基于络病理论初探溃疡性结肠炎中医病机及治疗
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摘要
溃疡性结肠炎与络病之大肠络病在病理改变、临床特征等方面密切相关,基于络病理论初步探讨溃疡性结肠炎的中医病机及治疗,认为络气郁滞、湿热蕴络、络脉阳虚是溃疡性结肠炎的重要病机,治疗上以"通络"为主,结合病机,灵活选用行气化瘀、祛湿清热、温阳荣络等通络法,为中医治疗溃疡性结肠炎提供新的研究思路与方向。
Ulcerative colitis is closely related to collaterals disease in pathological changes and clinical features.Based on the theory of collateral disease, the pathogenesis and treatment of ulcerative colitis in traditional Chinese medicine are discussed. It is considered that the stagnation of collateral qi, the accumulation of dampness and heat in collaterals and the deficiency of collateral yang are the important pathogenesis of ulcerative colitis. Therefore, the principle of treating ulcerative colitis is removing obstruction in collaterals. Combined pathogenesis, the methods of regulating qi to disperse stagnation, removing dampness and clearing heat, warming yang and removing obstruction in collaterals, etc. It provides new research ideas and directions for the treatment of ulcerative colitis by traditional Chinese medicine.
Ulcerative colitis is closely related to collaterals disease in pathological changes and clinical features.Based on the theory of collateral disease, the pathogenesis and treatment of ulcerative colitis in traditional Chinese medicine are discussed. It is considered that the stagnation of collateral qi, the accumulation of dampness and heat in collaterals and the deficiency of collateral yang are the important pathogenesis of ulcerative colitis. Therefore, the principle of treating ulcerative colitis is removing obstruction in collaterals. Combined pathogenesis, the methods of regulating qi to disperse stagnation, removing dampness and clearing heat, warming yang and removing obstruction in collaterals, etc. It provides new research ideas and directions for the treatment of ulcerative colitis by traditional Chinese medicine.
引文
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[14]朱春洋.张声生教授治疗溃疡性结肠炎经验的数据挖掘及临床疗效评价研究[D].北京:北京中医药大学,2017.
[15]干丹,韩昌鹏.中西医结合治疗溃疡性结肠炎的研究进展[J].现代中西医结合杂志,2017,26(26):2958-2961.
[2]王亚美,贾斌.应用络病理论辨治溃疡性结肠炎理论探讨[J].山东中医杂志,2018,37(2):94-96.
[3]张浩洋,庞立健,刘创,等.络病理论架构下的慢性复杂性疾病现代中医辨治探究[J].中华中医药杂志,2018,33(9):3749-3752.
[4]常成成,魏聪,吴以岭.脉络学说“孙络-微血管”概念及其临床指导意义[J].中医杂志,2016,57(1):7-11.
[5]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.
[6]靳明星,刘艳迪.炎症性肠病血液高凝状态的发生机制与治疗进展[J].中国中西医结合外科杂志,2018,24(2):241-244.
[7]陈璐,周中银.溃疡性结肠炎发病机制的研究进展[J].疑难病杂志,2016,15(6):650-654.
[8]李军祥,谭祥,毛堂友.溃疡性结肠炎中西医结合治疗策略[J].中国中西医结合杂志,2017,37(4):398-400.
[9]吴以岭.络病病机探析[J].中医杂志,2005,46(4):243-245.
[10]杨雪,赵鲁卿,周强,等.张声生从气血辨治溃疡性结肠炎九法[J].北京中医药,2016,35(3):231-232.
[11]王志坤,李博林,杜志杰,等.刘启泉教授治疗溃疡性结肠炎经验[J].中华中医药杂志,2013,28(12):3589-3591.
[12]齐相芬,张仁诚,胡文平,等.王长洪教授诊治缓解期溃疡性结肠炎经验总结[J].辽宁中医药大学学报,2016,18(3):193-195.
[13]DIGNASS A,LINDSAY J O,STURM A,et al.Second European evidence-based consensus on the diagnosis and management of ulcerative colitis part 2:current management[J].J Crohns Colitis,2012,6(10):991-1030.
[14]朱春洋.张声生教授治疗溃疡性结肠炎经验的数据挖掘及临床疗效评价研究[D].北京:北京中医药大学,2017.
[15]干丹,韩昌鹏.中西医结合治疗溃疡性结肠炎的研究进展[J].现代中西医结合杂志,2017,26(26):2958-2961.