| 引用本文: |
高思远, 顾杨怡, 张笑, 沈逸, 程鹏, 常岑, 何东仪, 朱琦, 李黎.脾肾论治炎症性肠病合并强直性脊柱炎探讨[J].湖南中医药大学学报,2024,44(8):1490-1494[点击复制] |
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| 脾肾论治炎症性肠病合并强直性脊柱炎探讨 |
| 高思远,顾杨怡,张笑,沈逸,程鹏,常岑,何东仪,朱琦,李黎 |
| (上海中医药大学附属光华医院, 上海 200052;上海中医药大学, 上海 201203;上海中医药大学附属光华医院关节内科, 上海 200052;上海市中医药研究院中西医结合关节炎研究所, 上海 200052) |
| 摘要: |
| 炎症性肠病常合并强直性脊柱炎有肠外病变表现，现代医学目前对于该共病发病机制尚不明确，临床缺乏有效防治方法，无法从根本上改善疾病的预后和减少复发。中医学认为该共病发病多为脾肾失司，二者制化失常为其主要病机表现。临床表现或以脾胃升降失司为主，或以肾虚温煦不足为主。治疗从脾肾论治出发，在炎症性肠病合并强直性脊柱炎共病的临床诊断和治疗中具有良好的临床效果。通过探讨从脾肾论治炎症性肠病及其肠外表现强直性脊柱炎共病的中医治疗经验，并附临床验案一则，以供临床参考借鉴。 |
| 关键词: 炎症性肠病 肠外病变 强直性脊柱炎 脾肾学说 温肾健脾 共病 |
| DOI：10.3969/j.issn.1674-070X.2024.08.019 |
| 投稿时间：2024-03-29 |
| 基金项目:上海市自然科学基金项目（21ZR1454400）；上海市科学技术委员会医学创新研究专项项目（22Y11921900）；上海市卫健委华东片区中西医结合关节病专科联盟项目[ZY（2021-2023）-0302]；长宁区卫生健康委员会科研项目中医课题（20214Z003）；上海市何东仪名中医工作室建设项目（SHGZS-202220）。 |
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| On treating inflammatory bowel disease combined with ankylosing spondylitis from the spleen and kidney theory |
| GAO Siyuan, GU Yangyi, ZHANG Xiao, SHEN Yi, CHENG Peng, CHANG Cen, HE Dongyi, ZHU Qi, LI Li |
| (Guanghua Hospital of Shanghai University of Chinese Medicine, Shanghai, 200052, China;Shanghai University of Chinese Medicine, Shanghai 201203, China;Internal Medicine Department for Joint Disorders, Guanghua Hospital of Shanghai University of Chinese Medicine, Shanghai, 200052, China;Shanghai Institute of Integrated Chinese and Western Medicine for Arthritis, Shanghai Research Institute of Chinese Medicine, Shanghai 200052, China) |
| Abstract: |
| Inflammatory bowel disease is often accompanied by ankylosing spondylitis with extraintestinal lesions. Currently, the pathogenesis of this comorbidity remains unclear in modern medicine, and there is a lack of effective prevention and treatment methods clinically, making it difficult to fundamentally improve the prognosis and reduce recurrences of the disease. Chinese medicine believes that the main pathogenesis of this comorbidity is the dysfunction of spleen and kidney, characterized by abnormal mutual control between them. The clinical manifestations are primarily attributed to the malfunction of spleen and stomach in ascending and descending, or insufficient warmth due to kidney deficiency. Treatment based on the spleen and kidney has shown good clinical effects in diagnosing and treating inflammatory bowel disease combined with ankylosing spondylitis. This paper discusses the experience of Chinese medicine treatment for inflammatory bowel disease and its extraintestinal manifestations of ankylosing spondylitis from the spleen and kidney theory, and provides a verified medical record for reference. |
| Key words: inflammatory bowel disease extraintestinal lesions ankylosing spondylitis spleen and kidney theory warming the kidney and strengthening the spleen comorbidity |
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