基于《金匮要略》"下利病"探析溃疡性结肠炎诊疗思路OACSTPCD

Ulcerative colitis(UC),a form of inflammatory bowel disease,remains an international challenge due to its unclear pathogenesis and ongoing treatment complexities.Classifying UC under the category of diarrhea disease,based on the"diarrhea"provisions in the Synopsis of Golden Chamber and modem research results,this paper systematically summarizes its etiology and pathogenesis,treatment principles,syndrome differentiation and treatment,prescriptions and medications,and predicts its prognosis based on its pulse manifestations and symptoms.The results show that UC's etiology and pathogenesis involve factors such as inherent deficiency,invasion of external pathogens,stagnation of damp-heat leading to erosion of intestinal vessels,dietary indiscretion causing internal congestion,and prolonged diseases affecting the spleen and kidneys.The treatment strategies of UC should differentiate between cold and heat,deficiency and excess,manifestations and root causes,a chronic case and an acute one.Guided by the principles of"treating cold syndromes with heat methods","treating heat syndromes with cold methods",and"treating incontinent syndromes with dredging methods",interventions for those with a deficient cold syndrome include warming yang for dispelling cold,astringing intestines and arresting proptosis,while for those with a syndrome of indigestion due to excessive heat,dredging viscera to clear heat and eliminate indigestion,and include clearing heat and removing dampness,cooling blood to stop diarrhea for those with a syndrome of accumulated dampness-heat.A good prognosis can be guaranteed provided that the pulse is rapid and the yang qi revives,while a poor prognosis can be expected provided that the pulse is tight with no revival of yang qi.By analyzing"diarrhea"in the Synopsis of Golden Chamber,the study aims to provide theoretical evidence and practical references for the clinical diagnosis and treatment of UC.