基于玄府理论探析溃疡性结肠炎中药保留灌肠经验  

The Experience of Retention Enema with Traditional Chinese Medicine for Ulcerative Colitis Based on the Theory of Sweat Pore

作　　者：洪子夫[1] 何颖华[1] 冯丽鹏[1] 贾菲[1] 曲牟文[1] 袁亮[1] 贾茗雯 HONG Zifu;HE Yinghua;FENG Lipeng;JIA Fei;QYU Mouwen;YUAN Liang;JIA Mingwen(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing,100053)

机构地区：[1]中国中医科学院广安门医院,北京市西城区100053

出　　处：《中医杂志》2025年第6期634-637,共4页Journal of Traditional Chinese Medicine

基　　金：中国中医科学院科技创新工程项目(CI2021A02105);中央高水平中医医院临床研究和成果转化能力提升项目(HLCMHPP2023113)。

摘　　要：从玄府理论认识溃疡性结肠炎本虚标实的病性,并探讨中药保留灌肠治疗该病的理论依据及经验。溃疡性结肠炎主要病位在肠,肠玄府作为玄府的一部分,既是气机升降出入于脏腑经络之门户,又是气血津液转输的通道。肠玄府郁闭是溃疡性结肠炎的主要病理基础,结合肠镜表现,根据导致玄府郁闭的病因病机的不同,以祛风开玄、清火开玄、活血开玄等为不同侧重点,临床采用风药、清热药、活血药等辨证治疗,中药保留灌肠法直达病所,以宣通玄府,调节气血,从而恢复肠玄府正常功能。This paper discussed the nature of ulcerative colitis,that is deficiency of the root and excess of the branch,from the theory of sweat pore,and to explore the theoretical basis and experience of treating this disease with retention enema of traditional Chinese medicine(TCM).The main location of this disease is in the intestine.As a part of sweat pore,the intestinal sweat pore serves as the gateway for the ascending,descending,exiting and entering of qi movement in the zang fu(脏腑)organs,meridians and collaterals,as well as the channel for the transportation of qi,blood and body fluids.The constraint and closure of the intestinal sweat pore are the main pathological basis of ulcerative colitis.According to the manifestations of colonoscopy,and the different etiological factors and pathogenesis that lead to the constraint and closure of sweat pore,there should be different treatment focuses such as expelling wind to open sweat pore,clearing fire to open sweat pore,promoting blood circulation to open sweat pore,for which wind-dispersing herbs,heat-clearing herbs,and blood-activating herbs are used accordingly.The method of retention enema can directly induce Chinese medicinal herbs to the affected part,so as to diffuse and unblock the sweat pore,regulate qi and blood,and thus restore the normal function of the intestinal sweat pore.

关 键 词：溃疡性结肠炎 玄府 中药保留灌肠 

分 类 号：R25[医药卫生—中医内科学]