[1]陶 冉,黄晓琳,龚恬韵,等.克罗恩病肛瘘中医药治疗研究进展[J].陕西中医,2022,(5):666-669.[doi:DOI:10.3969/j.issn.1000-7369.2022.05.029]
　TAO Ran,HUANG Xiaolin,GONG Tianyun,et al.Research progress of traditional Chinese medicine in the treatment of anal fistula in Crohn's disease[J].,2022,(5):666-669.[doi:DOI:10.3969/j.issn.1000-7369.2022.05.029]
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克罗恩病肛瘘中医药治疗研究进展
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2022年5期
页码:
666-669
栏目:
综 述
出版日期:
2022-05-05

文章信息/Info

Title:
Research progress of traditional Chinese medicine in the treatment of anal fistula in Crohn's disease
作者:
陶 冉; 黄晓琳; 龚恬韵; 李志成; 金 磊; 吴 炯
(上海中医药大学附属岳阳中西医结合医院肛肠科,上海 200437)
Author(s):
TAO Ran; HUANG Xiaolin; GONG Tianyun; LI Zhicheng; JIN Lei; WU Jiong
(Anorectal Department,Yueyang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)
关键词:
克罗恩病;  肛瘘;  病因病机;  辨证辨期;  气滞血瘀
Keywords:
Crohn's disease;  Anal fistula;  Etiology and pathogenesis;  Syndrome differentiation period;  Qi stagnation and blood stasis
分类号:
R 574
DOI:
DOI:10.3969/j.issn.1000-7369.2022.05.029
文献标志码:
A
摘要:
克罗恩病是自身免疫引起的肠道炎症疾病,具有迁延难愈、反复发作的特点。肛瘘是其具有侵袭性表现的代表性危险症状。中青年为其好发人群,本病引起的潜在经济社会负担难以估量。西医治疗手段存在费用高昂、复发率高等劣势。本病治疗预期是维持疾病的低活动度。中医治疗克罗恩病肛瘘辨证施治,灵活多变,在提高肠道免疫力、改善生活质量、减轻症状方面有独到的优势。诸多医家认同,本病病理因素为湿邪,病机总属“本虚标实”。笔者结合名医经验对本病辨证辨期,将其归为气滞血瘀、湿邪蕴结、脾肾两虚三种证型,分别与本病的急性期、活动期、缓解期相对应,并对挂线、外洗、针灸三类外治法进行了总结探讨。现就其中医研究进展进行综述,为临床提供指导。
Abstract:
Crohn's disease is a kind of intestinal inflammatory disease caused by autoimmunity.It has the characteristics of protracted,refractory and repeated attacks.Anal fistula is a representative risk symptom with invasive manifestations.Young and middle-aged people are prone to the disease,and the potential economic and social burden caused by the disease is difficult to estimate.Western medicine has the disadvantages of high cost and high recurrence rate.The treatment of this disease is expected to maintain the low activity of the disease.TCM treatment of Crohn's disease anal fistula is dialectical,flexible and changeable.It has unique advantages in improving intestinal immunity,improving quality of life and alleviating symptoms.Most doctors believe that the pathological factor of this disease is dampness evil,and the pathogenesis always belongs to “deficiency in origin and excess in superficislity”.Combined with the experience of famous doctors,the author classifies the syndrome differentiation period of the disease into three syndrome types,qi stagnation and blood stasis,accumulation of dampness and evil,and deficiency of spleen and kidney,which correspond to the acute stage,active stage and remission stage of the disease,and summarizes and discusses the three external treatment methods of thread hanging,external washing and acupuncture.This paper reviews the research progress of traditional Chinese medicine to provide guidance for clinical practice.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金资助项目(8200150325); 上海市科学技术委员会科研计划项目(20Y21901200)
更新日期/Last Update: 2022-05-09