韩捷教授运用健脾温肾法治疗老年性溃疡性结肠炎经验总结

Experience summary of professor Han Jie in the treatment of senile ulcerative colitis with Jianpi Wenshen method

溃疡性结肠炎的发病机制尚不完全明确,与环境、免疫等因素相关,发病呈现双峰分布,近年来老年性溃疡性结肠炎患者发病呈现增高趋势,并有一定程度的癌变倾向。由于老年性溃疡性结肠炎患者临床症状的特殊性,其诊疗难度大,属于临床疑难病症,不仅给患者身心带来极大困扰,也引发了一系列家庭、社会问题。本文总结老年性溃疡性结肠炎的特点及表现,立足中医理论,抓住本病的病机特点,指出本病病理因素在于湿、浊、瘀,病机根本责之于脾肾亏虚,宜采用健脾益气、温肾固涩之治法,临床应用广泛,取得较好临床效果,并总结韩捷教授健脾温肾法治疗溃疡性结肠炎的经验,以飨读者。

The pathogenesis of ulcerative colitis is not completely clear, and it is related to environmental and immune factors. The incidence of the disease is bimodal. In recent years, the incidence of senile ulcerative colitis has increased, and there is a certain degree of cancerous tendency. Due to the particularity of the clinical symptoms of senile ulcerative colitis, its diagnosis and treatment is difficult, and it is a clinically difficult disease, which not only causes great trouble to the body and mind of patients, but also triggers a series of family and social problems. This article summarizes the characteristics and manifestations of senile ulcerative colitis. Based on the theory of traditional Chinese medicine, seizing the pathogenesis of this disease, it points out that the pathological factors of this disease are wet, turbid, and stasis. The pathogenesis is responsible for the deficiency of spleen and kidney, and it is better to use Jianpi Wenshen method, which is widely applied in the clinic and has achieved better clinical results. The experience of professor Han Jie in the treatment of senile ulcerative colitis with Jianpi Wenshen method is summarized to satisfy the demands of the readers.