基于三位新安医家特色治痢经验思考溃疡性结肠炎"治未病"策略OA
The Strategy of"Treating No Disease"of Ulcerative Colitis Considered,Based on the Experience of Three Xin'An Doctors in Treating Dysentery
总结新安医家的治痢经验,思考溃疡性结肠炎(ulcerative colitis,UC)"治未病"策略.孙一奎痢疾辨治经验为,秋令之气下行为痢,病机有虚实寒热之分,临证先审胃气虚实,活用补、涩、燥、提、消、温、利、下七法.叶天士痢疾辨治经验为,邪在气分,苦辛甘温调气益气,浚通三焦,病入血分,酸苦咸柔行血养血,补元宁络.吴澄痢疾辨治经验为久泻久痢,形体消瘦可从外损致虚论治,"解托补托""理脾阴"是治损之法.基于上述治痢经验总结UC"治未病"的策略有:因时制宜,固本培元以未病先防;浚通三焦,补元宁络以已病防复;防微杜渐,干预外损以既病防变三个方面.国医大师徐经世基于吴澄脾阴思想提出"调和中州,扶正化源",用药轻灵平和、收效良好.安徽省名中医王建民基于孙一奎、叶天士治痢学经验创制"肠愈灌肠方""健脾益气方",广泛运用于溃疡性结肠炎的临床治疗.
Summarize the experience of treating dysentery of Xin'an doctors,and think about the strategy of UC"treating no disease".Sun Yikui's experience of dysentery differentiation,autumn qi behavior dysentery,the pathogenesis has the points of deficiency and cold heat,clinical syndrome first review stomach qi deficiency and solid,active use of the seven methods of tonifying,shibing,dryness,lifting,eliminating,warming,Li,and the next.The treatment experience of leaf Tianshi dysentery is that the evil is in the qi points,bitter Xingan temperature regulating qi Yiqi,drewing through three jiao,disease into the blood points,sour bitter salty soft blood nourishing blood,supplementing Yuan Ning collaterality.Wu Cheng's experience in the treatment of dysentery is that the long diarrhea,body wasting can be treated from the external damage caused by deficiency,"dissupporting"and"regulating spleen Yin"is the method of treating the damage.Based on the above experience in treating dysentery,the strategies of UC"treating no disease"are summarized as follows:adjusting to the situation,strengthening the cost and preventing the disease first;Dredging through three jiao,supplementing yuan Ning collaterals to have disease prevention compound;Prevention,intervention of external damage to both disease prevention and change of three aspects.Based on Wu Cheng's spleen Yin thought,Xu Jingshi,a Chinese medical master,proposed"harmonizing the middle state and fuelling the source".Based on the experience of Sun Yikui and Ye Tianshi in treating dysentery,Wang Jianmin,a famous TCM in Anhui Province,created"Changyu Enema prescription"and"invigorating spleen and supplementing Qi prescription",which were widely used in the clinical treatment of ulcerative colitis.
张思源;王建民;李明;张月月;赵悦
安徽中医药大学第一临床医学院,安徽 合肥 230001安徽中医药大学第一附属医院,安徽 合肥 230001安徽中医药大学第一附属医院,安徽 合肥 230001安徽中医药大学第一临床医学院,安徽 合肥 230001安徽中医药大学第一临床医学院,安徽 合肥 230001
医药卫生
溃疡性结肠炎痢疾治未病新安医学孙一奎叶天士
ulcerative colitisdysenterytreating no diseaseXin'an medical scienceSun YikuiYe Tianshi
《陕西中医药大学学报》 2026 (1)
55-61,7
"十四五"安徽省级中医优势特色专科项目(皖中医药服务秘[2021]71号)安徽省青年领军后备人才支持项目(中发展[2022]4号)国家中医药管理局全国名老中医药专家传承工作室建设项目(czbkjf20170053)国家级大学生创新创业训练计划项目(202410369002)
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