曹志群基于脏腑经络奇经理论辨治溃疡性结肠炎

Differentiation and Treatments of Ulcerative Colitis by CAO Zhiqun Based on Theory of Zang-Fu Organs,Meridian and Collateral,and Extra Meridians

曹志群教授将脏腑理论、经络理论、奇经理论相融合,形成脏腑经络奇经理论,并提出“脏腑气血升降在经(气)-入络(血)-深入奇经(肾)”的辨证模式。他认为溃疡性结肠炎的病机演变过程为脾虚湿蕴-肠络瘀阻-奇经受损,病机特点是脾虚湿阻为本,络脉瘀阻、痰瘀互结为标。治以理脾化湿、化瘀通络,或兼以清化、调和、温通,自拟方“芪仙苡酱汤”疗效较好。

Professor CAO Zhiqun combines the Zang-fu organs theory,meridian and collateral theory,and extra meridians theory to form the theory of Zang-fu organs,meridian and collateral,and extra meridians,and puts forward the syndrome differentiation model of“ascending and descending of Zang-fu organs’qi and blood in meridian(qi)-entering collaterals(blood)-going deep into extra meridian(kidney)”.He believes the pathogenesis evolution of ulcerative colitis is“spleen deficiency and dampness accumulation-obstruction of intestinal collaterals by blood stasis-injury of extra meridians”,and the characteristics of the pathogenesis are spleen deficiency and dampness obstruction as the fundamental cause,obstruction of the collaterals,and mutual accumulation of phlegm and blood stasis as the surface phenomena.The treatment is mainly based on regulating spleen and removing dampness,resolving blood stasis and dredging collaterals,or accompanied by clearing,harmonizing,and warming.His self-made prescription“Qixian Yijiang Decoction(芪仙苡酱汤)”has good curative efficacy.