痛泻要方合四神丸加味论治溃疡性结肠炎验案二则

Painful Diarrhea Sishen Pills and Treating Ulcerative Colitis 2 Case

溃疡性结肠炎是临床上常见病、多发病,主要以腹痛、腹泻、黏液脓血便、里急后重及全身症状为临床特征。发病率呈逐年上升趋势,因此越来越受到人们的关注与重视。临床上发现饮食不节、情志失调、脾胃受损、肾阳虚衰是该病的主要病因。病位主要在肠,病机复杂,以脾虚为本,而迁延反复发作、久治难愈,中医辨证多属于肝郁脾虚、脾肾两虚之证。因此在辨证的基础上,抑肝扶脾、温补脾肾是一条获取疗效的途径。采用痛泻要方合四神丸加味治疗溃疡性结肠炎取得了一定疗效,对溃疡性结肠炎的治疗思路有一定启发。

Ulcerative colitis is a chronic lesion of chronic rectum and colon of unknown cause. It is caused by varying degrees of abdominal pain,increased frequency of stools,often no formation,or watery stools,and even with mucus pus and blood. Symptoms of digestive diseases belong to the category of "diarrhea" and "dysentery" in the category of Chinese medicine. Unhealthy diet,emotional disorders,spleen and stomach damage.kidney yang deficiency is the main cause of this disease. Chronic relapsing patients,recurrent episodes,protracted and difficult to heal,TCM syndrome differentiation is mostly a syndrome of liver spleen deficiency and kidney deficiency. We have achieved a certain effect in the treatment of ulcerative colitis with Tongxie Yaofang Sishen Pill.