摘要
在"既病防变"理论指导下,针对活动期溃疡性结肠炎(UC)不同严重程度给予相应的治则治法,以阻断其发展。轻度UC健脾益气以固本,辅以清热解毒治标;中重度UC,在西医综合治疗基础上,给予中药以清热解毒、调气行血,辅以健脾化湿,加速诱导缓解、防止病情进展,起到增效减毒、缩短疗程作用。在并发症防治方面,清热凉血、健脾益气、活血养血以塞流、澄源、复旧,防治出血及血栓形成;益气扶正、清热解毒以防治机会性感染;扶正固本、解毒化瘀以防治癌变;心肝脾同调,防治UC伴焦虑抑郁。既斩断病邪的传变途径,又先安未受邪之地,相对于单纯西医治疗具有明显优势。
Under the guidance of disease transformation prevention theory,corresponding treatment methods are given to block the development according to the different severity level of ulcerative colitis(UC) in the active stage. Invigorating the spleen and enriching qi is used to fix the root,supplemented by clearing heat and detoxifying during the mild period of UC. During moderate to severe period of UC,based on the comprehensive treatment of western medicine,Chinese medicine can be given to clear heat and detoxify,to regulate qi and promote blood circulation,supplemented by invigorating spleen and removing dampness,which can accelerate the remission and prevent the progress of the disease,plays the role of increasing efficiency and reducing toxicity,shortening the course of treatment. At the same time,the prevention and treatment of complications can’t be ignored. Firstly,in terms of preventing hemorrhage and thrombosis,clearing away heat and cooling blood,invigorating the spleen and enriching qi,activating blood and nourishing blood is given to block the flow,clarify the source and promote recovery. Secondly,invigorating qi and strengthening the body,clearing heat and detoxication is given to prevent opportunistic infection. Thirdly,strengthening the body,removing toxin and stasis is given to prevent cancer. The aim of treating heart,liver and spleen is to prevent UC with anxiety and depression. This treatment method not only cuts off the transmission way of pathogenic factors,but also sets up the place without pathogenic factors,which has obvious advantages over the treatment of western medicine alone.
作者
刘佳卉
迟莉丽
赵继亭
梁峻尉
孙大娟
LIU Jiahui;CHI Lili;ZHAO Jiting;LIANG Junwei;SUN Dajuan(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;The Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China)
出处
《山东中医杂志》
2020年第4期331-335,共5页
Shandong Journal of Traditional Chinese Medicine
基金
国家自然科学基金课题(编号:81673969)
济南市科技发展计划临床医学科技创新计划(编号:201602180)。
关键词
溃疡性结肠炎
活动期
治未病
既病防变
健脾益气
清热解毒
并发症
防治原则
ulcerative colitis
active stage
preventive treatment of disease
disease transformation prevention
invigorating the spleen and enriching qi
clearing heat and detoxifying
complications
prevention and treatment principles
