实用中医内科杂志2025，Vol.39Issue(9)：22-24,3.DOI:10.13729/j.issn.1671-7813.Z20221668
从"湿热损络致疡"论治溃疡性结肠炎
Treatment of Ulcerative Colitis from"Damp Heat Damage Collaterals and Cause Ulcers"
摘要
Abstract
Ulcerative colitis(UC)is a common yet refractory chronic digestive disease characterized clinically by recurrent abdominal pain,diarrhea,and mucopurulent bloody stools.Endoscopy reveals continuous mucosal inflammation that may affect various segments of the rectum and colon.Although its exact etiology remains unclear,it is generally associated with immune dys-function,genetic predisposition,environmental factors,and gut microbiota imbalances.Guided by traditional Chinese medicine(TCM)theory,the integration of pattern identification and disease diagnosis has demonstrated distinct advantages in personalized treatment.Based on the TCM principle of treatment tailored to time,place,and person,propose"damp-heat impairing collater-als and inducing ulcers"as the core pathogenesis of UC.This theory emphasizes the pathological process wherein internal damp-heat stagnates in the intestinal collaterals,leading to tissue decay and ulcer formation,succinctly capturing the dominance of pathogenic excess in the active stage.This article systematically elaborates on the connotation of this theory,analyzes the dynamic pathological evolution across the active,alternating,and remission stages,and further establishes a staged TCM diagnostic and treatment framework,providing theoretical and practical guidance for managing UC from the perspective of"damp-heat impai-ring collaterals.".关键词
溃疡性结肠炎/湿热损络致疡/辨证论治Key words
ulcerative colitis/damp-heat damage collaterals and cause ulcers/syndrome differentiation and treatment分类
医药卫生引用本文复制引用
陈鉴,黄铭涵,王文荣,王鑫..从"湿热损络致疡"论治溃疡性结肠炎[J].实用中医内科杂志,2025,39(9):22-24,3.基金项目
国家重点研发计划—中医药现代化研究重点专项(2018YFC1705402) （2018YFC1705402）
福建省教育厅教育科研项目(JAT190290) （JAT190290）
