“五辨”诊断思维在溃疡性结肠炎防治中的应用

Application of“Five Differentiation”Diagnostic Thinking in the Prevention and Treatment of Ulcerative Colitis

溃疡性结肠炎是一种反复发作、迁延难愈的消化系统疾病,已经逐渐影响到患者的正常生活,成为临床上难治性疾病之一。近年来中医药在治疗此疾病时不断发挥其优势,得到较好的临床反馈,有望突破治疗瓶颈。中医诊治疾病的两大特征就是辨证论治和整体观念,其中“辨”是中医诊断的基本过程,也是中医临床思维的灵魂。“五辨”,即包括辨病、辨症、辨证、辨人、辨机。将“五辨”诊断思维灵活运用于溃疡性结肠炎的防治中,有助于溃疡性结肠炎内在机制的掌握、发展趋势的判断、特定阶段病理状态的识别、变化规律的把握和矛盾主次的剖析,进而在传统诊治的基础上提供更加有效的理论基础和思路,最终使临床疗效得到提高。

Ulcerative colitis is a recurrent and refractory disease of the digestive system,which has gradually affected people′s normal life and become one of the clinically refractory diseases.However,in recent years,traditional Chinese medicine has given full play to its advantages in the treatment of this disease and received good clinical feedback,which is expected to break through the treatment bottleneck.The two main characteristics of TCM diagnosis and treatment are syndrome differentiation and holistic concept,among which“differentiation”is the basic process of TCM diagnosis and the soul of TCM clinical thinking.“Five differentiation”includes disease differentiation,symptom differentiation,syndrome differentiation,individual differentiation and pathogenesis differentiation.Using the“five differentiation”diagnosis thinking in the prevention and treatment of ulcerative colitis helps doctors in the internal mechanism of ulcerative colitis,development trend,pathology in the specific phase,change law,and primary and secondary contradictions,thus providing more effective theoretical basis and thinking on the basis of traditional diagnosis and treatment and improving the clinical efficacy.