首页|基于络病理论探析溃疡性结肠炎发病机制及治疗

基于络病理论探析溃疡性结肠炎发病机制及治疗

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现代医家提出"脉络-血管系统病"概念，认为通畅无滞、气血运行正常是络脉系统维持人体正常生命活动的基础。溃疡性结肠炎作为一种慢性肠道炎症性疾病，常久病不愈，与络病相关，本文基于络病理论探讨溃疡性结肠炎的发病机制及治疗策略。溃疡性结肠炎活动期病理特征以肠黏膜炎性病变为主，为湿热毒邪损伤脾胃气机枢纽功能，使"无形"之邪留于肠络所致，治疗上宜分消湿热，调气和血通络;缓解期病理表现多见肠黏膜血管破坏，病机责之于瘀滞肠络，治疗上宜分理气血，益气活血通络。
Exploration of Pathogenesis and Treatment of Ulcerative Colitis Based on Collateral Diseases Theory
Modern medical practitioner put forward the concept of"chorio-vascular system disease",believed that the normal operation of qi and blood is the basis for the choroid system to maintain the normal life activities of the human body.As a chronic inflammatory disease of intestinal tract,ulcerative colitis often remains unresolved for a long period of time,and it has connections with collateral diseases,necessitating an exploration into its etiology and therapeutic approach based on collateral diseases theory.The main pathological features of ulcerative colitis in the active stage are intestinal mucosal inflammatory lesions,which are caused by dampness-heat toxic pathogens impairing the key functions of the spleen and stomach and causing"invisible"evils to remain in the intestine.The treatment should be divided into eliminating dampness-heat,regulating qi and blood circulation to clear collaterals.In remission periods,typical manifestations involve vascular damage in intestinal mucosa attributed to stagnation within intestinal collaterals.The treatment should be divided into regulating qi and blood,supplementing qi and activating blood to clear collaterals.

collaterals disease theoryulcerative colitisintestinal collateralseliminating dampness-heatregu-lating qi and blood to clear collateralsregulating qi and bloodsupplementing qi and activating blood to clear collaterals

赖素玉、曾译贤、任冰、赵姿婷、阮梦怡、王晓锋

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中国中医科学院广安门医院,北京 100032

络病理论 溃疡性结肠炎 肠络 分消湿热 调气和血通络 分理气血 益气活血通络

国家自然科学基金面上项目中国中医科学院科技创新工程

81673980CI2021A02109

2024

10.16295/j.cnki.0257-358x.2024.09.005

山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子：0.431
ISSN：0257-358X
年,卷(期)：2024.43(9)