国医大师王庆国调枢机辨治溃疡性结肠炎经验
Prof.Wang Qingguo's experience in treating ulcerative colitis based on adjusting the pivot
崔颖 1范淑月 1倪钰莹 1高婧 1罗再奕 1刘敏1
作者信息
- 1. 北京中医药大学中医学院 北京 100029
- 折叠
摘要
溃疡性结肠炎是一种反复发作的炎症性肠道疾病,属于中医"久痢""肠澼"等范畴."开、阖、枢"理论由《黄帝内经》首次提出,太阳为开,阳明为阖,少阳为枢.枢机为人体气机运行的关键,枢机不利则气血阴阳失调,百病丛生.王庆国教授认为本病的关键病机是枢机不利,进而产生脾虚湿滞,大肠湿热,肝郁脾虚等多种证型.在临证治疗上,王教授从调和枢机入手,巧用升阳益胃汤、柴胡桂枝干姜汤、四逆散、乌梅丸等多个方药加减化裁,疗效显著.本文介绍了溃疡性结肠炎以枢机立论的病因病机,用药治法,并附上王庆国教授的临床验案 1 则加以佐证,以期为溃疡性结肠炎的临床辨证论治提供参考.
Abstract
Ulcerative colitis(UC)is a recurrent inflammatory bowel disease that falls within the realm of traditional Chinese medicine categories such as jiuli(chronic dysentery)and changpi(intestinal dysentery).The theory of"open,close,and pivot"was initially proposed in the Huangdi Neijing,stating that taiyang is related to opening,yangming to closing,and shaoyang to the pivot.The pivot is vital for the flow of qi and blood in the body,and its dysfunction may lead to imbalances in yin-yang and various illnesses.Prof.Wang Qingguo identifies the pivotal dysfunction as the key pathomechanism,resulting in clinical syndromes such as spleen deficiency and dampness,large intestine dampness and heat,and liver constraint and spleen deficiency.In clinical practice,Prof.Wang starts by adjusting the pivot,adeptly using multiple prescriptions like Shengyang Yiwei Decoction(Yang-Raising and Stomach-Boosting Decoction),Chaihu Guizhi and Ganjiang Decoction(Bupleurum,Cinnamon Twig and Dried Ginger Decoction),Sini Powder(Frigid Extremities Powder),and Wumei Pill(Mume Pill)with modifications,achieving significant clinical effects.This article elaborates on the etiology and pathogenesis of UC based on the pivot theory,the medication and treatment,and includes clinical cases by Prof.Wang Qingguo,aiming to offer guidance for the clinical diagnosis and treatment of UC.
关键词
溃疡性结肠炎/开阖枢/经方/时方/名医经验/王庆国Key words
ulcerative colitis/opening and closing pivot/classical prescription/current prescription/famous physicians'experience/Wang Qingguo引用本文复制引用
基金项目
全国中医临床优秀人才研修项目(第五批)(国中医药人教函[2022]239号)
国家中医药局全国老中医药专家学术经验继承工作项目(第六批)(国中医药办人教发[2017]29号)
国家中医药局全国名中医王庆国传承工作室建设项目(国中医药办人教函[2018]119号)
出版年
2024
国家科技期刊平台
NSTL
万方数据