《溃疡性结肠炎中西医结合诊疗专家共识》解读

Interpretation of Expert Consensus on the Diagnosis and Treatment of Ulcerative Colitis with Integrated Traditional Chinese and Western Medicine

溃疡性结肠炎(ulcerative colitis,UC)是消化系统难治性疾病之一,2021年由中国中西医结合学会提出并归口,2023年针对UC发布了《溃疡性结肠炎中西医结合诊疗专家共识》。本文结合既往的UC中西医结合诊疗共识,对2023年《溃疡性结肠炎中西医结合诊疗专家共识》中的中医病名、中西医结合临床定位、病证结合诊断流程、体现脑肠同调、中医辨证分型及治疗策略等亮点部分进行详细解读,以期加深同道对该共识的理解,推动中西医结合治疗UC向规范化、统一化方向发展。

Ulcerative colitis(UC)is one of the intractable diseases of the digestive system.In 2021,the Expert Consensus on the Diagnosis and Treatment of Ulcerative Colitis with Integrated Traditional Chinese and Western Medicine was addressed and categorized by the Chinese Association of Integrative Medicine.In 2023,it was released.This article,building on previous consensuses on integrated diagnostics and treatment of UC,provides a detailed interpretation of key aspects of the 2023 consensus,including the Traditional Chinese Medicine nomenclature,the clinical positioning of integrative medicine,the combined diagnosis process,the concept of brain-gut coordination,Traditional Chinese Medicine syndrome differentiation,and treatment strategies.The aim is to deepen the understanding of this consensus among peers and to promote the development of integrative medicine in treating UC towards standardization and unification.