通讯作者: 王真权, y15993348967@163.com

DOI：10.12201/bmr.202510.00006

Famous Doctors Experience in Treating Ulcerative Colitis Based on the Theory of Zhuang Huo Shi Qi

• 摘要：溃疡性结肠炎是以肠道黏膜连续性、弥漫性炎性改变为特点的肠道炎症性疾病,属中医“肠澼、痢疾”等范畴。现代医学以药物治疗为主,存在易复发、副作用明显等局限。谢力子教授基于《黄帝内经》“壮火食气”理论,提出“壮火为标,气损为本”的学术观点,认为溃疡性结肠炎总属本虚标实,发病的关键因素是湿热、气郁、血瘀化壮火纠结损害肠络,发病基础是气损无力抗壮火。治疗上以清热利湿、行气祛瘀配合泻下通腑使有形壮火出而有路,补气健脾、培少火生气使正气鼓舞邪不可恋。构建了以除壮火、调气机为抓手,从病位肠腑及脾、肾、肝三脏综合论治本病的辨治体系,以芍药汤为基础方加减化裁,形成“除壮火防其碍气、补虚气不助壮火”的组方特色,为临床治疗溃疡性结肠炎提供更好的思路和方法。

  关键词： 溃疡性结肠炎; 壮火食气; 名医经验

   

  Abstract: Ulcerative colitis is an inflammatory bowel disease characterized by continuous and diffuse inflammatory changes in the intestinal mucosa, which falls into the categories of Changpi and Liji in traditional Chinese medicine. In modern medicine, drug therapy is the main treatment, but it has limitations such as high recurrence rate and obvious side effects.Based on the theory of Zhuanghuo Shiquqi from Huangdi Neijing, Professor Xie Lizi put forward the academic viewpoint that Zhuanghuo is the manifestation, and qi deficiency is the root cause. He believes that ulcerative colitis is generally characterized by benxu biaoshi: the key pathogenic factors are damp-heat, qi stagnation, and blood stasis, which transform into excessive fire and entangle to damage the intestinal collaterals; the pathological basis is qi deficiency that fails to resist excessive fire.In terms of treatment, the principles are as follows: clearing heat and resolving dampness, promoting qi flow and removing blood stasis, combined with purgation to dredge the fu-organs, so as to provide a path for the discharge of substantial excessive fire; invigorating qi and strengthening the spleen, and nurturing shaohuo to generate qi, so as to boost healthy qi and prevent pathogenic factors from lingering.Professor Xie has constructed a syndrome differentiation and treatment system for this disease, which takes eliminating excessive fire and regulating qi movement as the key, and conducts comprehensive treatment based on the affected location and the three zang-organs. With Shaoyao Decoction as the basic prescription, he modifies and adapts it to form the prescription feature of eliminating excessive fire to prevent it from impairing qi, and tonifying deficient qi without aiding excessive fire, providing better ideas and methods for the clinical treatment of ulcerative colitis.

  Key words: Ulcerative Colitis; Zhuang Huo Shi Qi; experience of renowned physicians

  提交时间：2025-10-07

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• 序号	提交日期	编号	操作
  1	2025-09-08	bmr.202510.00006V1	下载

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