[1]肖有为,曹晖,吴东升,等.名中医曹晖运用角药辨治溃疡性结肠炎经验[J].陕西中医,2025,46(10):1409-1413.[doi:DOI:10.3969/j.issn.1000-7369.2025.10.022]
　XIAO Youwei,CAO Hui,WU Dongsheng,et al.Famous doctor CAO Hui’s experience in treating ulcerative colitis with triplet herb combinations[J].,2025,46(10):1409-1413.[doi:DOI:10.3969/j.issn.1000-7369.2025.10.022]
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名中医曹晖运用角药辨治溃疡性结肠炎经验

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年10期
页码:
1409-1413
栏目:
名中医经验
出版日期:
2025-10-05

文章信息/Info

Title:
Famous doctor CAO Hui’s experience in treating ulcerative colitis with triplet herb combinations
作者:
肖有为; 曹晖; 吴东升; 邹博; 程琪; 黄若茹; 余依倩
（湖南中医药大学第一附属医院，湖南 长沙 410007）
Author(s):
XIAO Youwei; CAO Hui; WU Dongsheng; ZOU Bo; CHENG Qi; HUANG Ruoru; YU Yiqian
(First Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Changsha 410007,China)
关键词:
溃疡性结肠炎; 辨证论治; 名医经验; 角药; 党参; 黄芪
Keywords:
Ulcerative colitis; Syndrome differentiation; Treatment experience of renowned doctors; Triple herb combinations; Codonopsis pilosula; Astragalus membranaceus
分类号:
R 516.1
DOI:
DOI:10.3969/j.issn.1000-7369.2025.10.022
文献标志码:
A
摘要:
总结名中医曹晖老师运用角药治疗溃疡性结肠炎的经验。认为该病总体呈现“本虚标实”之态，以脾虚为本，兼夹水湿、湿热、血热、气滞等实证，后期可累及阴阳，形成脾肾阳虚或阴血亏虚等虚证。治疗以益气健脾为核心原则，临证常用六组角药：党参-黄芪-薏苡仁益气健脾、燥湿止泻；玄参-生地-火麻仁滋阴润燥、养血通便；干姜-补骨脂-吴茱萸温补脾肾、固涩止泻；黄连-当归-藿香清热燥湿、调和气血；地锦草-白头翁-槐花炭凉血止血，清肠止痢；柴胡-白芍-白术疏肝理气、健脾和中。曹晖教授结合临床经验，强调角药配伍需紧扣病机，注重药物性味归经的协同与制衡，辅以生活调摄指导，形成“驱邪不伤正，扶正不留邪”的诊疗体系，为溃疡性结肠炎的临床治疗提供了可借鉴的新思路与方法。
Abstract:
This paper summarizes Professor CAO Hui’s experience in treating ulcerative colitis with triplet herb combinations.Professor CAO believes that this disease generally presents a state of “deficiency of the root and excess of the branches”,with spleen deficiency as the core,accompanied by excess syndromes such as water dampness,damp-heat,blood heat,and qi stagnation.In the later stage,it may progress to involve yin and yang,leading to deficiency syndromes like spleen-kidney yang deficiency or yin-blood deficiency.The core principle of treatment is to replenish qi and invigorate the spleen.Clinically,Professor CAO commonly uses six groups of triplet herb combinations:Codonopsis pilosula,Astragalus membranaceus,and Coix lacryma-jobi to replenish qi,invigorate the spleen,dry dampness,and stop diarrhea;Scrophularia ningpoensis,Rehmannia glutinosa,and Cannabis sativa to nourish yin,moisten dryness,nourish blood,and promote defecation;Zingiber officinale,Psoralea corylifolia,and Evodia rutaecarpa to warm-tonify the spleen and kidney,and astringe to stop diarrhea;Coptis chinensis,Angelica sinensis,and Pogostemon cablin to clear heat,dry dampness,and regulate qi and blood;Euphorbia humifusa,Pulsatilla chinensis,and charred Sophora japonica to cool blood,stop bleeding,clear the intestines,and relieve dysentery;Bupleurum chinense,Paeonia lactiflora,and Atractylodes macrocephala to soothe the liver,regulate qi,invigorate the spleen,and harmonize the middle energizer.Combining decades of clinical experience,Professor CAO emphasizes that the combination of triplet herb combinations should closely adhere to the pathogenesis,pay attention to the synergy and balance of the herbs’ properties,tastes,and meridian tropisms,and provides guidance on lifestyle regulation.This forms a unique diagnosis and treatment system that embodies the principle of “eliminating pathogens without damaging the healthy qi,and tonifying the healthy qi without retaining pathogens”,offering new ideas and methods for the clinical treatment of ulcerative colitis.

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备注/Memo

备注/Memo:
国家自然科学基金青年科学基金资助项目(82405420)；湖南省自然科学基金部门联合基金资助项目(2023JJ60487)；湖南省“神农人才”工程第一批中医药学科带头人培养计划项目（2022年）;湖南省中医药科研计划项目（B2023030）;湖南省卫生健康委员会科研课题（202204134275，B202304138985）
更新日期/Last Update: 2025-10-10