The discussion on the application of Butu method in Crohn’s disease based on enteral nutrition
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Abstract: Crohn's disease(CD) is a chronic, nonspecific gastrointestinal inflammatory disease, which often recurs and is difficult to cure with various complications. From the perspective of symptoms, it belongs to the category of "abdominal pain" "diarrhea" "intestinal carbuncle" of traditional Chinese Medicine(TCM), and the main pathogenesis of deficiency of origin is weakness of spleen and kidney. Therefore, CD can be treated by Butu method. Enteral nutrition is one of the main methods for the treatment of CD and other gastrointestinal disorders, whose mechanism is in line with the principle of Butu method of TCM. Treatment through the spleen using traditional medicines is beneficial to improve the gastrointestinal function of patients with CD, and enteral nutrition can invigorate body and Qi as well.The combination of these two methods would provide a new thinking for the treatment CD via both western and Chinese medicine.
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Key words:
- Crohn's disease /
- Butu method /
- enteral nutrition
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[1] 中华医学会消化病学分会炎症性肠病学组.炎症性肠病诊断与治疗的共识意见(2018年·北京)[J].中华炎性肠病杂志(中英文),2018,2(3):173-190.
[2] 叶维,郑莹,关玉霞,等.克罗恩病病人肠内营养治疗及护理的研究进展[J].护理研究,2019,33(17):2991-2996.
[3] Di Caro S,Fragkos KC,Keetarut K,et al.Enteral Nutrition in Adult Crohn's Disease:Toward a Paradigm Shift[J].Nutrients,2019,11(9):2222.
[4] Sakurai T,Yoshihama S,Katsuno T,et al.Concomitant us of enteral nutrition therapy increases sustained response to infliximab in patients with Crohn's disease[J].Gastroenterology,2015,148(4):249-250.
[5] Budd GR,Aitchison A,Day AS,et al.The effect of polymeric formula on enterocyte differentiation[J].Innate Immun,2017,23(3):240-248.
[6] Kaakoush NO,Day AS,Leach ST,et al.Effect of exclusive enteral nutrition on the microbiota of children with newly diagnosed Crohn's disease[J].Clin Transl Gastroenterol,2015,6:e71.
[7] Gong D,Yu X,Wang L,et al.Exclusive enteral nutrition induces remission in pediatric crohn’s disease via modulation of the gut microbiota[J].Biomed,Res Int,2017,2017:1-6.
[8] Alhagamhmad MH,Day AS,Lemberg DA,et al.Exploring and enhancing the anti-inflammatory properties of polymeric formula[J].Parenter Enter Nutr,2017,41(3):436-445.
[9] 李伟杰,吴秀文,郑涛,等.全肠内营养在克罗恩病中的应用[J].肠外与肠内营养,2019,26(3):184-188.
[10] 黄智斌,刘奇,刘刚,等.从整合医学角度探讨克罗恩病中医发病机制[J].医学与哲学,2018,39(18):71-75.
[11] 牛锦锦,袁媛,韩捷.韩捷通补兼施法治疗克罗恩病特色探析[J].中国中医基础医学杂志,2020,(10):45-46,60.
[12] 孔红梅,刘臻.从脾肾相关理论论治克罗恩病[J].中国社区医师,2020,36(29):98-100.
[13] 栗梦晓,赵文霞.克罗恩病病因病机探析[J].山东中医药大学学报,2020,44(4):396-399.
[14] Peyrin-Biroulet L,Lofius E V Jr,Colombel J F,et al.The natural history of adult Crohn’s disease in population-based cohort study[J].Am J Gastroenterol,2010,105(2):289-297.
[15] 欧阳博文,陈延.从“疮全赖脾土”理论探讨克罗恩病的中医治疗[J].广州中医药大学学报,2013,30(4):583-585.
[16] 朱梦佳,王淋,杨慧萍.中医治疗克罗恩病临床研究进展[J].中医研究,2020,33(1):74-77.
[17] 崔成成,叶柏.叶柏教授治疗克罗恩病经验[J].长春中医药大学学报,2016,32(5):938-940.
[18] 王彦斐,朱曙东.阳和汤治疗脾肾阳虚型克罗恩病临床疗效观察[J].山东中医药大学学报,2017,41(2):138-140.
[19] 吴璐一,刘慧荣,翁志军,等.健脾方对克罗恩大鼠结肠NF-κBP65、IL-23和CCL20及其受体表达的影响[J].世界科学技术—中医药现代化,2016,18(3):420-428.
[20] 周巧萍,黄智斌,陈延.加味四君子汤对提高克罗恩病患者血红蛋白含量及降低相关炎症指标的作用[J].中国中西医结合消化杂志,2019,27(4):284-288.
[21] 张海洋,宋展,钱国武,等.四君子汤加味治疗克罗恩病的临床疗效和对炎症因子的调节作用[J].中国实验方剂学杂志,2018,24(17):172-176.
[22] 陈聪,李品,彭莉,等.国医大师王琦从“脾胃外感”论治克罗恩病验案一则[J].环球中医药,2018,11(5):720-721.
[23] 蒋沈华,虞坚尔,薛征,等.虞坚尔运用“健脾养阴”法治疗小儿肠道疾病验案2则[J].上海中医药杂志,2019,53(8):28-30.
[24] 宋年.中药穴位贴敷联合耳穴埋籽缓解克罗恩病病人腹痛的效果观察[J].全科护理,2017,15(24):2984-2985.
[25] 王宽,刘世敏,顾沐恩,等.针灸对克罗恩病肠黏膜屏障的保护作用[J].时珍国医国药,2017,28(11):2718-2721.
[26] 包春辉,吴璐一,吴焕淦,等.针灸治疗活动期克罗恩病:随机对照研究[J].中国针灸,2016,36(7):683-688.
[27] 王硕硕,包春辉,王伟灵,等.艾灸对克罗恩大鼠结肠RoRγt、Foxp3调节作用研究[J].世界科学技术—中医药现代化,2016,18(3):368-373.
[28] 纪茜茜,侯晓菲,仲颖,等.基于数据挖掘针灸治疗炎症性肠病的主穴运用规律分析[J].山西中医药大学学报,2020,21(3):161-165.
[29] 杨关林,郑洪鑫,张哲,等.中医脾脏象理论研究[M].北京:人民卫生出版社,2018:270-273.
[30] 聊俊婷.健脾益气法联合早期肠内营养对胃癌患者术后营养状况和免疫功能的影响[J].中国疗养医学,2020,29(1):50-52.
[31] 余慧芬,唐李,李妍.克罗恩病非手术治疗的研究进展[J].医学与哲学,2018,39(20):43-45.
[32] 张修铭,蔡东滨,刘凤斌.运用中医治未病思想防治克罗恩病[J].河北中医,2019,41(10):1563-1565,1578.
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