Interpretation of Expert Consensus on the Diagnosis and Treatment of Ulcerative Colitis with Integrated Traditional Chinese and Western Medicine
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摘要: 溃疡性结肠炎(ulcerative colitis，UC)是消化系统难治性疾病之一，2021年由中国中西医结合学会提出并归口，2023年针对UC发布了《溃疡性结肠炎中西医结合诊疗专家共识》。本文结合既往的UC中西医结合诊疗共识，对2023年《溃疡性结肠炎中西医结合诊疗专家共识》中的中医病名、中西医结合临床定位、病证结合诊断流程、体现脑肠同调、中医辨证分型及治疗策略等亮点部分进行详细解读，以期加深同道对该共识的理解，推动中西医结合治疗UC向规范化、统一化方向发展。Abstract: Ulcerative colitis(UC) is one of the intractable diseases of the digestive system. In 2021, the Expert Consensus on the Diagnosis and Treatment of Ulcerative Colitis with Integrated Traditional Chinese and Western Medicine was addressed and categorized by the Chinese Association of Integrative Medicine. In 2023, it was released. This article, building on previous consensuses on integrated diagnostics and treatment of UC, provides a detailed interpretation of key aspects of the 2023 consensus, including the Traditional Chinese Medicine nomenclature, the clinical positioning of integrative medicine, the combined diagnosis process, the concept of brain-gut coordination, Traditional Chinese Medicine syndrome differentiation, and treatment strategies. The aim is to deepen the understanding of this consensus among peers and to promote the development of integrative medicine in treating UC towards standardization and unification.
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[1] Kobayashi T, Siegmund B, Le Berre C, et al. Ulcerative colitis[J]. Nature Rev Dis Prim, 2020, 6(1): 74. doi: 10.1038/s41572-020-0205-x
[2] 陈治水, 王新月. 溃疡性结肠炎中西医结合诊疗共识(2010·苏州)[J]. 现代消化及介入诊疗, 2011, 16(1): 66-70. https://www.cnki.com.cn/Article/CJFDTOTAL-XDXH201101034.htm
[3] 李军祥, 陈誩. 溃疡性结肠炎中西医结合诊疗共识意见(2017年)[J]. 中国中西医结合消化杂志, 2018, 26(2): 105-111, 120. https://zxyxh.whuhzzs.com/article/doi/10.3969/j.issn.1671-038X.2018.02.01
[4] 中国中西医结合学会. 溃疡性结肠炎中西医结合诊疗专家共识[J]. 中国中西医结合杂志, 2023, 43(1): 5-11. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXJ202301001.htm
[5] Balestrieri P, Ribolsi M, Guarino MPL, et al. Nutritional Aspects in Inflammatory Bowel Diseases[J]. Nutrients, 2020, 12(2): 372. doi: 10.3390/nu12020372
[6] 李建生. 基于病证结合模式重视以证统病的诊疗形式[J]. 中医杂志, 2011, 52(7): 558-561. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ201107009.htm
[7] 王琳, 卿香丽, 张涛, 等. 魏玮教授基于"湿热致病"论治溃疡性结肠炎[J]. 世界中西医结合杂志, 2023, 18(9): 1737-1740, 1775. https://www.cnki.com.cn/Article/CJFDTOTAL-SJZX202309006.htm
[8] 刘启鸿, 黄文彬, 赵培琳, 等. 大肠诠解[J]. 中华中医药杂志, 2018, 33(10): 4312-4314. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY201810012.htm
[9] 张洋, 依秋霞. 湿邪致病脉象的变化浅析[J]. 湖南中医杂志, 2020, 36(12): 106-108. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZO202012052.htm
[10] 贾雪梅, 郭榆西, 王杰, 等. "肠道菌群-细胞焦亡"与溃疡性结肠炎"浊毒内蕴"病因病机[J]. 中国中西医结合杂志, 2024, 44(4): 475-480. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXJ202404013.htm
[11] 程祎睿, 刘紫薇, 王艺灿, 等. 从大肠"实而不满"分析铁死亡对溃疡性结肠炎的意义[J]. 中医学报, 2023, 38(12): 2542-2548. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZK202312010.htm
[12] 刘丽, 王静滨, 黄国欣. 乌梅败酱汤治疗轻中度溃疡性结肠炎疗效观察[J]. 实用中医药杂志, 2019, 35(9): 1053-1054. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYAO201909008.htm
[13] Su XL, Zhang T, Guo S, et al. Efficacy of Wumei Baijiang prescription on regulatory T cells/helper T cells Immune balance in mice with ulcerative colitis[J]. J Tradit Chin Med, 2022, 42(1): 30-38.
[14] 闻永, 石蕾, 李俊, 等. 针刺联合穴位埋线序贯治疗轻中度溃疡性结肠炎[J]. 中国针灸, 2018, 38(4): 353-357. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE201804004.htm
[15] 李博林, 白亚楠, 景璇, 等. 化浊解毒方治疗溃疡性结肠炎的疗效分析[J]. 河北医药, 2019, 41(17): 2635-2638. https://www.cnki.com.cn/Article/CJFDTOTAL-HBYZ201917018.htm
[16] 罗成福, 刘姝, 冯燕, 等. 翁连解毒汤治疗浊毒内蕴型溃疡性结肠炎的疗效观察[J]. 世界中医药, 2020, 15(17): 2620-2624. https://www.cnki.com.cn/Article/CJFDTOTAL-SJZA202017025.htm
[17] 邢潇潇, 郭建波, 李华山. 补脾益肠丸治疗溃疡性结肠炎的系统评价与Meta分析[J]. 海南医学院学报, 2022, 28(1): 41-47, 57. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYY202201008.htm
[18] 陈元元. 胃肠安丸联合双歧杆菌三联活菌胶囊治疗溃疡性结肠炎的疗效分析[J]. 现代诊断与治疗, 2021, 32(12): 1867-1869. https://www.cnki.com.cn/Article/CJFDTOTAL-XDZD202112009.htm
[19] 李洪皎, 李凌香, 王渊, 等. 醒脾胶囊临床适宜病症的横断面调查研究[J]. 中医杂志, 2022, 63(18): 1753-1759. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ202218010.htm
[20] 张涛, 苏晓兰, 毛心勇, 等. 脑肠同调治法在消化心身疾病中的应用[J]. 中国中西医结合杂志, 2023, 43(5): 613-617. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXJ202305013.htm
[21] 魏玮, 卿香丽, 张涛, 等. 中医药治疗溃疡性结肠炎的思路和临床用药经验[J]. 北京中医药, 2022, 41(9): 951-953. https://www.cnki.com.cn/Article/CJFDTOTAL-BJZO202209002.htm
[22] 魏玮, 王倩影. 脑肠同调理论与胃食管反流病诊疗理念[J]. 中国中西医结合消化杂志, 2023, 31(7): 509-513. https://zxyxh.whuhzzs.com/article/doi/10.3969/j.issn.1671-038X.2023.07.05
[23] 方霜霜, 蒋天媛, 曹增, 等. 中医药"脑肠同调"防治功能性脑肠疾病多学科交叉研究思路探讨[J]. 中国中西医结合杂志, 2023, 43(7): 863-867. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXJ202307013.htm
[24] 陶紫晶, 独思静, 方霜霜, 等. 从"脑肠同调"论治慢性萎缩性胃炎[J]. 北京中医药, 2022, 41(12): 1398-1402. https://www.cnki.com.cn/Article/CJFDTOTAL-BJZO202212020.htm
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