王垂杰“化痈三变”治疗溃疡性结肠炎经验撷要

Experience of WANG Chuijie Applying“Cure Carbuncle”Thought in the Treatment of Ulcerative Colitis

溃疡性结肠炎是一种病因尚未明确的慢性非特异性肠道炎性疾病,其病程长、花费高、痊愈率低等特点严重影响了患者的生活质量。在面对这一疾病时,中医中药在减轻患者症状、降低发作频率、提升患者生活质量方面成效较为明显。王垂杰教授治疗溃疡性结肠炎时,强调该病以“痈毒内生”为根本,“正邪争缠”贯穿全程,日久渐成“虚弱之体”为病机特点的诊疗思想,阐述了王垂杰教授治疗该病常用方剂“肠宁方”立方思路及该方“重清”“重疏”“重温”的三种主要加减化裁方式,以供临床参考。

Ulcerative colitis is a chronic non-specific intestinal inflammatory disease with unknown etiology.Its long course,high cost and low recovery rate have seriously affected the quality of life of patients.In the face of this disease,traditional Chinese medicine is more effective in alleviating the symptoms of patients,reducing the frequency of attacks,and improving the quality of life of patients.When Professor WANG Chuijie treated ulcerative colitis,he emphasized that the disease is based on“endogenous carbuncle poison”,“the struggle between good and evil”runs through the whole process,and gradually becomes a“weak body”as the pathogenesis.He taught the common prescription“Changning Fang”in the treatment of this disease,and the three main additions and subtractions of the formula“re-clearing”,“re-thinning”and“re-reviewing”for clinical reference.