王丽媛+朱伟宁+史玲

[摘要] 溃疡性结肠炎（UC）为临床常见病，病因复杂。无论从诱因还是并发症角度进行的研究，都表明该病与情志关系極为密切。该病涉及脾胃肠心肾等多个脏腑，中医证型复杂，临床常见肝郁脾虚型、大肠湿热型、脾胃虚弱型、脾肾阳虚型等，尤以肝郁脾虚型最为常见。治疗上往往中西医方法兼顾，西医疗法在此类疾病上虽然起到了一定的作用，但易出现严重的并发症和药物依赖性，难以撤药，易给患者造成巨大的精神压力。而中医中药在此类疾病的治疗上优势显著，以中医整体观及辨证论治思想为指导，将“形神一体”贯穿于理、法、方、药中，予以中药加针灸推拿和音乐疗法综合调理，标本兼治，从根本上调理脏腑功能，平衡阴阳，最终达到治疗疾病的目的。

[关键词] 溃疡性结肠炎；焦虑；抑郁；肝郁脾虚

[中图分类号] R259 [文献标识码] A [文章编号] 1673-7210（2017）12（c）-0129-04

[Abstract] Ulcerative colitis is a common clinical disease， with intricate pathogenesis. whether from the angle of inducement or complication to study， it shows that the disease is closely related to emotion. The disease involves multiple viscera， such as spleen， stomach， heart， gut， kidney， etc. Its syndrome types in traditional Chinese medicine are complex， and the common clinical manifestations are syndrome of liver depression and spleen deficiency， damp-heat of large intestine， deficiency of spleen and stomach， spleen-stomach weakness， Yang deficiency of spleen and kidney， etc， in which syndrome of liver depression and spleen deficiency is especially common. Its treatment often combines both Chinese and western medicine. Although western medical treatment plays a role in this disease， it is easy to lead to severe complications and drug dependence. It is difficult to withdrawal and bring huge mental pressure to patients. However， traditional Chinese medicine in the treatment of this diseases has significant advantage. It is based on the holistic view and syndrome differentiation of traditional Chinese medicine， and applies “the Holism of Physical and Spirit” throughout the principle， method， prescription and medicine. It combines with the general recuperation of Chinese traditional medicine， acupuncture and massage， and music therapy. It aims to treat both symptoms and root causes， and give priority to the root causes， in order to cure radically， regulate visceral functions， balance Yin and Yang， and ultimately achieve the goal of cure.

[Key words] Ulcerative Colitis； Anxiety； Depression； Liver stagnation and spleen deficiency

近年来溃疡性结肠炎（UC）发病率逐年升高，给患者带来极大的痛苦，其诱因较为复杂。其中，精神刺激可诱发该病，同时产生的精神症状可能伴随始终。越来越多的UC患者被发现合并焦虑和/或抑郁，这在一定程度上增加了治疗难度，影响患者的生活质量。中西医在治疗上都存在一的缺陷，西医在治疗上虽然有一定效果，但往往副作用较多，且容易产生药物依赖；中医则缺少系统而规范的诊断及治疗标准，在UC治疗上增加了一定难度。笔者结合自身及导师临床经验，将UC合并焦虑和/或抑郁患者……