刘力诊疗溃疡性结肠炎经验
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摘要
刘力教授诊疗溃疡性结肠炎(UC),充分认识其病因病机,主要诊疗经验在于:明病位病机,察邪气轻重,知攻补之主次;依据大便性状明寒热,不忘调节肠道菌群;把握病情归转,固肠与通腑并用;加强健康教育指导,配合药物灌肠等疗法。并举例治疗验案。
The experience in the diagnosis and treatment of ulcerative colitis in Professor LIU Li was summarized. He holds that the disease location and pathogenesis should be determined and the severity of evil qi also should be determined to work out the degree of tonification and purgation. Also the cold or warm condition should be determined by the state of stool to regulate the intestinal flora. According to the disease development,consolidating intestine and purging the fu-organ should be applied together. Patients should be taught the knowledge on this disease. Besides,enema with herbal medicine should be applied. There is also a case report of the successful treatment in this paper.
The experience in the diagnosis and treatment of ulcerative colitis in Professor LIU Li was summarized. He holds that the disease location and pathogenesis should be determined and the severity of evil qi also should be determined to work out the degree of tonification and purgation. Also the cold or warm condition should be determined by the state of stool to regulate the intestinal flora. According to the disease development,consolidating intestine and purging the fu-organ should be applied together. Patients should be taught the knowledge on this disease. Besides,enema with herbal medicine should be applied. There is also a case report of the successful treatment in this paper.
引文
[1]尤黎明,吴瑛.内科护理学[M].北京:人民卫生出版,2006:221-223.
[2]解春静,庄彦华,栾雨笼.溃疡性结肠炎发病机制中免疫因素的研究进展[J].细胞与分子免疫学杂志,2013,29(8):889-892.
[3]徐燕,何树泉,李洪亮.溃疡性结肠炎的肠黏膜免疫细胞研究进展[J].赣南医学院学报,2013,33(1):156-160.
[4]沈舒文.内科难治病辨治思路[M].北京:人民卫生出版社,2002:177-182.
[5]葛均波,徐永健.内科学[M].北京:人民卫生出版社,2013:395-398.
[6]张欢,马文军,刘力.参苓白术散加味联合益生菌治疗溃疡性结肠炎30例[J].陕西中医学院学报,2010,33(1):18-19.
[7]杜晓泉,袁敏慧,刘争辉.刘力教授治疗溃疡性结肠炎病例经验介绍[J].世界科学技术-中医药现代化,2012,14(1):1259-1262.
[8]刘争辉,张成明,刘力.刘力教授论治溃疡性结肠炎思路介绍[J].中医药导报,2016,22(1):114-116.
[9]张琦.金匮要略讲义[M].上海:上海科学技术出版社,2006:12.
[10]刘力,范文涛,张建安.马齿苋胶囊加中药灌肠治疗溃疡性结肠炎37例[J].陕西中医,2007,28(10)1323-1325.
[11]冯澜,李绍民,代立娟,等.马齿苋多糖对溃疡性结肠炎小鼠肠黏膜细胞因子及肠道菌群的影响[J].中国微生态学杂志,2015,27(2):139-142.
[12]刘欢,王磊,高鸿亮,等.TLR4m Ab对2,4,6-三硝基苯磺酸诱导的溃疡性结肠炎模型大鼠肠腔及肠黏膜菌群的影响[J].中国微生态学杂志,2016,28(4):373-382.
[2]解春静,庄彦华,栾雨笼.溃疡性结肠炎发病机制中免疫因素的研究进展[J].细胞与分子免疫学杂志,2013,29(8):889-892.
[3]徐燕,何树泉,李洪亮.溃疡性结肠炎的肠黏膜免疫细胞研究进展[J].赣南医学院学报,2013,33(1):156-160.
[4]沈舒文.内科难治病辨治思路[M].北京:人民卫生出版社,2002:177-182.
[5]葛均波,徐永健.内科学[M].北京:人民卫生出版社,2013:395-398.
[6]张欢,马文军,刘力.参苓白术散加味联合益生菌治疗溃疡性结肠炎30例[J].陕西中医学院学报,2010,33(1):18-19.
[7]杜晓泉,袁敏慧,刘争辉.刘力教授治疗溃疡性结肠炎病例经验介绍[J].世界科学技术-中医药现代化,2012,14(1):1259-1262.
[8]刘争辉,张成明,刘力.刘力教授论治溃疡性结肠炎思路介绍[J].中医药导报,2016,22(1):114-116.
[9]张琦.金匮要略讲义[M].上海:上海科学技术出版社,2006:12.
[10]刘力,范文涛,张建安.马齿苋胶囊加中药灌肠治疗溃疡性结肠炎37例[J].陕西中医,2007,28(10)1323-1325.
[11]冯澜,李绍民,代立娟,等.马齿苋多糖对溃疡性结肠炎小鼠肠黏膜细胞因子及肠道菌群的影响[J].中国微生态学杂志,2015,27(2):139-142.
[12]刘欢,王磊,高鸿亮,等.TLR4m Ab对2,4,6-三硝基苯磺酸诱导的溃疡性结肠炎模型大鼠肠腔及肠黏膜菌群的影响[J].中国微生态学杂志,2016,28(4):373-382.