基于"脾实秽去"理论论治溃疡性结肠炎OA

This paper investigates the patterns of pathological progression and explores therapeutic strategies for ulcerative colitis(UC)based on the theory of"fortifying the spleen to eliminate turbid filth".The pathological progression of UC can be generalized into three distinct stages:spleen deficiency with dampness accumulation resulting in the internal binding of damp-heat,toxins,and blood stasis;coexistence of healthy qi deficiency and lingering pathogens characterized by latent toxins;and deficiency of spleen and kidney essence leading to prolonged and recurrent disease.Overall,UC presents a complex feature of deficiency complicating with excess,where deficiency induces excess and vice versa.Therefore,this paper proposes several therapeutic approaches:removing turbid pathogens and purging yin-fire;achieving patency through tonification to eliminate filth and fortify the spleen;nourishing kidney essence to supplement spleen essence and promoting qi transformation to clear filth;and applying localized medication to rapidly eliminate turbid pathogens.A representative case is presented for illustration.