Discussion on the Differentiation and Treatment of Ulcerative Colitis from"Spleen Acting as the Guard for Five Zang-Organs and Six Fu-Organs"
10.16466/j.issn1005-5509.2024.08.005
- VernacularTitle:基于"脾为之卫"探讨溃疡性结肠炎的辨治思路
- Author:
Di ZHANG
1
;
Shijia ZHANG
;
Deyou JIANG
Author Information
1. 黑龙江中医药大学 哈尔滨 150040
- Keywords:
ulcerative colitis;
dysentery;
spleen acting as the guard for five Zang-organs and six Fu-organs;
intestinal mucosal barrier;
thoughts of differentiation and treatment;
treatment based on substage
- From:
Journal of Zhejiang Chinese Medical University
2024;48(8):935-941
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To explore the etiology,pathogenesis and treatment methods of ulcerative colitis(UC),in order to provide theoretical basis for expanding the differentiation and treatment of UC.[Methods]Based on a review of the theoretical connotation of"spleen acting as the guard for five Zang-organs and six Fu-organs",and the understanding of the pathogenesis of UC in modern medicine,the correlation between spleen dysfunction and UC was explored from the perspective of"spleen losing of guard".Combined with the changes in the pathogenesis of UC during its progression,the principles of differentiation and treatment in each substage were specifically discussed.[Results]The key pathogenesis of UC is"spleen losing of guard",which runs through all stages of the disease.Therefore,it is proposed to use"assisting spleen to restore the function of guard"as the treatment principle.In the active phase,the method of treatment is to eliminate accumulation and transform stagnation,regulate the spleen and defensive Qi.In the remission phase,the method of treatment is to regulate Qi and relieve depression,and strengthen the spleen and promote defensive Qi.In the recovery phase,the method of treatment is to nourish the muscles,and strengthen the spleen and defensive Qi.[Conclusion]The application of the theory of"spleen acting as the guard for five Zang-organs and six Fu-organs"helps to understand the close relationship between the pathogenesis of UC and the spleen,refine the treatment rules and specific prescriptions of UC related to the spleen in each stage.
