基于从寒火凝结论治痢疾经验分期治疗溃疡性结肠炎
Staged Treatment of Ulcerative Colitis based on the Experience in Treating Dysentery from Cold-fire Accumulation
王小康 1吕咪 1胡佳艳 1乔希筠 1张坤漓 1余文熙 2王昱茜 2王凤云1
作者信息
- 1. 中国中医科学院西苑医院,北京市海淀区西苑操场1号,100091
- 2. 北京中医药大学
- 折叠
摘要
参考张锡纯从寒火凝结论治痢疾的经验,将溃疡性结肠炎分为寒火凝结期、热盛肠腐期、正虚邪恋期三期论治.寒火凝结期脉滑实者,小承气汤加白芍、甘草下之,脉不实者,以化滞汤、燮理汤治疗;热盛肠腐期治以通变白头翁汤、解毒生化丹;正虚邪恋期用解毒生化丹加山药、三宝粥治疗.并结合现代药理学研究总结张锡纯应用黄连-肉桂、鸦胆子、地榆、山药、硫黄的用药特点,讨论其在剂型、服法方面的特色,希冀为中医药治疗溃疡性结肠炎提供新思路.
Abstract
Referring to ZHANG Xichun's experience in treating dysentery from cold-fire accumulation,the treat-ment of ulcerative colitis(UC)in this paper can be divided into three stages including cold-fire accumulation stage,excessive heat and putrid intestine stage,and healthy qi deficiency and pathogen lingering stage.For people with slip-pery and excess pulse in the cold-fire accumulation stage,Xiaochengqi Decoction(小 承气汤)added with Baishao(Radix Paeoniae Alba)and Gancao(Radix et Rhizoma Glycyrrhizae)can be used for purgation,while those with defi-cient pulse,Huazhi Decoction(化滞汤)orXieli Decoction(燮理汤)can be used.In the excessive heat and putrid intes-tine stage,Tongbian Baitouweng Decoction(通变白头翁汤)and Jiedu Shenghua Elixir(解毒生化丹)are suggested.In the healthy qi deficiency and pathogen lingering stage,it is advised to use Jiedu Shenghua Elixir added with Shanyao(Rhizoma Dioscoreae),and Sanbao Porridge(三宝粥).Additionally,the medication rules,dosage and administration characteristics of Huanglian(Rhizoma Coptidis)-Rougui(Cortex Cinnamomi),Yadanzi(Fructus Bruceae),Diyu(Radix Sanguisorbae),Shanyao and Liuhuang(Sulphur)by ZHANG Xichun have been summarized with the help of modern pharmacological research,so as to provide new ideas for the treatment of UC by TCM.
关键词
溃疡性结肠炎/痢疾/寒火凝结/《医学衷中参西录》Key words
ulcerative colitis/dysentery/cold-fire accumulation/Records of Chinese Medicine with Reference to Western Medicine(《医学衷中参西录》)引用本文复制引用
基金项目
国家自然科学基金(82174363)
国家自然科学基金(82374434)
中国中医科学院科技创新工程项目(CI2021A01001)
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据