沈洪从脏腑辨证治疗溃疡性结肠炎经验撷菁
|
摘要
目的:总结沈洪教授中医治疗溃疡性结肠炎的经验。方法:通过临床跟师随诊,搜集并整理该疾病的病例,总结出沈洪教授治疗溃疡性结肠炎的经验及学术思想。结果:沈洪教授从脏腑辨证提出溃疡性结肠炎病变位于大肠,病机责于脾,与肺、肝、肾三脏相关。治疗上据不同脏腑的特点,确定以清肠化湿为主要原则,兼以健脾升阳、调肺化痰、固肠止泻、温补脾肾等治法。临证施治时善用风药,标本兼顾,宏微相参,临床效果显著。结论:沈洪教授对溃疡性结肠炎的治疗有其独到的临床经验,值得深入研习和借鉴。
Objective: To summarize Professor SHEN Hong's experience in treating ulcerative colitis( UC) with traditional Chinese medicine. Methods: Through the clinical follow-up with the doctors,we collected and sorted out the cases of the disease,and summarized the experience and academic thoughts of Professor SHEN Hong in the treatment of UC. Results: Prof. SHEN Hong proposed that ulcerative colitis was located in the large intestine from the syndrome of internal organs. The pathogenesis was responsible for the spleen and related to the lung,liver and kidney. The treatment should be according to the characteristics of different organs to determine the main principle of clearing the bowel and resolving dampness,assissting with strengthening spleen and ascending Yang,regulating lung and resolving phlegm,consolidating instestine and stopping diarrheat and warming and tonifying spleen and kidney. Advantageous use of wind medicine during the treatment and paying attention to the root and branch as well as the macro and micro conditons have significant clinical effects. Conclusion: Professor SHEN Hong has unique clinical experience in the treatment of UC and is worthy of in-depth study and reference.
Objective: To summarize Professor SHEN Hong's experience in treating ulcerative colitis( UC) with traditional Chinese medicine. Methods: Through the clinical follow-up with the doctors,we collected and sorted out the cases of the disease,and summarized the experience and academic thoughts of Professor SHEN Hong in the treatment of UC. Results: Prof. SHEN Hong proposed that ulcerative colitis was located in the large intestine from the syndrome of internal organs. The pathogenesis was responsible for the spleen and related to the lung,liver and kidney. The treatment should be according to the characteristics of different organs to determine the main principle of clearing the bowel and resolving dampness,assissting with strengthening spleen and ascending Yang,regulating lung and resolving phlegm,consolidating instestine and stopping diarrheat and warming and tonifying spleen and kidney. Advantageous use of wind medicine during the treatment and paying attention to the root and branch as well as the macro and micro conditons have significant clinical effects. Conclusion: Professor SHEN Hong has unique clinical experience in the treatment of UC and is worthy of in-depth study and reference.
引文
[1]张瑞芳,陈朝晖,刘漪沦,等.溃疡性结肠炎的发病机制及其治疗进展[J].生命的化学,2018,38(2):241-249.
[2]杨蔚峰,邹尤宝.溃疡性结肠炎治疗进展[J].右江民族医学院学报,2017,39(2):143-145.
[3]戴高中,陈晨,范先靖,等.白头翁汤加减灌肠方治疗左半结肠型急性期溃疡性结肠炎17例临床观察[J].中医杂志,2015,56(21):1862-1866.
[4]张永,胡志鹏,叶俏波.托里透毒法在溃疡性结肠炎中的运用[J].辽宁中医杂志,2018,45(2):341-343.
[5]崔国宁,刘喜平,曾庆涛.参苓白术散治疗溃疡性结肠炎研究进展[J].中华中医药学刊,2018,36(2):391-395.
[6]陈无择.三因极一病证方论[M].北京:中国中医药出版社,2007,233.
[7]吕景山.施今墨对药[M]. 4版.北京:人民军医出版社,2015:26-27.
[8]张云云,王志荣.心理因素在溃疡性结肠炎中的作用及机制[J].世界华人消化杂志,2013,21(19):1823-1827.
[9]李梴.医学入门[M].天津:天津科学技术出版社,1999,164-165.
[10]马羽萍,王裕云,吴超.从肝与大肠相通理论谈肠源性内毒素血症的防治思路[J].陕西中医,2015,36(11):1510.
[11]陈蛟,张映林,刘作金.肝肠轴相关机制研究进展[J].现代医药卫生,2014,30(22):3405-3408.
[12]韩捷,赵文霞.从“肺与大肠相表里”理论探讨溃疡性结肠炎患者的肺功能改变[J].中国中医基础医学杂志,2011,17(4):417-418.
[13]华佗.中藏经[M].北京:学苑出版社,2007,39.
[14]朱晓奕,洪庆,徐卫东,等.玉屏风散及原药材免疫调节活性研究进展[J].亚太传统医药,2017,13(9):66-68.
[15]周敏红.加味玉屏风散维持溃疡性结肠炎缓解疗效评价研究[D].南京:南京中医药大学,2016.
[16]张声生,沈洪,郑凯,等.溃疡性结肠炎中医诊疗专家共识意见(2017)[J].中华中医药杂志,2017,32(8):3585-3589.
[2]杨蔚峰,邹尤宝.溃疡性结肠炎治疗进展[J].右江民族医学院学报,2017,39(2):143-145.
[3]戴高中,陈晨,范先靖,等.白头翁汤加减灌肠方治疗左半结肠型急性期溃疡性结肠炎17例临床观察[J].中医杂志,2015,56(21):1862-1866.
[4]张永,胡志鹏,叶俏波.托里透毒法在溃疡性结肠炎中的运用[J].辽宁中医杂志,2018,45(2):341-343.
[5]崔国宁,刘喜平,曾庆涛.参苓白术散治疗溃疡性结肠炎研究进展[J].中华中医药学刊,2018,36(2):391-395.
[6]陈无择.三因极一病证方论[M].北京:中国中医药出版社,2007,233.
[7]吕景山.施今墨对药[M]. 4版.北京:人民军医出版社,2015:26-27.
[8]张云云,王志荣.心理因素在溃疡性结肠炎中的作用及机制[J].世界华人消化杂志,2013,21(19):1823-1827.
[9]李梴.医学入门[M].天津:天津科学技术出版社,1999,164-165.
[10]马羽萍,王裕云,吴超.从肝与大肠相通理论谈肠源性内毒素血症的防治思路[J].陕西中医,2015,36(11):1510.
[11]陈蛟,张映林,刘作金.肝肠轴相关机制研究进展[J].现代医药卫生,2014,30(22):3405-3408.
[12]韩捷,赵文霞.从“肺与大肠相表里”理论探讨溃疡性结肠炎患者的肺功能改变[J].中国中医基础医学杂志,2011,17(4):417-418.
[13]华佗.中藏经[M].北京:学苑出版社,2007,39.
[14]朱晓奕,洪庆,徐卫东,等.玉屏风散及原药材免疫调节活性研究进展[J].亚太传统医药,2017,13(9):66-68.
[15]周敏红.加味玉屏风散维持溃疡性结肠炎缓解疗效评价研究[D].南京:南京中医药大学,2016.
[16]张声生,沈洪,郑凯,等.溃疡性结肠炎中医诊疗专家共识意见(2017)[J].中华中医药杂志,2017,32(8):3585-3589.