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陆为民教授从"主客交"理论辨析溃疡性结肠炎经验撷菁OA

Professor LU Weimin's Experience Essence in Differentiating Ulcerative Colitis from the Theory of"Interaction between Host and Guest Qi"

中文摘要英文摘要

"主客交"理论出自《瘟疫论》,原用于指导疫病后期的诊疗,经后世医家发展,现可用于指导治疗多种慢性迁延性顽疾.陆为民教授基于"主客交"理论辨治溃疡性结肠炎(UC),常从"主气不足"与"客气交浑"入手,认为"主气不足"即脾气虚馁是UC的核心病机,湿痰瘀邪等"客气交浑"、久羁肠腑是本病缠绵难愈之兼夹病机.基于上述理论陆师治疗UC,强调补益脾气以复其主气,祛湿、化痰、逐瘀以蠲其客气,动态权衡主客之性,补虚顾及阴阳之偏,祛邪明辨邪侵之实,精准施治,收效颇佳.

The theory of"Interaction between Host and Guest Qi"originates from Treatise on Pestilence,originally used to guide the diagnosis and treatment in the later stages of epidemic diseases.Developed by later physicians,it can now be used to guide the treatment of various chronic and protracted refractory diseases.Based on the theory of"Interaction between Host and Guest Qi",Professor LU Weimin's approach to the differentiated treatment of ulcerative colitis(UC)often stars from"insufficiency of host qi"and"intermingling of guest qi".He believes that"insufficiency of host qi",namely Spleen Qi deficiency,is the core pathogenesis of UC,while the"intermingling of guest qi"such as dampness,phlegm,and stasis pathogens,lingering in the intestines for a long time,is the concomitant pathogenesis that makes this disease persistent and difficult to cure.Based on the above theory,Professor LU's treatment of UC emphasizes tonifying the Spleen Qi to restore the host qi,and eliminating dampness,resolving phlegm,and dispelling stasis to remove the guest qi.He believes that therapeutic strategies should aim to balance the nature of the host and guest dynamically.In tonifying deficiency,the imbalance between yin and yang should be taken into account;while in eliminating pathogens,the reality of the pathogen invasion should be distinguished.Precise treatment can achieve remarkable results.

虎兰兰;刘奕序;余烨清;陆为民

南京中医药大学附属医院,江苏 南京 210029南京中医药大学附属医院,江苏 南京 210029南京中医药大学附属医院,江苏 南京 210029南京中医药大学附属医院,江苏 南京 210029

溃疡性结肠炎主客交陆为民临证经验

Ulcerative colitisInteraction between host and guest qiLU WeiminClinical experience

《中医药信息》 2026 (2)

18-23,6

江苏省中医药管理局中医重点专科建设项目(苏中医医政[2023]5号)

10.19656/j.cnki.1002-2406.20260204

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