Treating Ulcerative Colitis Based on the Pathogenesis of Deficiency,Heat,Dampness,Stasis,and Stagnation
The etiology of ulcerative colitis(UC)is relatively complex,often involving a mixture of deficiency and excess,intermingling of cold and heat,and interactions of multiple factors.The key pathogenesis of UC lies in deficiency,heat,dampness,stasis,and stagnation,with deficiency being the root cause of the disease.The pathologi-cal progression involves qi stagnation,heat accumulation,dampness obstruction,and blood stasis.During the active phase,the primary pathogenesis is either intestinal damp-heat or disharmony between the liver and spleen.During the remission phase,the primary pathogenesis is spleen deficiency with dampness accumulation,deficiency of yang in both the spleen and kidney,or intermingling of cold and heat.When prescribing treatments,it is first necessary to analyze the urgency and stage of the condition,then identify the causes and mechanisms of the disease and clas-sify the symptoms.Treatments include tonifying the spleen and kidney,balancing cold and heat,clearing heat and transforming dampness,activating blood circulation and resolving stasis,and relieving liver stagnation.In clinical practice,it is essential to closely grasp the pathogenesis of deficiency,heat,dampness,stasis,and stagnation,apply symptomatic treatments,and use medications flexibly to achieve therapeutic effects.
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