补泻兼施在炎性肠病中运用Reinforcing-reducingmethodin.pdfVIP

英国中医2013 年8 月 第2 卷 第2 期 25 ·临床经验 补泻兼施在炎性肠病中的运用 Reinforcing-reducing method in herbal treatment of IBD 殷鸿春YIN Hong-chun 摘要】本文介绍以清热祛湿兼扶助正气，即补泻兼施为主要治疗原则治疗克罗恩氏病和溃疡性结肠炎， 取得较好的近期效果。案例 1 是克罗恩氏病，病人大量使用激素，前医以清热祛湿为主，只契合了部分病 机，故疗效不显，在加上辅助正气药后，病情迅速好转；案例2 和3 为溃疡性结肠炎，案例2 以清热祛湿为 主，辅以扶助正气，收效较速；案例3 因病久伤及 气，最终以乌梅丸加减收功。 【关键词】补泻兼施；中药治疗；炎性肠病；克罗恩病；溃疡性结肠炎 Abstract Inflammatory bowel disease (IBD) is a group of inflammatory conditions of the colon and small intestine. The maj or types of IBD are Crohns disease (CD)and ulcerative colitis(UD). This article mainly discusses the application of the treatment principle of reinforcing-reducing method for IBD to obtain better clinical effects. In case 1, the patient has suffered CD and has applied a large dosage of steroid, and was given herbal treatment by the previous practitioner to clean heat and eliminate dampness, which failed to have any effect; the patient responded quicker when some herbs were added to reinforce his spleen Qi; In case 2 and 3 ，the patients suffered from UD, for whom the main treatment principle was to clean the heat and eliminate the dampness, supported by tonifying spleen Qi. In case 3, because the patient has long history of UD, the Yang Qi was deficient, so the modified Wu Mei Wan was prescribed which finally helped her to go back to normal life. Keywords: reinforcing-reducing method ；Chinese herbal therapy; inflammatory bowel disease (IBD) ,Crohns disease(CD); ulcerative colitis (UD) 炎性肠病包含了溃疡性结肠炎及克罗恩 炎性肠病病人往往呈现出腹痛，腹泻， 氏病。以腹痛，腹泻，便脓血为主要症状， 里急后重，以及虚弱乏力的临 症象。即不 抗菌抗炎治疗效果不佳，有些病人需要长期 仅有湿热邪气壅盛，腐肉伤血的实的现象， 依赖激素，甚者需要手术切除，严重影响患 而且有气血两虚，脾肾俱亏的虚的表现。攻 者生活及生存质量。在英国大约有24万IBD患