通讯作者: 闫秀丽, YXL9999@126.com

DOI：10.12201/bmr.202605.00058

Treatment of Active Ulcerative Colitis Based on the Theory of Wind, Dampness, Heat and Blood Stasis Accumulating in the Intestine, Damaging Intestinal Collaterals

• 摘要：朱生樑教授认为溃疡性结肠炎发作期核心病机为风湿热瘀蕴肠、肠络受损，属本虚标实之证，以脾虚为本，风湿热瘀为标，且风邪为重要的诱发因素；确立清热化湿、祛风安络、调和气血为急性发作期核心治法；自创红藤肠安汤经验方，紧扣病机遣方用药，临证灵活加减，临床控制急性发作、缓解黏液脓血便、腹痛腹泻等症状疗效显著。本文从病机认识、辨证特色、治法方药、加减特色等方面系统进行总结。

  关键词： 溃疡性结肠炎; 发作期; 清热化湿; 祛风安络; 红藤肠安汤

   

  Abstract: Professor Zhu Shenglang holds that the core pathogenesis of active ulcerative colitis is wind, dampness, heat and blood stasis accumulating in the intestine and damaging intestinal collaterals, which is a syndrome of root deficiency and branch excess. Spleen deficiency is the root cause, while wind, dampness, heat and blood stasis are the branch causes, and pathogenic wind is an important inducing factor. He establishes clearing heat and resolving dampness, dispelling wind and calming collaterals, and harmonizing qi and blood as the core therapeutic methods for acute attack. He has created the empirical prescription Hongteng Changan Decoction, which closely targets the pathogenesis, and is flexibly modified in clinical practice. It has shown remarkable efficacy in clinically controlling acute attacks and relieving symptoms such as mucopurulent bloody stool, abdominal pain and diarrhea. This article systematically summarizes from the aspects of pathogenesis understanding, syndrome differentiation characteristics, therapeutic methods and prescriptions, and modification features.

  Key words: Ulcerative Colitis; Active Stage; Clearing Heat and Resolving Dampness; Dispelling Wind and Calming Collaterals; Hongteng Changan Decoction

  提交时间：2026-05-17

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2026-05-03	10.12201/bmr.202605.00058V1	下载

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