基于《西溪书屋夜话录》探讨从肝辨析溃疡性结肠炎

Differentiation of Ulcerative Colitis from the Liver Based on Xixi Shuwu Yehualu

摘要: 溃疡性结肠炎是当下临床常见的难治性消化系统疾病，属于中医“久痢”“肠澼”“泄泻”“便血”等范畴。古今医家临证治疗溃疡性结肠炎大多着眼于脾与大肠，系统性从肝论治者较少。王旭高所著《西溪书屋夜话录》是迄今为止唯一全面论述肝病证治的专著，提出了“治肝卅法”。笔者详阅此书，将结合李云海教授临证经验，从肝气、肝火、肝风、肝体虚损四个方面对溃疡性结肠炎进行分述辨析，以期为临床施治提供有益探索。

Abstract: Ulcerative colitis is a common clinical refractory digestive system disease, which belongs to the categories of “chronic dysentery”, “intestinal dysentery”, “diarrhea” and “hematochezia” in tradi-tional Chinese medicine. Ancient and modern doctors in clinical treatment of ulcerative colitis mostly focus on the spleen and large intestine, systematic treatment from the liver is less. Xixi Shuwu Yehualu, written by Wang Xu-Gao, is so far the only monograph to comprehensively discuss the diagnosis and treatment of liver disease, and puts forward “Thirty methods for treating liver”. The author read this book carefully and will combine Professor Li Yun-Hai’s clinical experience to analyze ulcerative colitis from four aspects: liver qi, liver fire, liver wind and liver body deficiency, in order to provide useful exploration for clinical treatment.