从“金郁泄之”论治溃疡性结肠炎

Treatment of ulcerative colitis from“stasis of metal should be adjusted”

“金郁泄之”理论出自《黄帝内经》,“金”是肺与肠的基本属性,“郁”指郁滞,壅塞不通的异常状态,故“金郁”可理解为属金脏腑如肺、大肠所发壅滞、阻塞之证。“泄之”是五行属金脏腑郁滞的治疗方法,其具体含义应随“金郁”的病理产物、病位的不同而不同。溃疡性结肠炎多由邪蕴肠腑,气血瘀滞,肠道传导失司,湿、热、瘀于大肠相互搏结成郁,改变肠道属金肃降之性所致,其核心病机为湿热内蕴,气血瘀滞,属于“金郁”的范畴,病位虽在大肠,可波及于肺。故治疗应顺应“泄之”的法则,以祛除肺肠之郁为主,包括清泄与宣泄两种方法,同时补益肺、脾、肾三脏之气,以恢复肺肠之功能,达到扶正祛邪,标本兼顾的目的,促进溃疡性结肠炎的愈合。

The theory of“drainage for pulmonary depression”comes from“Huangdi Neijing”,“Jin”is the basic attribute of lung and intestine,“Yu”refers to the abnormal state of stagnation and blockage,so“Jin Yu”can be understood as the syndrome of obstructing and obstructing of the viscera such as lung and large intestine."Xie Zhi"is a treatment method of the five elements belonging to the metal Zang-fu depression,and its specific meaning should be different with the pathological product and disease location of"Jin Yu".Ulcerative colitis is mostly caused by evil accumulation of intestinal fu-organs,Qi stagnation and blood stasis,intestinal conduction disorder,dampness,heat and blood stasis in the large intestine to form depression,change the nature of metal of the intestinal track.Its core pathogenesis is the internal dampness-heat,Qi stagnation and blood stasis,which belongs to the category of"YinYu".Although the disease location in the large intestine,can affect the lung.Therefore,the treatment should comply with the law of"adjusted",mainly to remove the lung and intestinal depression,including clearing and catharsis of two methods,while tonifying the lung,spleen and kidney of the three viscera,in order to restore the function of the lung and intestine,to achieve the purpose of fuzheng and exorcism,and promote the healing of ulcerative colitis.