首页|中医药治疗肝郁脾虚型溃疡性结肠炎的临床及机制研究进展

中医药治疗肝郁脾虚型溃疡性结肠炎的临床及机制研究进展

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肝郁脾虚证为溃疡性结肠炎(UC)的常见证型,中医基于“肝脾同治”理论治疗肝郁脾虚型UC疗效满意,不良反应较少。临床多运用以辨证论治、分期论治为主的中医内治法,以及以中药灌肠、针灸、穴位贴敷为主的中医外治法,可缓解症状、改善相关临床指标、提高患者生活质量。作用机制研究发现,具有疏肝运脾作用的中药复方主要通过调控信号通路传导、调节肠道菌群、改善炎症因子水平等多方面发挥治疗作用。 Liver depression and spleen deficiency syndrome is a common syndrome type of ulcerative colitis (UC). Based on the theory of 'collaborative treatment of liver and spleen', TCM shows its effect and less adverse reactions in the treatment of UC with liver depression and spleen deficiency. The internal treatment of TCM based on syndrome differentiation and treatment by stages, as well as the external treatment of TCM based on TCM enema therapy, acupuncture therapy and acupoint application therapy, can relieve symptoms, improve relevant clinical indicators and improve the quality of life of patients. The mechanism studies show that the TCM with the effect of soothing the liver and activating the spleen plays a therapeutic role by regulating signal pathway conduction, regulating intestinal flora, and improving the level of inflammatory factors.
Clinical and mechanistic research progress of TCM on ulcerative colitis of liver depression and spleen deficiency
Liver depression and spleen deficiency syndrome is a common syndrome type of ulcerative colitis (UC). Based on the theory of 'collaborative treatment of liver and spleen', TCM shows its effect and less adverse reactions in the treatment of UC with liver depression and spleen deficiency. The internal treatment of TCM based on syndrome differentiation and treatment by stages, as well as the external treatment of TCM based on TCM enema therapy, acupuncture therapy and acupoint application therapy, can relieve symptoms, improve relevant clinical indicators and improve the quality of life of patients. The mechanism studies show that the TCM with the effect of soothing the liver and activating the spleen plays a therapeutic role by regulating signal pathway conduction, regulating intestinal flora, and improving the level of inflammatory factors.

Colitis, ulcerativeSyndrome of stagnation of liver qi and spleen deficiencyTraditional Chinese Medicine therapyReview

范飒、段晓宇、祝康杰、左振魁、常久

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河南中医药大学2020级硕士研究生,郑州 450046

河南省中医院 河南中医药大学第二附属医院肛肠科,郑州 450002

结肠炎,溃疡性 肝郁脾虚 中医药疗法 综述

河南省中医药科学研究专项课题河南省研究生教育改革与质量提升工程项目

2019ZY2022YJS2021AL059

2024

国际中医中药杂志
中华医学会,中国中医科学院中医药信息研究所

国际中医中药杂志

CSTPCD
影响因子:0.411
ISSN:1673-4246
年,卷(期):2024.46(2)
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