内外合用和五联复法辨治儿童溃疡性结肠炎  

Integrated Internal and External Treatment and Pentad Therapy in Differentiating and Treating Ulcerative Colitis in Children

作　　者：卢志远 汪受传[1] LU Zhiyuan;WANG Shouchuan(Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China)

机构地区：[1]南京中医药大学附属医院,南京210029

出　　处：《世界中医药》2025年第1期105-109,共5页World Chinese Medicine

基　　金：国家中医药管理局全国名中医传承工作室建设项目(国中医药人教发〔2018〕119号);国家中医药管理局高水平中医药重点学科建设项目资助(国中医药人教函〔2023〕85号)。

摘　　要：总结全国名中医汪受传教授内外合用、五联复法辨治儿童溃疡性结肠炎的临证经验,儿童溃疡性结肠炎的病位虽在大肠,但病本在脾;病机以脾失健运为本,大肠湿热为标,气机壅滞为枢,络伤血瘀为渐,毒热蕴结为甚;临证内外合用,内治五联以健脾益气固本、清热燥湿祛标、理气行滞调枢、活血化瘀杜渐、凉血解毒治甚,外治以中药灌肠,直达病所,协同增效。This paper summarized the clinical experience of Professor WANG Shouchuan,a renowned traditional Chinese medicine(TCM)practitioner,in the integrated internal and external treatment and pentad therapy of pediatric ulcerative colitis(UC).Although the UC in children primarily affects the large intestine,its root cause lies in the spleen.The pathogenesis is based on spleen deficiency leading to impaired transportation,with the large intestine experiencing dampness-heat as a secondary manifestation.The obstruction of the flow of qi is the central issue,while blood stasis caused by collateral damage progresses as a gradual complication,and the accumulation of toxic heat intensifies the condition.In clinical practice,internal treatment using the pentad therapy focuses on strengthening the spleen,benefiting qi,and stabilizing the root;clearing heat,drying dampness,and addressing the secondary symptoms;regulating qi to resolve stagnation and adjust the central mechanisms;activating blood to dissolve stasis and prevent progression;cooling the blood to remove toxin and address the severe condition.External treatment involves the use of TCM enema therapy,which directly reaches the affected area,enhancing the therapeutic effects synergistically.

关 键 词：溃疡性结肠炎 久痢 儿童 内外合用 五联复法 中药灌肠 @汪受传 名医经验 

分 类 号：R272.6[医药卫生—中医儿科学]