Abstract:“Spleen deficiency and dampness stagnation” is the main pathogenesis of ulcerative colitis. “Stagnation” includes two pathological products, damp stagnation and stagnation of qi and blood, which interact with each other in the pathogenic process. First use the method of “clearing away dampness and stagnation” to dispel the pathogenic factors of cold-dampness, dampness heat and phlegm turbidity, so as to make qi and blood unblocked. “Invigorating qi and strengthening spleen” is the key to the treatment. Emphasis should be laid on the deficiency of spleen, and the foundation should be stabilized so as to make qi and blood come into being. The soil in the five elements is weak, and the relatively strong wood will suppress the soil. Therefore, the treatment of soothing the liver can make qi smooth. In clinic, nourishing blood and tonifying deficiency, promoting blood circulation and stopping bleeding are added to ventilate blood stagnation. Long course of disease often injures yang in kidney. Some Chinese herbs for tonifying kidney yang can be added. Shenling Baizhu Powder and Gegen Qinlian Decoction are modified to relieve stagnation and invigorate the spleen. Both qi and blood are regulated. Liver and kidney are also regulated to dispel pathogenic factors without damaging the positive qi. It provides an important idea for alleviating clinical symptoms and preventing recurrence.
郭仕琪 李宇飞 李华山. 从“消滞健脾”理论探讨溃疡性结肠炎的诊治[J]. 中国医药导报, 2020, 17(4): 131-134.
GUO Shiqi LI Yufei LI Huashan. Diagnosis and treatment of ulcerative colitis from the theory of “removing stagnation and invigorating spleen”. 中国医药导报, 2020, 17(4): 131-134.