北京中医药大学东直门医院 北京 100700
李敏,女,在读硕士生
# 朱立,女,博士,主任医师、副教授,硕士生导师,E-mail:18101038076@163.com
纸质出版日期:2022-07-30,
收稿日期:2022-02-14,
移动端阅览
李敏, 张雯, 孙慧怡, 等. 风药在治疗溃疡性结肠炎中的应用[J]. 现代中医临床, 2022,29(4):55-59.
Min LI, Wen ZHANG, Huiyi SUN, et al. Application of wind medicinals in the treatment of ulcerative colitis[J]. Modern Chinese Clinical Medicine, 2022,29(4):55-59.
李敏, 张雯, 孙慧怡, 等. 风药在治疗溃疡性结肠炎中的应用[J]. 现代中医临床, 2022,29(4):55-59. DOI: 10.3969/j.issn.2095-6606.2022.04.011.
Min LI, Wen ZHANG, Huiyi SUN, et al. Application of wind medicinals in the treatment of ulcerative colitis[J]. Modern Chinese Clinical Medicine, 2022,29(4):55-59. DOI: 10.3969/j.issn.2095-6606.2022.04.011.
溃疡性结肠炎是一种慢性非特异性炎症性肠病,以结直肠黏膜连续性、弥漫性炎症改变为特征,临床症见腹痛、腹泻、黏液脓血便、里急后重等。可归属于中医“肠澼”“大瘕泄”“休息痢”等范畴。中医认为正气亏虚、湿毒蕴结、气血壅滞是该病的基本病机,病位在大肠,与肝、脾、肾密切相关。风药味辛,质地轻薄,具有升浮之性。根据风药的药性、功用,结合脾胃的生理病理特点,分别从升举脾阳、祛风胜湿、宣发郁滞、疏肝理气、活血化瘀、引经报使等方面探讨风药治疗溃疡性结肠炎的机理及应用。结合临床病案对风药在治疗溃疡性结肠炎中的应用进行介绍。
Ulcerative colitis is a chronic nonspecific inflammatory bowel disease characterized by continuous and diffuse inflammatory changes in the colorectal mucosa. Its clinical symptoms include abdominal pain
diarrhea
bloody purulent stools
tenesmus and so on. It can be classified into the categories of "intestinal diarrhea"
"dysenteric diarrhea" and "rest dysentery" in traditional Chinese medicine. In traditional Chinese medicine
the basic pathogenesis of the disease is deficiency of healthy Qi
retention of dampness and toxin and stagnation of Qi and blood. The disease is located in the large intestine and is closely related to the liver
spleen and kidney.Wind medicinals are pungent in flavor
thin and light in texture
and has the nature of rising and floating. According to the property and function of wind medicinals
combined with the physiological and pathological characteristics of the spleen and stomach
this paper discusses the mechanism and application of wind medicinals in the treatment of ulcerative colitis from the aspects of lifting spleen Yang
dispelling wind and eliminating dampness
promoting stagnation
soothing the liver and regulating Qi
promoting blood circulation and removing stasis
and guiding the meridian. Combined with a clinical case
this paper introduces the application of wind medicinals in the treatment of ulcerative colitis.
溃疡性结肠炎风药祛风升阳胜湿
ulcerative colitiswind medicinedispelling windlifting yangeliminating dampness
陈旻湖,杨云生,唐承薇.消化病学[M].北京:人民卫生出版社,2019:254-255.
中国中西医结合学会消化系统疾病专业委员会.溃疡性结肠炎中西医结合诊疗共识意见(2017年)[J].中国中西医结合消化杂志,2018,26(2):105-111,120.
张琴,万健,吴开春.溃疡性结肠炎癌变流行病学调查:一项全国多中心回顾性研究[J].中华炎性肠病杂志,2017,1(3):155-159.
黎琮毅.溃疡性结肠炎的中西医治疗进展[J].湖南中医杂志,2019,35(8):158-161.
郝丽华.溃疡性结肠炎的临床特征以及与焦虑、抑郁状态的相关性研究[D].太原:山西医科大学,2021.
沈洪.构建溃疡性结肠炎中医药全链条干预策略的思考[J].南京中医药大学学报,2021,37(6):812-816.
谢晶日,孙涛,张冰.溃疡性结肠炎的中医药治疗进展及相关优势探讨[J].辽宁中医杂志,2016,43(2):425-427.
高艺格,姚玉璞.溃疡性结肠炎中医外治法治疗进展[J].中医药信息,2019,36(5):121-124.
王新月,王建云.溃疡性结肠炎中医药治疗的关键问题与优势对策[J].中华中医药杂志,2012,27(2):263-267.
李杲.脾胃论[M].鲁兆麟,主校.沈阳:辽宁科学技术出版社,1997.
柴世牵,段丽阳,周秋君,等.试述风药在荨麻疹治疗中的应用[J].浙江中医杂志,2022,57(4):298-300.
张元素.医学启源[M].任应秋,点校.北京:人民卫生出版社,1978:169-178.
李杲.医学发明[M].北京:人民卫生出版社,1959:5.
孙平良,钟元帅,李裕波,等.溃疡性结肠炎中医病因病机研究进展[J].中医研究,2016,29(4):71-74.
巢元方.诸病源候论[M].鲁兆麟,主校.沈阳:辽宁科学技术出版社,1997:89.
陈无择.三因极一病证方论[M].王象礼,张玲,赵怀舟,校注.北京:中国中医药出版社,2007:233.
叶天士.临证指南医案[M].华岫云,编订.北京:华夏出版社,1995.
裴银奇,赵党生,王子艳.基于数据挖掘方法对溃疡性结肠炎中医证候要素分布的文献分析[J].亚太传统医药,2017,13(10):51-52.
闫昕,王新月,盛益华,等.溃疡性结肠炎肺损伤的病因病理机制探讨及意义[J].中华中医药杂志,2013,28(7):1943-1948.
李挺.医学入门[M].邓必隆,王鱼门,伍炳彩,等,校注.南昌:江西科学技术出版社,1988:154.
刘闻莺,刘欣艳,杨根妹,等.活动期溃疡性结肠炎凝血功能分析[J].胃肠病学,2013,18(10):615-618.
王忠成.从瘀论治溃疡性结肠炎[J].山东中医杂志,2012,31(9):680-681.
缪希雍.神农本草经疏[M].张淑祥,于新丽,于静,等,校注.太原:山西科学技术出版社,2013:232.
倪朱谟.本草汇言[M].戴慎,陈仁寿,虞舜,点校.上海:上海科学技术出版社,2005:74.
汪讱庵.医方集解[M].叶显纯,点校.上海:上海科学技术出版社,1991:87.
0
浏览量
51
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构