溃疡性结肠炎中医病名、病因、病机的古今比较和回顾

Comparison and review of TCM nomenclature, etiology and pathogenesis of ulcerative colitis between ancient and modern times

通过整理古今中医文献中关于溃疡性结肠炎(ulcerativecolitis,UC)病名、病因和病机的相关内容,笔者梳理出UC的中医病名演变流程,并概括出其病因是以脾肾亏虚为基础,时因外邪、饮食、情志等因素诱发或加重;其病机特点为本虚标实、寒热错杂,以脾、肾、肝、肺四脏为主,兼有湿、热、瘀、毒等病理因素。

Through the study of nomenclature, etiology and pathogenesis of ulcerative colitis (UC) in the ancient and modern Chinese medical literature, the authors sorted out the evolution of UC’s name in traditional Chinese medicine (TCM), and summarized that UC is induced or aggravated by external pathogens, diets or emotions based on the deficiency of spleen and kidney. The pathogenesis of UC includes root deficiency and manifestation excess, as well as cold and heat in complexity;its location of disease is mainly about spleen, kidney, liver and lung, accompanied by pathological factors like dampness, heat, stasis and toxin.