溃疡性结肠炎大肠湿热证研究现状与思考

Research Status and Thinking of Ulcerative Colitis with Large Intestine Damp-Heat Syndrome

  • 摘要: 大肠湿热证是溃疡性结肠炎(UC)的核心证候。梳理总结了近年来有关溃疡性结肠炎中医证候特点、大肠湿热证症状特点以及相关生物学基础的研究现状, 证实了大肠湿热证是溃疡性结肠炎最常见的中医证候, 但现有证候诊断标准条目仍以主观为主, 客观理化指标、证候生物学基础研究缺乏有效整合, 尚未发现特异性证候标志物。今后需进一步加强多学科联合, 注重病-证-症相结合, 寻找溃疡性结肠炎大肠湿热证特异性诊断性标志物, 建立涵盖主观、客观的病证结合诊断标准, 完善中医证候科学理论体系。

     

    Abstract: Damp-heat syndrome of large intestine is the core syndrome of ulcerative colitis disease (UC).In this paper, we summarized the research status of TCM syndrome characteristics, large intestine damp heat syndrome characteristics and the related biological basis of ulcerative colitis in recent years, it was confirmed that the syndrome of damp-heat in large intestine was the most common TCM syndrome in the ulcerative colitis, but the existing syndrome diagnostic criteria were still subjective, the objective physical and chemical indicators, the biological basis of syndrome research is lack of effective integration, and no specific syndrome markers have been found. In the future, it is necessary to strengthen the combination of multi-subjects, pay attention to the combination of disease-syndrome-symptom, look for specific diagnostic markers of damp-heat syndrome of large intestine in ulcerative colitis, and establish the subjective and objective diagnostic standards of the combination of disease and syndrome, to perfect the scientific theoretical system of TCM syndrome.

     

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