“心胃相关”理论在溃疡性结肠炎中的应用探析

龙丹; 朱莹

doi:10.3969/j.issn.1671-038X.2022.06.11

“心胃相关”理论在溃疡性结肠炎中的应用探析

龙丹¹,
朱莹^1, ,

- 湖南中医药大学第一附属医院脾胃病科(长沙，410021)
基金项目:
国家自然科学基金面上项目(No：81874466)；2022年全国名老中医药专家传承工作室建设项目(国中医药人教函〔2022〕75号)

详细信息

通讯作者: 朱莹，E-mail：zhuying089@126.com

中图分类号: R574.6

收稿日期: 2022-03-25

刊出日期: 2022-06-15

Application of "heart-stomach correlation" theory in ulcerative colitis

LONG Dan¹,
ZHU Ying^1, ,

- Department of Gastroenterology, First Affiliated Hospital of Hunan University of Traditional Chinese Medicine, Changsha, 410021, China

More Information

Corresponding author: ZHU Ying, E-mail: zhuying089@126.com

Received Date: 25 March 2022

Publish Date: 15 June 2022

摘要

摘要: 精神心理因素在溃疡性结肠炎(UC)中的作用日益被重视，而“心胃相关”理论强调心神对胃肠的调摄作用，可以指导UC辨治。本文从“心胃相关”理论出发，认为UC的发病除涉及肝脾肾等脏之外，还与心密切相关，心用失调，心神不宁，肠失君命为重要病机之一；临证宁心、清心、养心因证而施，辅以温通心阳、疏肝解郁、活血通脉、清利湿热诸法；顾护脾胃贯穿治疗始终。
- 溃疡性结肠炎 /
- 心胃相关 /
- 形神一体观 /
- 脏腑辨证
Abstract: The role of psychological factors in ulcerative colitis(UC) has been paid more and more attention. The theory of "heart-stomach correlation" emphasizes the regulating effect of mind on gastrointestinal tract, which can be employed to guide the syndrome differentiation and treatment of UC. Based on the theory of "heart-stomach correlation", it is believed that the pathogenesis of UC is closely related to the heart in addition to the liver, spleen and kidney. One of the most important pathogenesis is the disorder of the heart, uneasiness in spirit and intestinal dysfunction. Clinically, the therapies cover calming, clearing and nourishing the heart. In addition, the treatments involve warming the heart, soothing and relieving liver depression, invigorating blood circulation and dredging pulse and clearing dampness and heat, with fortifying the spleen throughout these processes.
- ulcerative colitis /
- heart-stomach correlation /
- combination of physique and emotion /
- syndrome differentiaton of Zang Fu organs

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