摘要
认为溃疡性结肠炎以脾肾阳虚、湿热蕴肠为关键病机,主张温法和清法并用治疗。临证分为活动期、缓解期进行辨治,活动期病机偏于湿热蕴肠,治宜清利重于温阳;缓解期病机偏于脾肾阳虚,治宜温阳重于清利;待病情稳定后,以温清并用法调理脾肾,巩固疗效。
It is considered that the key pathogenesis of ulcerative colitis lies in spleen and kidney yang deficiency combined with damp-heat accumulation in the intestines.It is advocated to treat the disease by the combined application of warming and clearing methods.In clinical practice,treatment is differentiated according to the disease stage.During the active stage,the pathogenesis tends to involve damp-heat accumulation,and treatment should focus more on clearing heat while moderately warming yang;during the remission stage,the pathogenesis tends toward spleen and kidney yang deficiency,and treatment should focus more on warming yang while appropriately clearing heat.Once the condition stabilizes,a combined approach of warming and clearing is used to regulate the spleen and kidneys and to consolidate the therapeutic effect.
作者
耿晓
巩阳
GENG Xiao;GONG Yang(General Hospital of the Northern Theater Command of the Chinese People′s Liberation Army,Shenyang,110000)
出处
《中医杂志》
北大核心
2025年第10期1069-1072,共4页
Journal of Traditional Chinese Medicine
基金
辽宁省科学技术计划项目(2021JH2/10300109)。
关键词
溃疡性结肠炎
温法
清法
ulcerative colitis
warming method
clearing method
