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谢晶日教授辨治克罗恩病药对探妙
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Abstract:
克罗恩病是一种病因尚未明确的慢性炎性肉芽肿性疾病,可累及多段消化道,目前现代医学对其仍无较好的治疗效果。谢晶日教授从事消化系统疾病的防治四十余年,积累了丰富经验。谢晶日教授认为克罗恩病是脾虚胃弱、肝气郁滞,大肠传导失主,水走肠间,清浊相干而不分,气机阻结一处,脉络失和,肉腐血败而致本病。在治疗时强调以理脾化湿为重点,同时在克罗恩病的各个病理阶段辨证论治,总结了较多临床疗效出众的药对。笔者有幸跟随谢师在门诊学习,现将谢晶日教授治疗克罗恩病的经验与药对做出浅析。
Crohn’s disease is a chronic inflammatory granulomatous disease with unknown etiology, which can involve multiple digestive tracts. At present, modern medicine still has no good therapeutic effect on it. Professor Xie Jingri has been engaged in the treatment and prevention of digestive system diseases for more than forty years, and has accumulated rich experience. Professor Xie Jingri believes that Crohn’s disease is caused by spleen deficiency, weak stomach, stagnation of liver qi, loss of conduction in large intestine, water passing between intestines, turbid and coherent, stagnation of qi, disharmony of veins, meat rot and blood failure. Emphasis is placed on regulating spleen and eliminating dampness in treatment, and at the same time, syndrome differentiation and treatment are carried out in various pathological stages of Crohn’s disease, and many drug pairs with outstanding clinical effects are summarized. The author is fortunate to study with Xie Shi in the outpatient clinic. Now, I will analyze Professor Xie Jingri’s experience and drug pair in treating Crohn’s disease.
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