刘启泉从肝脾论治溃疡性结肠炎经验浅析

Discussion on LIU Qi-quan’s experience in treating ulcerative colitis from liver and spleen

溃疡性结肠炎复发率高,世界卫生组织将其归为难治性疾病。近年来,该病在我国的发病率愈来愈高。中医治疗溃疡性结肠炎有清热解毒、温补脾肾、凉血止痢等不同治法,虽可缓解症状,但远期疗效差强人意。刘启泉教授认为肝郁脾虚为溃疡性结肠炎病机关键,并与湿、瘀、虚相互兼杂致病,治疗时以疏肝理气健脾为法遣方用药,临床疗效甚佳。

Ulcerative colitis has a high recurrence rate,WHO has classified it as a refractory disease.In recent years,the incidence of the ulcerative colitis in China has been increasing.In the treatment of TCM,there are different therapies such as‘clearing heat and removing toxicity’,‘warming and tonifying spleen and kidney’,‘cooling blood and stopping dysentery’,which can alleviate symptoms,but the long-term effect is unsatisfactory.Professor LIU Qi-quan believes that liver depression and spleen deficiency are the key to the pathogenesis of ulcerative colitis,and they are mixed with dampness,blood stasis and deficiency.The prescription of soothing liver,regulating qi and invigorating spleen is effective.