[1]郭心怡 黄雅慧 刘长兴 赵丹 姚东.黄雅慧教授从“治未病”思想防治溃疡性结肠炎临床经验[J].陕西中医药大学学报,2023,(03):014-19.[doi:10.13424/j.cnki.jsctcm.2023.03.003]
 GUO Xinyi HUANG Yahui LIU Changxing ZHAO Dan YAO Dong.Professor HUANG Yahuis Clinical Experiencein Preventing and Treating Ulcerative Colitis fromPerspective of “Preventive Treatment of Disease”[J].Journal of Shaanxi University of Traditional Chinese Medicine,2023,(03):014-19.[doi:10.13424/j.cnki.jsctcm.2023.03.003]
点击复制

黄雅慧教授从“治未病”思想防治溃疡性 结肠炎临床经验
分享到:

《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:
期数:
2023年03期
页码:
014-19
栏目:
三秦医药
出版日期:
2023-05-31

文章信息/Info

Title:
Professor HUANG Yahuis Clinical Experience in Preventing and Treating Ulcerative Colitis from Perspective of “Preventive Treatment of Disease”
文章编号:
2096-1340(2023)03-0014-06
作者:
郭心怡1 黄雅慧2 刘长兴1 赵丹1 姚东1
1.陕西中医药大学,陕西 咸阳 712000;
2.西安市中医医院,陕西 西安 710021
Author(s):
GUO Xinyi11 HUANG Yahui2 LIU Changxing1 ZHAO Dan1 YAO Dong1
1.Shaanxi University of Chinese Medicine,Shaanxi Xianyang 712000,China;
2.Xi'an Traditional Chinese Medicine Hospital,Xi'an 710021,China
关键词:
关键词:溃疡性结肠炎治未病临床经验黄雅慧
Keywords:
Key words: Ulcerative colitisPreventive treatment of diseaseClinical experienceHUANG Yahui
分类号:
R574.1
DOI:
10.13424/j.cnki.jsctcm.2023.03.003
文献标志码:
A
摘要:
摘 要:溃疡性结肠炎(ulcerative colitis,UC)是一种病因不明确的炎性结肠疾病,具有病程长,易复发,治疗难的特点。黄雅慧教授秉持治未病理念,分期论治溃疡性结肠炎:“未病先防”在患者未出现症状时,从饮食、起居、情志调护,防治疾病发生;“既病防变”对应疾病的发作期,采取辨证施治,初发期治以清热利湿,活动期治以标本兼治,佐清热利湿解毒,缓解期治以健脾温阳,补肾化湿为主。“瘥后防复”阶段则从“补虚”着手,采用温阳、益阴、疏肝、健脾、补肾等方法,佐以活血化瘀,获得显著疗效。
Abstract:
Abstract: Ulcerative colitis (UC) is an inflammatory colon disease with unclear etiology,characterized by a long course,easy recurrence,and difficult treatment.Professor HUANG Yahui adheres to the concept of treating ulcerative colitis in stages,“Prevention before disease” refers to the prevention and treatment of ulcerative colitis from the perspectives of diet,daily life,and emotional care when the patient does not experience symptoms;The “prevention and treatment of existing diseases” corresponds to the onset stage of the disease,and is treated based on syndrome differentiation.The initial stage is treated with clearing heat and promoting dampness.During the activity period,all symptoms should be treated,with the assistance of clearing heat,promoting dampness,and detoxifying;The main treatment in the remission stage is to strengthen the spleen and warm Yang,and tonify the kidney to dissipate dampness.In the stage of “post treatment and recovery prevention”,starting from “tonifying deficiency”,methods such as warming Yang,tonifying Yin,soothing liver,strengthening spleen,and tonifying kidney are used,supplemented by promoting blood circulation and resolving blood stasis.Significant therapeutic effects were obtained.

参考文献/References:

[1]叶雪珂,单国顺,付郁,等.溃疡性结肠炎发病机制及中西医治疗的研究进展[J].中华中医药学刊,2022,40(9):158-162,281.
[2]梁笑楠,尹凤荣,张晓岚.炎症性肠病诊断与治疗的共识意见(2018年,北京)溃疡性结肠炎部分解读[J].临床荟萃,2018,33(11):987-990.
[3]Adams SM,Bornemann PH.Ulcerative colitis[J].American Family Physician,2013,87(10):699-705.
[4]苏晓兰,国嵩,张涛,等.炎症性肠病诊治现状及中医药治疗特色与优势[J].北京中医药,2020,39(3):211-215.
[5]吴晓晴,崔永佳,卢雯平.基于中医“治未病”理论试析乳腺癌的中医诊疗特点[J].吉林中医药,2021,41(12):1558-1561.
[6]蒋茜,李保良.基于“治未病”理论探讨溃疡性结肠炎的防治[J].中医临床研究,2020,12(16):70-73.
[7]郭淑贞,王伟.中医证候形成的“三因”理论[J].中医杂志,2020,61(17):1493-1497.
[8]方震,杨雪,蔺晓源,等.溃疡性结肠炎的中西医治疗研究进展[J].湖南中医杂志,2021,37(12):181-183.
[9]蒋峰,刘慧泽,陈玉根.中医辨治溃疡性结肠炎临证撷要[J].江苏中医药,2021,53(10):38-40.
[10]施俊峰,张怡,程敬,等.从“脾胃内伤,百病由生”探讨溃疡性结肠炎病机观[J].辽宁中医杂志,2022,49(2):48-50.
[11]Wang YF,Ouyang Q,Hu RW.Progression of inflammatory bowel disease in China[J].Journal of Digestive Diseases,2010,11(2):76-82.
[12]郭富彬,徐伟.基于中医既病防变思想探讨溃疡性结肠炎复发性预防[J].光明中医,2021,36(4):500-503.
[13]吴鸿伶.个性化饮食护理在溃疡性结肠炎患者中的应用效果[J].中国民康医学,2021,33(13):183-185.
[14]程文芳,施瑞华.溃疡性结肠炎患者心理特征的研究[J].胃肠病学和肝病学杂志,2007,16(5):437-439.
[15]周光明.温针灸联合补脾益肠丸治疗脾肾亏虚型慢性溃疡性结肠炎临床观察[J].中国中医药现代远程教育,2022,20(3):121-123.
[16]林思睿,张何骄子,吴巧凤.针灸对溃疡性结肠炎小鼠结肠组织中信号转导与转录活化因子3和低氧诱导因子-1α表达的影响[J].针刺研究,2020,45(9):696-701,719.
[17]施鋆男,崔龙,张小元,等.中药保留灌肠治疗溃疡性结肠炎概况[J].中国肛肠病杂志,2018,38(1):56-59.
[18]庞佳,王玥,黄雅慧.黄雅慧治疗溃疡性结肠炎经验[J].湖南中医杂志,2019,35(2):21-22.
[19]张翠霞,苗子江.结肠途径治疗溃疡性结肠炎68例观察[J].中国医学创新,2010,7(34):179-180.
[20]顾秀梅.改变灌肠液温度对治疗溃疡性结肠炎疗效的影响[J].医学理论与实践,2016,29(8):1047-1048.
[21]管淑媛,董筠.基于《内经》“治未病”理论探讨溃疡性结肠炎防治[J].辽宁中医药大学学报,2020,22(8):32-35.
[22]张晓明,柳越冬,都静等.中医学理论指导下的溃疡性结肠炎病因病机研究进展[J/OL].中华中医药学刊,(2023-02-16)[2023-03-02].http://kns.cnki.net/kcms/detail/21.1546.r.20230131.1106.001.html.
[23]王福忠.参苓白术散加减辅治溃疡性结肠炎临床观察[J].实用中医药杂志,2022,38(9):1561-1563.
[24]周慧文,王佳佳,迟莉,等.健脾类方剂治疗溃疡性结肠炎的临床研究进展[J].中国中医药图书情报杂志,2022,46(2):71-76.
[25]黄金科,唐旭东,王凤云,等.基于《伤寒论》辨证思维探讨溃疡性结肠炎的诊疗思路[J].中医杂志,2022,63(19):1829-1833,1839.
[26]吴开春,梁洁,冉志华,等.炎症性肠病诊断与治疗的共识意见(2018年·北京)[J].中国实用内科杂志,2018,38(9):796-813.

相似文献/References:

[1]马学慧 孙慧茹.95例亚健康失眠患者中医体质分析[J].陕西中医药大学学报,2017,(01):036.[doi:10.13424/j.cnki.jsctcm.2017.01.013]
 Ma Xuehui,Sun Huiru.TCM body constitution Analysis of 95 cases of sub - health insomnia patients[J].Journal of Shaanxi University of Traditional Chinese Medicine,2017,(03):036.[doi:10.13424/j.cnki.jsctcm.2017.01.013]
[2]赵令富,宋金香.新安医学“固本培元”法对治未病的意义探讨[J].陕西中医药大学学报,2019,(03):035.[doi:10.13424/j.cnki.jsctcm.2019.03.011]
[3]黎美娟 叶明花 郑江明.脐疗治未病机理初探[J].陕西中医药大学学报,2019,(02):032.[doi:10.13424/j.cnki.jsctcm.2019.02.011]
[4]辛宝*胡晗祁乐周海哲.和而不同----从疫病防治看治未病和传统预防医学的区别与联系[J].陕西中医药大学学报,2020,(预出版):075.
[5]罗丹 张海明 于兆民 陈瑞*.中医“治未病”理论指导新型 冠状病毒 肺炎防治的思考[J].陕西中医药大学学报,2020,(预出版):089.
[6]罗丹张海明sup>于兆民陈瑞.中医“治未病”理论指导新型冠状病毒肺炎防治的思考[J].陕西中医药大学学报,2020,(02):005.[doi:10.13424/j.cnki.jsctcm.2020.02.002]
 Luo Dan,Zhang Haiming,Yu Zhaoliang,et al.Thoughts on Prevention and Treatment of COVID -19 by TCM Theory of “ Preventive Treatment of Disease”[J].Journal of Shaanxi University of Traditional Chinese Medicine,2020,(03):005.[doi:10.13424/j.cnki.jsctcm.2020.02.002]
[7]辛宝胡晗祁乐周海哲.和而不同——从疫病防治看治未病和传统预防医学的区别与联系[J].陕西中医药大学学报,2020,(02):013.[doi:10.13424/j.cnki.jsctcm.2020.02.004]
 Xin Bao,Hu Han,Qi Le,et al.Difference and Connection between Preventative Treatment of Disease and Traditional Preventative Medicine from Epidemic Prevention and Treatment - Unity without Uniformity[J].Journal of Shaanxi University of Traditional Chinese Medicine,2020,(03):013.[doi:10.13424/j.cnki.jsctcm.2020.02.004]
[8]刘丽静 邓鑫 许克祥.中医药防治新冠肺炎的路径与现状分析[J].陕西中医药大学学报,2022,(02):007.[doi:10.13424/j.cnki.jsctcm.2022.02.002]
 LIU Lijing DENG Xin XU Kexiang.Path and Current Situation Analysis of COVID-19 Prevention and Treatment by TCM[J].Journal of Shaanxi University of Traditional Chinese Medicine,2022,(03):007.[doi:10.13424/j.cnki.jsctcm.2022.02.002]
[9]马玲 裴瑞霞.裴瑞霞教授分期论治溃疡性结肠炎经验[J].陕西中医药大学学报,2022,(02):027.[doi:10.13424/j.cnki.jsctcm.2022.02.006]
 MA Ling PEI Ruixia.Professor PEI Ruixia’s Experience in Treating Ulcerative Colitis by Stages[J].Journal of Shaanxi University of Traditional Chinese Medicine,2022,(03):027.[doi:10.13424/j.cnki.jsctcm.2022.02.006]
[10]于鲲鹏 于永铎.基于网络药理学讨论白花蛇舌草治疗溃疡性结肠炎的作用机制[J].陕西中医药大学学报,2022,(03):087.[doi:10.13424/j.cnki.jsctcm.2022.03.022]
 YU Kunpeng YU Yongduo.Discussion on Mechanism of Hedyotis diffusa in Treatment of Ulcerative Colitis Based on Network Pharmacology[J].Journal of Shaanxi University of Traditional Chinese Medicine,2022,(03):087.[doi:10.13424/j.cnki.jsctcm.2022.03.022]

备注/Memo

备注/Memo:
基金项目:第六批全国老中医药专家学术经验继承工作项目(国中医药人教发[2017]29号)
更新日期/Last Update: 2023-05-19