[医药卫生—消化系统]