基于“治未病”理论探讨溃疡性结肠炎的防治思路

Discussion on the Prevention and Treatment of Ulcerative Colitis Based on the Theory of “Treating before Disease”

摘要: 溃疡性结肠炎(UC)是结肠癌的先兆，但至今仍缺乏有效的预防和治疗手段，运用“治未病”的理论，或可对降低UC的发病和延缓其癌化进程有着重要的临床价值。从“治未病”的角度探讨溃疡性结肠的预防与治疗，有以下四个方面：未病先防，扶助正气；欲病救萌，防微杜渐；既病防变，辨证施治；瘥后防复，固护机体。未病时以摄生养慎为要点；已病时以扶正祛邪为原则；病瘥后以益气摄血为手段。阐明“治未病”在溃疡性结肠炎的预防和治疗中的地位，对指导中医预防和治疗该病具有十分重要的意义。

Abstract: Ulcerative colitis (UC) is a precursor of colon cancer, but there is still a lack of effective prevention and treatment methods. The application of the theory of “treating before disease” may have im-portant clinical value in reducing the incidence of UC and delaying its cancerization process. To ex-plore the prevention and treatment of ulcerative colon from the perspective of “treating diseases before they occur”, there are four aspects: preventing diseases before they occur, supporting healthy qi; “to save the bud from illness, to prevent the symptoms from fading away”; prevention and treatment of existing diseases based on syndrome differentiation; prevent recovery and protect the body. When not ill, the key point is to take care of food intake and nutrition; when sick, the principle is to support the right and remove pathogenic factors; after the disease, the method is to replenish qi and absorb blood. Clarifying the role of “preventing disease before treatment” in the prevention and treatment of ulcerative colitis is of great significance for guiding traditional Chinese medicine in the prevention and treatment of this disease.