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炎症性肠病若干难点处理经验

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炎症性肠病是消化道疑难病,常伴有多种并发症及肠外表现,临床处理颇为棘手。中医药对于炎症性肠病相关疑难病症有独特治疗方法:针对反复便血者,当凉血化瘀、宁络止血;高热不退者,当和解少阳、宣透清散;激素依赖者,当补脾益肾、调和气血;结肠癌变者,当益气固本、化浊祛毒;内瘘脓肿者,当清热解毒、生肌愈疡;关节损伤者,当清肠化湿、通络消痹;皮肤病变者:当内外兼顾,化湿解毒。在中西医结合的医疗背景下,充分发挥西药精准靶向治疗和中医辨证施治特点,为患者提供最佳治疗方案。
Experience in handling several difficult points of inflammatory bowel disease
Inflammatory bowel disease(IBD)is a difficult digestive disease,accompanied by various complica-tions and extraintestinal manifestations.It maybe a big challenging for clinical management.Traditional Chinese medicine has a unique treatment method for complicated diseases related to IBD:for patients with recurrent rectal bleeding,it is recommended to cool blood,remove blood stasis,and calm the meridians to stop bleeding;for those with a high fever,it should reconcile with Shaoyang and clear the qi;for hormone dependent individuals,it should supplement the spleen,benefit the kidneys,and harmonize qi and blood;for patients with colon cancer,it is important to nourish qi,solidify the foundation,remove turbidity and toxins;for patients with internal fistula abscess,it is important to clear heat,detoxify,and promote muscle growth and healing;for joint injuries,it is recommended to clear the intestines and dispel dampness,clear the meridians and eliminate obstruction;for pa-tients with skin lesions:when taking into account both internal and external factors,it can dissolve dampness and detoxify.In the context of integrated traditional Chinese and Western medicine,we fully leverage the precisely tar-geted treatment of Western medicine and the characteristics of traditional Chinese medicine diagnosis and treat-ment to provide patients with the best treatment plan.

inflammatory bowel diseaseulcerative colitisCrohn's diseasetraditional Chinese medicine

沈洪、刘亚军、朱磊、邢敬、张露

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南京中医药大学附属医院 江苏省中医院消化科(南京,210029)

炎症性肠病 溃疡性结肠炎 克罗恩病 中医药

国家中医药管理局高水平中医药重点学科项目国家自然科学基金江苏省中医药科技发展计划重点项目

国中医药人教函202385号82274483ZD202212

2024

中国中西医结合消化杂志
华中科技大学同济医学院,中国中西医结合学会消化系统疾病专业委员会,中华中医药学会脾胃病专业委员会

中国中西医结合消化杂志

CSTPCD
影响因子:1.363
ISSN:1671-038X
年,卷(期):2024.32(2)
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