探讨“一阴为独使”理论在治疗溃疡性结肠炎中的运用

Discussion on Application of Theory of“One Yin As The Sole Envoy”in Treatment of Ulcerative Colitis

溃疡性结肠炎(ulcerativecolitis,UC)是一种常见的消化系统疾病,临床以腹痛、便脓血、里急后重为基本特征。在UC病程发展中除有皮肤黏膜、关节等多种肠外病变外,后期甚至可致多器官衰竭,因而其临床治疗及转归备受现代医家关注。UC及其发展转归的病机在于肝之阴阳不相顺接而营卫不和,探究《黄帝内经》“一阴为独使”理论内涵,提出一阴风升之气能滋养阳明,上达于肺而化阴导阳,为人体阴阳顺接、营卫生化之使。根据肝体阴用阳、病则阴阳不顺接的特点将该病分为风淫、风虚两个阶段,风淫者治阴为主,风虚者升阳为主,通过治肝使在下之阴治、在上之阳和、在中之营卫通达,解决病程中整体阴阳不和的核心病机,肠胃之邪亦因之而解。以期为中医辨治UC提供新的思路与方法。

Ulcerative colitis(UC)is a common digestive disease,clinically characterized by abdominal pain,pus and blood in the stool and tenesmus.In addition to skin,mucous membrane,joints and other extraintestinal lesions in the development of C it can even lead to multi-organ failure in the late stage,so its clinical treatment and regression have attracted the atention ol modern medical practitioners.In this paper,it is believes that the pathogenesis of UC and its prgression is Yin and Yang of liver are not in hamony with each other and Ying and Wei are not in hamony with each other,and it explored the theoretical connota tion of“one Yin is the sole envoy”of Yellow Emperors Classic of Intemal Medicine and proposed that one Yin can rise to nourish Yangming and reach up to lung to transform Yin and guide Yang,which are the envoys for the bodys Yin and Yang to be in har mony and for Ying and Wei to trnsform.Acconling to the characteristics of liver body Yin and function Yang,the disease will be divided into two phases:wind evil and wind deficieney.For those with wind evil,the treatment of Yin is the main focus,while fo those with wind delicieney,the promotion of Yang is the main focus.By treating liver,the treatment can prmote the healing ol Yin in the lower part,harmonize Yang in the upper part,and promote the development of Ying and Wei in the middle to solve Yin and Yang dishamony in the course of the disease,and the evils of the intestines and stomach are also solved by the solution.Therefore,this is a special discussion,in order to provide new ideas and methods for the identification and treatment of UC in tra ditional Chinese medicine.