[1]林泳妤,闫雪洁,考延磊,等.名中医闫雪洁从“制木安金”法论治溃疡性结肠炎经验[J].陕西中医,2024,(10):1407-1410.[doi:DOI:10.3969/j.issn.1000-7369.2024.10.025]
　LIN Yongyu,YAN Xuejie,KAO Yanlei,et al.Yan Xuejie's experience in treating ulcerative colitis from the method of “zhi mu an jin”[J].,2024,(10):1407-1410.[doi:DOI:10.3969/j.issn.1000-7369.2024.10.025]
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名中医闫雪洁从“制木安金”法论治溃疡性结肠炎经验
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2024年10期
页码:
1407-1410
栏目:
名中医经验
出版日期:
2024-10-05

文章信息/Info

Title:
Yan Xuejie's experience in treating ulcerative colitis from the method of “zhi mu an jin”
作者:
林泳妤1; 闫雪洁2; 考延磊2; 郭雅麟1; 于 惠1
(1.山东中医药大学,山东 济南 250355; 2.山东中医药大学附属烟台市中医医院,山东 烟台 264000)
Author(s):
LIN Yongyu; YAN Xuejie; KAO Yanlei; GUO Yalin; YU Hui
(Shandong University of Traditional Chinese Medicine,Jinan 250355,China)
关键词:
溃疡性结肠炎;  制木安金;  生克乘侮;  肝;  肺;  大肠
Keywords:
Ulcerative colitis;  Zhi mu an jin;  Generation-inhibition and invasion-insult;  Liver;  Lung;  Large intestine
分类号:
R 516.1
DOI:
DOI:10.3969/j.issn.1000-7369.2024.10.025
文献标志码:
A
摘要:
本文介绍山东省名中医闫雪洁教授基于“制木安金”法治疗溃疡性结肠炎的经验。溃疡性结肠炎以其反复发作、病程缠绵难愈以及易恶变的发病特点已经成为消化系统的难治性疾病之一。行文分别从讨论金与木之生克乘侮,肝、肺、大肠三者关系以及临床遣方用药来探析溃疡性结肠炎的病因机要,并附典型医案。闫雪洁教授认为溃疡性结肠炎病位在大肠,又与肝、肺密切相关,病机关键为肝失疏泄、肺失通调、大肠失于传导。中医五行学说中肝属木,肺与大肠同属金,金克木,而木侮金,治疗时应从缓解焦虑情绪、改善肝对肺与大肠的影响入手,治以疏肝郁、调肺气、运大肠,运用“制木安金”法治疗溃疡性结肠炎,根据临床情况处方用药,因人制宜,标本兼顾,临床收效显著,以期减少患者病痛,缓解心理负面情绪,提高患者生存质量。
Abstract:
This paper introduces the experience of Professor Yan Xuejie,a famous traditional Chinese medicine doctor in Shandong Province,in the treatment of ulcerative colitis based on the “zhi mu an jin” method.Ulcerative colitis has become one of the refractory diseases of the digestive system due to its recurrent attacks,lingering course of disease and easy malignancy.In this paper,the etiology and pathogenesis of ulcerative colitis are discussed from the discussion of the relationship between gold and wood,the relationship between liver,lung and large intestine,and the clinical prescription and medication,and a typical medical case is attached.Professor Yan Xuejie believes that ulcerative colitis is located in the large intestine and is closely related to the liver and lung.The key pathogenesis is that the liver fails to disperse,the lung fails to regulate,and the large intestine fails to conduct.In the theory of five elements of traditional Chinese medicine,liver belongs to wood,lung and large intestine belong to gold,and wood insults gold.In the treatment,we should start with relieving anxiety and improving the influence of liver on lung and large intestine.The treatment should be based on soothing liver depression,regulating lung qi and transporting large intestine.The method of “zhi mu an jin” is used to treat ulcerative colitis.According to the clinical situation,the prescription should be prescribed according to the individual conditions,and the specimens should be taken into account.The clinical effect is remarkable,so as to reduce the pain of patients,relieve the negative psychological mood and improve the quality of life of patients.

参考文献/References:

[1] 史瑞,李军祥,沈洪,等.溃疡性结肠炎中医诊疗专家共识(2023)[J].中华中医药杂志,2024,39(1):288-296.
[2] 何旭东,倪皓雨,何金彪,等.苦参醇F对溃疡性结肠炎小鼠的干预作用[J].中国药房,2024,35(4):419-424.
[3] 沈洪,刘亚军,朱磊,等.炎症性肠病若干难点处理经验[J].中国中西医结合消化杂志,2024,32(2):105-109.
[4] 孟凡艳,张杨,柳越冬.基于“土壅木郁”理论探讨溃疡性结肠炎合并情志不畅的发病机制及中医辨治思路[J].上海中医药杂志,2023,57(12):55-58.
[5] 钱汉云.我对“五行生克乘侮”的看法[J].湖北中医杂志,1984,46(2):41-42.
[6] 刘兆祥.谈谈五行的生克乘侮[J].河南中医,1981,49(4):10-12,34.
[7] 周英南,童国琦,王彬彬.王彬彬佐金平木法治疗大肠癌夜咳经验介绍[J].新中医,2019,51(1):285-286.
[8] 王永炎,廖星,王忠.诠释气、气机、气化运行学理与健康[J].北京中医药大学学报,2022,45(10):1024-1028.
[9] 陈继东,陈如泉.论甲状腺的中医脏腑属性及功能特点[J].湖北中医药大学学报,2018,20(1):5-9.
[10] 范洪桥,刘丽芳.疏肝达胃、佐金制木法治疗浆细胞性乳腺炎[J].吉林中医药,2013,33(10):998-999.
[11] 袁姣姣,祁烁,李欣怡,等.基于肝肺同调辨治桥本甲状腺炎思路探析[J].江苏中医药,2023,55(5):6-9.
[12] 李乐,杨叔禹.杨叔禹从肝脾论治失眠经验[J].中医杂志,2022,63(23):2218-2222.
[13] 黎丽群,谢胜,刘园园,等.名中医谢胜“以枢调枢”从肝肺论治溃疡性结肠炎理论探微[J].陕西中医,2023,44(8):1125-1128.
[14] 杨冰炜,陈雪,王成磊,等.基于调气解毒法探讨溃疡性结肠炎“炎-癌”转化及防治思路[J].中医杂志,2024,65(5):469-473,502.
[15] 刘宇,白丽,王盛隆,等.基于“从肝治肺”论治慢性阻塞性肺疾病[J].中医药临床杂志,2022,34(10):1798-1802.
[16] 付琳.《黄帝内经》肺与大肠相表里理论临床体会[J].光明中医,2023,38(3):549-551.
[17] 张国磊,王宇立,诸君,等.基于“肺与大肠相表里”理论探讨肠道菌群对肺癌影响[J].现代中医临床,2023,30(1):90-93.
[18] 赵克明,鞠宝兆,徐艳玲,等.浅谈“聚于胃,关于肺”[J].新中医,2014,46(6):6-8.
[19] 张亮亮,杨帅,于金德,等.李乾构教授基于“病有脾,治肝肺”论治溃疡性结肠炎的经验[J].中国医药导报,2023,20(10):113-116.
[20] 王朝军,纪云西.“肝与大肠相通”之理论研究及运用初探[J].浙江中医药大学学报,2021,45(4):339-344.
[21] 庞子鑫,刘朝霞.基于“肝与大肠相通”理论探讨疏肝法通过调节肠道微生态治疗溃疡性结肠炎的应用价值[J].河北中医,2024,46(2):310-314.
[22] 耿明胜,李翠娟,成晓萍,等.从脏腑、风寒湿瘀角度探析溃疡性结肠炎[J].陕西中医,2023,44(8):1106-1108.
[23] 陈红宇,刘亚军,沈洪.炎症性肠病患者血清IL-6、sICAM-1及Chemerin的检测及临床价值[J].陕西医学杂志,2020,49(3):289-291,295.
[24] 杨兰艳,郭致平,郑盛,等.基于肠道微生态治疗肝性脑病的研究进展[J].河北医药,2020,42(5):764-768,773.
[25] 杨小纤,严海艺,秦雪颖,等.基于“肝与大肠相通”理论从肠道菌群防治肝性脑病[J].中医药学报,2023,51(6):50-54.
[26] 余学成,高增祥,吴斌,等.白术治疗溃疡性结肠炎作用机制的网络药理学分析及实验验证研究[J].世界科学技术-中医药现代化,2024,26(1):145-156.
[27] 柳沛林,周军,魏海梁,等.中药调控Th17/Treg平衡治疗溃疡性结肠炎的研究进展[J].中药新药与临床药理,2023,34(11):1632-1639.
[28] 戴琦,崔宁,刘文卓.黄芩苷调节JAK2/STAT3信号通路对口腔鳞癌细胞增殖、凋亡和侵袭的影响[J].陕西医学杂志,2024,53(2):179-183.

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备注/Memo

备注/Memo:
基金项目:国家中医药管理局科技司共建科技项目(GZY-KJS-SD-2023-016); 山东省中医药科技项目(M-2023095)
更新日期/Last Update: 2024-10-08