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| Treatment of ulcerative colitis from carbuncle |
| Hits 722 Download times 805 Received:February 26, 2023 |
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| DOI
10.11656/j.issn.1673-9043.2023.03.04 |
| Key Words
ulcerative colitis;carbuncle ulcer;elimination;trust;supplement;internal and external treatment;Qingchi San |
| Author Name | Affiliation | E-mail | | GU Shitan | First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center of Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China | | | ZHOU Zhenghua | First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center of Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China | 15202248272@139.com | | ZHAO Shuai | First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center of Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China | |
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| Abstract
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| The pathogenic causes of ulcerative colitis (UC) are complex. The basic pathogenesis is the weakness of spleen and stomach,endogenous dampness,long-lasting toxin,toxin invading intestinal collaterals,blood corruption and carbuncle endogenesis. According to the characteristics of UC,it can be treated by stages from "carbuncle",and the main pathogenesis is "elimination" in the active period. The patients with dampness-heat and toxin pathogen are treated with Coptis chinensis,Scutellaria baicalensis,Patrinia villosa and so on,and the patients with excessive pus are treated with Cortex Phellodendri,RhizomaAtractylodis,Coix Seed and so on,and the patients with excessive hematochezia are treated with Sanguisorba officinalis,Portulaca oleracea,Caulis Spatholobi,madder,Pulsatilla chinensis and other herbs to cool blood and promote blood circulation. In the later stage,there are still abdominal pain and tenesmus,the herbs such as common aucklandia root,Angelica,paeony,salvia miltiorrhiza are used to regulate qi and blood to "support". In the patients with weak spleen and stomach in the remission stage,Shenling Baizhu Powder is used to strengthen spleen and infiltrate dampness. In the patients with chronic kidney yang involvement,Sishen Pill is used to strengthen spleen and warm kidney to "fill". On this basis,the drugs are added and subtracted according to the symptoms. At the same time,the self-drafted Qingchi San enema prescription is used to directly reach the disease site and treat both inside and outside. It can effectively induse remission and maintain treatment. |
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