从"浊毒伏络"辨治溃疡性结肠炎临证要略OA

Ulcerative colitis is a chronic non-specific intestinal disease characterized by inflammatory changes in the mucosa of the colon and rectum.Toxicity and turbidity run through the entire course of the disease.The theory of"turbid-toxin lurking in the collaterals"proposed by renowned traditional Chinese medicine Master LI Diangui is of great significance in explaining the dynamic evolution process of this disease.The intestinal collaterals are intricately interwoven,capable of circulating qi and blood,and nourishing and irrigating the intestines.The latent toxins and pathogenic factors have characteristics such as lurking in the abyss,being sticky and difficult to dissolve,remaining dormant and recurring,and gradually accumulating in the collaterals.Therefore,during the active stage of ulcerative colitis,it is triggered by external factors,with latent toxins moving internally,toxicity lurking in the collaterals,and damage to the collaterals and tissues;in the remission stage,the pathogenesis is characterized by long-term illness causing damage to the collaterals,latent toxins remaining internally,turbid-toxin hidden in the collaterals,and intestinal weakness with blood stasis in the collaterals.In clinical treatment,the"eliminating the stagnated pathogen"method is used for differentiation and treatment based on the syndrome.During the active stage,pungent herbs are used to unblock the collaterals,eliminate turbidity and disperse toxins,remove stagnant matter and expel pathogenic factors;in the remission stage,sweet herbs are used to nourish the meridians,harmonize turbidity and alleviate toxins,and strengthen the collaterals and eliminate stagnated pathogen.