国医大师王庆国调枢机辨治溃疡性结肠炎经验OACSTPCD

Ulcerative colitis(UC)is a recurrent inflammatory bowel disease that falls within the realm of traditional Chinese medicine categories such as jiuli(chronic dysentery)and changpi(intestinal dysentery).The theory of"open,close,and pivot"was initially proposed in the Huangdi Neijing,stating that taiyang is related to opening,yangming to closing,and shaoyang to the pivot.The pivot is vital for the flow of qi and blood in the body,and its dysfunction may lead to imbalances in yin-yang and various illnesses.Prof.Wang Qingguo identifies the pivotal dysfunction as the key pathomechanism,resulting in clinical syndromes such as spleen deficiency and dampness,large intestine dampness and heat,and liver constraint and spleen deficiency.In clinical practice,Prof.Wang starts by adjusting the pivot,adeptly using multiple prescriptions like Shengyang Yiwei Decoction(Yang-Raising and Stomach-Boosting Decoction),Chaihu Guizhi and Ganjiang Decoction(Bupleurum,Cinnamon Twig and Dried Ginger Decoction),Sini Powder(Frigid Extremities Powder),and Wumei Pill(Mume Pill)with modifications,achieving significant clinical effects.This article elaborates on the etiology and pathogenesis of UC based on the pivot theory,the medication and treatment,and includes clinical cases by Prof.Wang Qingguo,aiming to offer guidance for the clinical diagnosis and treatment of UC.