黄贵华教授治疗大肠黑变病经验总结

Professor Huang Guihua’s Experience in Treating Melanosis Coli

摘要: 主要总结了黄贵华教授数十年临床诊疗大肠黑变病经验及其主要学术观点。黄贵华教授认为，根据患者长期大量服用刺激性泻药如酚酞、大黄、番泻叶等辅助排便后引起的继发性大肠黑变病的临床综合征，应归属于祖国医学便秘病中“阴结”的范畴。病因病机主要为阴寒内盛，水结为冰，寒气凝结，寒为阴邪，性收引凝滞，则雪上加霜，上下不通，治以温补脾肾，破冰行舟为法。辨证重视六经辨证与相关脏腑经络的联系，所谓的“六经钤百病”。黄贵华教授在治疗大肠黑变病中，用药切近，治疾有当，故此总结其医理，以便好学之士，治疗此类疾病从此而得心应手。

Abstract: This article mainly summarizes Professor Huang Guihua’s decades of clinical experience in the di-agnosis and treatment of colorectal melanosis and his main academic viewpoints. Professor Huang Guihua believes that the clinical syndrome of secondary colorectal melanosis caused by patients taking a large amount of irritating laxatives such as phenolphthalein, rhubarb, and senna to assist in defecation over a long period of time should belong to the category of “yin node” in traditional Chinese medicine constipation. The main etiology and pathogenesis are yin cold and internal excess, water forming into ice, cold qi condensing, cold being yin evil, and sexual stagnation leading to stagnation. This can worsen the situation and prevent obstruction from ascending and descending. The treatment is to warm and nourish the spleen and kidneys, and to break through ice and sail. Differentiation of symptoms and signs emphasizes the connection between the six meridians and the relevant organs and meridians, known as the “Six Meridians Seal Hundred Diseases”. Professor Huang Guihua summarized his medical principles in the treatment of colorectal melanosis by using appropriate medication, in order to facilitate the treatment of such diseases for those who are eager to learn.