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洪译,王真权,刘莹.谢力子教授从“肠-肝-脾轴”论治克罗恩病经验[J].湖南中医药大学学报英文版,2023,43(4):658-662.[Click to copy
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| 谢力子教授从“肠-肝-脾轴”论治克罗恩病经验 |
| 洪译,王真权,刘莹 |
| (湖南中医药大学第二附属医院, 湖南 长沙 410005) |
| 摘要: |
| 克罗恩病（Crohn's disease, CD）已成为最常见的消化系统疑难病之一。此病病位在肠道，涉及脾、胃、肝、肾、肺等多个脏腑。谢力子教授强调其发病与脾胃升降失常、肝失疏泄以及二者藏血、统血关系失常密切相关。故克罗恩病应基于 “肠-肝-脾轴”同时治疗。CD活动期注重祛邪，方选自拟方乌梅败酱方；缓解期注重扶正，方选自拟肠炎方。采用中药口服、药物灌肠、食疗多种方式联合治疗CD。选取一例克罗恩病医案加以分析，反映谢力子教授临床调治经验。 |
| 关键词: 克罗恩病 肠-肝-脾轴 乌梅败酱方 肠炎方 医案 谢力子 |
| DOI：10.3969/j.issn.1674-070X.2023.04.014 |
| Received:October 25, 2022 |
| 基金项目:湖南省中医药科研计划项目（2021020）；长沙市自然科学基金项目（kq2202482）。 |
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| Professor XIE Lizi's experience in treating Crohn's disease based on the "intestine-liver-spleen axis" of Chinese medicine |
| HONG Yi,WANG Zhenquan,LIU Ying |
| (The Second Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410005, China) |
| Abstract: |
| Crohn's disease (CD) has become one of the most common and intractable diseases of digestive system, which mainly affects the intestinal tract, involving several other viscera such as the spleen, stomach, liver, kidneys, lungs, etc. according to TCM theory. Professor XIE Lizi emphasizes that CD pathogenesis is highly related to the failure of spleen ascending and stomach descending, liver failing to control conveyance and dispersion, as well as the imbalanced relationship between the liver storing blood and the spleen controlling blood. Based on the "intestine-liver-spleen axis" of Chinese medicine, CD should be treated by addressing conditions in these viscera simultaneously. Professor XIE Lizi focuses on eliminating pathogenic factors in the active stage of CD, and treats with the self-drafted Wumei Baijiang Formula; he emphasizes on reinforcing healthy qi in the remission, and selects the self-drafted Changyan Formula. Besides, oral administration, enema of Chinese medicines as well as food therapy are usually combined in the treatment of CD. A case of Crohn's disease treated by Professor XIE Lizi is selected for analysis to demonstrate his clinical experience in treating such disease. |
| Key words: Crohn's disease intestine-liver-spleen axis Wumei Baijiang Formula Changyan Formula medical record XIE Lizi |
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