基于升阳补土论治溃疡性结肠炎思路探讨

Discussion on the Treatment of Ulcerative Colitis on the Theory of Ascending Yang and Tonifying Soil

溃疡性结肠炎(UC)为一种难治且易复发疾病。中医学可归属于“泻”“痢”的范畴,脾土虚弱为根,病位在大肠。腹部为三阴交会之地,肝、脾、肾三脏相互关联,一脏不调可发下利,如只调一脏则邪气易流连,病难治愈。以升法为主的思路,探讨升阳补土辨治肝郁脾肾虚“泻”“痢”,治疗主要分为三点,分别是升发脾阳,恢复脾气之升清;升发肝木,益气升提;温升肾阳,恢复肾阳之蒸腾作用,使脾土健运、中州复常而疾病自去。相较现代医学常规药物对症治疗,中医重视肝、脾、肾三脏功能的恢复。具有标本兼顾且长期使用不良反应少等优点,前景广阔,故探讨其辨治思路及临床用药治疗。

Ulcerative colitis(UC)is a refractory and recurrent disease.In traditional Chinese medicine,it can be attributed to the category of“diarrhea”and“dysentery”.The spleen is weak as the root,and the disease is located in the large intestine.The abdomen is the place where the three yin converge.The three organs of liver,spleen and kidney are interrelated.If one organ is not adjusted,it can be beneficial.If only one organ is adjusted,the evil Qi is easy to stay and the disease is difficult to cure.Based on the idea of ascending method,this paper discusses the treatment of liver depression,spleen and kidney deficiency“diarrhea”and“dysentery”by ascending Yang and tonifying soil.The treatment is mainly divided into three points,namely,one ascending spleen Yang,restoring the ascending clearness of spleen Qi;two rise of liver wood,tonifying Qi and upraise Yang;the three warm ascending kidney Yang,restore the kidney Yang of the transpiration of the spleen and soil health in the normal state and the disease from.Compared with western medicine routine symptomatic drug treatment,traditional Chinese medicine attaches great importance to the treatment of liver,spleen and kidney three dirty function recovery has the advantages of both the specimen and the long-term use of less adverse reactions,and the treatment prospect is broad.Therefore,the idea of syndrome differentiation and clinical drug treatment are discussed.