刘铁军教授运用通腑除秽法治疗溃疡性结肠炎经验

Professor Liu Tiejun's Experience in the Treatment of Ulcerative Colitis Using the Method of Removing Filth from the Internal Organs

溃疡性结肠炎是一种慢性非特异性肠道炎症性疾病,属于中医学“痢疾”“肠澼”“泄泻”等范畴。该病发病率呈逐年上升趋势,具有易复发和病程长的特点,严重影响患者的生活质量和身心健康。刘铁军教授认为溃疡性结肠炎的病机关键是“腑毒”,肝郁脾虚、食积脾胃、湿热蕴肠、血瘀肠络、脾肾两虚是形成腑毒的重要前提。治疗采用“通腑除秽法”,具体应用以疏肝实脾畅腑毒、消食导滞下腑毒、清热燥湿祛腑毒、化瘀通络消腑毒、健脾益肾通腑毒来治疗溃疡性结肠炎,临床常用经典名方加减化裁治疗,取得了良好疗效。

Ulcerative colitis is a chronic non-specific inflammatory disease of the intestinal tract,which belongs to the categories of“dysentery”,“intestinal”and“diarrhoea”in Chinese medicine.The incidence of this disease is increasing year by year,and it is easy to recur and has a long course,which seriously affects the quality of life and physical and mental health of patients.Professor Liu Tiejun believes that the key to the pathogenesis of ulcerative colitis is“visceral toxicity”,liver depression and spleen deficiency,food accumulation in the spleen and stomach,dampness and heat in the intestines,blood stasis in the intestinal tracts,spleen and kidney deficiencies is an important prerequisite for the formation of visceral toxicity.In the treatment,the method of“elimination of defilement through the bowels”is applied,which includes dredging the liver and solidifying the spleen,eliminating food and stagnation,clearing heat and drying dampness to eliminate bowel toxicity,resolving blood stasis and eliminating bowel toxicity,strengthening the spleen and benefiting the kidneys to eliminate bowel toxicity to illustrate the specific application of the method,and the classic formula is often used in clinical practice to achieve good therapeutic effect.