Staged Treatment of Ulcerative Colitis based on the Experience in Treating Dysentery from Cold-fire Accumulation
10.13288/j.11-2166/r.2024.07.007
- VernacularTitle:基于从寒火凝结论治痢疾经验分期治疗溃疡性结肠炎
- Author:
Xiaokang WANG
1
;
Mi LYU
1
;
Jiayan HU
1
;
Xijun QIAO
1
;
Kunli ZHANG
1
;
Wenxi YU
2
;
Yuqian WANG
2
;
Fengyun WANG
1
Author Information
1. Xiyuan Hospital， China Academy of Chinese Medical Sciences， Beijing， 100091
2. Beijing University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
ulcerative colitis;
dysentery;
cold-fire accumulation;
Records of Chinese Medicine with Reference to Western Medicine （《医学衷中参西录》）
- From:
Journal of Traditional Chinese Medicine
2024;65(7):697-702
- CountryChina
- Language:Chinese
-
Abstract:
Referring to ZHANG Xichun's experience in treating dysentery from cold-fire accumulation， the treatment of ulcerative colitis （UC） in this paper can be divided into three stages including cold-fire accumulation stage， excessive heat and putrid intestine stage， and healthy qi deficiency and pathogen lingering stage. For people with slippery and excess pulse in the cold-fire accumulation stage， Xiaochengqi Decoction （小承气汤） added with Baishao （Radix Paeoniae Alba） and Gancao （Radix et Rhizoma Glycyrrhizae） can be used for purgation， while those with deficient pulse， Huazhi Decoction （化滞汤） or Xieli Decoction （燮理汤） can be used. In the excessive heat and putrid intestine stage， Tongbian Baitouweng Decoction （通变白头翁汤） and Jiedu Shenghua Elixir （解毒生化丹） are suggested. In the healthy qi deficiency and pathogen lingering stage， it is advised to use Jiedu Shenghua Elixir added with Shanyao （Rhizoma Dioscoreae）， and Sanbao Porridge （三宝粥）. Additionally， the medication rules， dosage and administration characteristics of Huanglian （Rhizoma Coptidis）-Rougui （Cortex Cinnamomi）， Yadanzi （Fructus Bruceae）， Diyu （Radix Sanguisorbae）， Shanyao and Liuhuang （Sulphur） by ZHANG Xichun have been summarized with the help of modern pharmacological research， so as to provide new ideas for the treatment of UC by TCM.
