河南中医2026，Vol.46Issue(8)：1135-1139,5.DOI:10.16367/j.issn.1003-5028.2026.08.0185
基于《伤寒论》"和法"论治溃疡性结肠炎
Treatment of Ulcerative Colitis Based on the Harmonizing Method Recorded in Treatise on Cold Damage Diseases
摘要
Abstract
The pathogenesis of ulcerative colitis(UC)is complex,involving liver-spleen disharmony from stagnated wood constraining earth,dry-damp disharmony and intermingled cold-heat in stomach and intestines,disorder of qi ascent-descent with impaired reception-transformation,as well as disharmony of qi-blood and imbalance of yin-yang.Hence,the"harmonizing method"is applied to regulate liver-spleen,stomach-intestines,exterior-interior,qi-blood,qi ascent-descent,as well as cold and heat.For the pattern of liver depression and spleen deficiency,treatment should regulate qi and harmonize blood.so Frigid Extremities Powder is used to soothe the liver,fortify the spleen,harmonize qi and blood.For the pattern of dampness-heat stagnating in the intestines with unresolved exterior syndrome,treatment should resolve both exterior and interior,so modified Pueraria and Scutellaria and Coptis Decoction is adopted to clear heat,drain dampness,elevate clear yang and stop diarrhea.For the pattern of intermingled cold and heat,treatment should balance cold and heat equally,so related formulas of Heart-Draining Decoction is used to exert the effects of pungent dispersion and bitter purgation,or Mume Pills are applied to warm yang and nourish yin.By harmonizing the liver and spleen to smoothen qi movement,regulating the stomach and intestines to restore the normal ascending and descending balance,and reconciling qi,blood,yin,and yang to reinstate their normal physiological state,the body can regain physiological harmony.关键词
溃疡性结肠炎/下利/"和法"/四逆散/葛根芩连汤/泻心汤类方/乌梅丸/《伤寒论》/张仲景Key words
ulcerative colitis(UC)/diarrhea/"harmonizing method"/Frigid Extremities Powder/Pueraria and Scutellaria and Coptis Decoction/related formulas of Heart-Draining Decoction/Mume Pills/Treatise on Cold Damage Diseases/Zhang Zhongjing分类
医药卫生引用本文复制引用
刘艳梅,李陈垚,董筠,姜之红..基于《伤寒论》"和法"论治溃疡性结肠炎[J].河南中医,2026,46(8):1135-1139,5.基金项目
2023年度国家中医临床研究基地开放课题项目(JD2023SZ05) （JD2023SZ05）
