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安阿玥治疗溃疡性结肠炎经验
引用本文:冯大勇,王春晖,白志勇,冯月宁,安阿玥.安阿玥治疗溃疡性结肠炎经验[J].河南中医,2017,37(3).
作者姓名:冯大勇  王春晖  白志勇  冯月宁  安阿玥
作者单位:中国中医科学院望京医院,北京,100102
摘    要:安阿玥教授认为先天禀赋异常为溃疡性结肠炎(ulcerative colitis,UC)发生的重要前提,忧、思、郁、怒等不良情志刺激为其诱因,嗜食生冷、肥甘厚味、饮食不洁致湿热疫毒之邪内侵肠道为发病最直接原因,三者常相兼为患。安阿玥教授诊断用药强调中西医并重,二者互补短长,治疗用药方面,UC初起或急性期辨证为湿热交阻、气血壅滞证,主张以清热化湿,行气和血为主;病程日久辨证为寒热错杂、脾虚湿困证,以调补脾胃为主,辅以清热化湿,寒温并用、补泻兼施,寒温并用以和其阴阳,辛苦并进以调其升降,补泻兼施以顾其虚实;起病迅速病情危重的患者局部应用康复新液灌肠治疗。

关 键 词:溃疡性结肠炎  湿热交阻、气血壅滞证  寒热错杂、脾虚湿困证  安阿玥

An Ayue's Experience of Treating Ulcerative Colitis
FENG Da-yong,WANG Chun-hui,BAI Zhi-yong,FENG Yue-ning,AN A-yue.An Ayue's Experience of Treating Ulcerative Colitis[J].Henan Traditional Chinese Medicine,2017,37(3).
Authors:FENG Da-yong  WANG Chun-hui  BAI Zhi-yong  FENG Yue-ning  AN A-yue
Abstract:Professor An Ayue believes that abnormal natural endowment is the important premise of ulcerative colitis(UC).Such bad emotional stimulants as anxiety,thought,depression and anger are bad inducements.The most direct causes include preference for cold and raw food,greasy and sweet food,unhygienic food inducing damp-heat epidemic pathogen attacking the intestine.These three factors complicate as risk factors.Professor An values integrative Chinese medicine and western medicine.The early stage and acute stage of UC pertains to damp heat intermingling,syndrome of qi and blood stagnation.Professor An takes clearing heat and resolving dampness,promoting qi and harmonizing blood as the main therapy.For prolonged UC,the syndrome becomes complicated cold and heat,spleen deficiency and dampness retention,and the therapeutic method is mainly regulating and tonifying the spleen and stomach supplemented with clearing heat and resolving dampness,simultaneous application of cold and warm drugs,simultaneous use of tonics and purgatives.Simultaneous application of cold and warm drugs is to harmonize yin and yang;simultaneous use of pungent and bitter drugs is to regulate the ascent and descent;simultaneous use of tonics and purgatives is to take excess and deficiency into consideration.For patients with acute onset and critical condition,local enema of Kangfu Xinye can be applied.
Keywords:ulcerative colitis (UC)  intermingle of dampness and heat  syndrome of qi and blood stagnation  complicated cold and heat  syndrome of spleen deficiency and dampness retention  An Ayue
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