何颖华 徐佳 贾菲 智建文 冯丽鹏 杨祎 李峨

    [摘要] 中医无“结肠黑变病”病名，根据其临床表现，归为“便秘”“腹胀”等范畴。李国栋教授认为结肠黑變病为“误治”引起的气血不足，血行不畅从而导致血瘀而发病。因此，临床上治疗以养血活血祛瘀、健脾益肾兼理气为主，以达到活血祛瘀、润肠通便之效。通过祛“瘀”缩短结肠黑变病的自然病程。辨证论治过程中重视全身气血，善用桃红四物汤随证加减化裁，养血活血祛瘀，临床疗效理想。

    [关键词] 结肠黑变病；便秘；活血祛瘀；经验

    [中图分类号] R574.62 [文献标识码] A [文章编号] 1673-7210(2018)06(c)-0140-03

    [Abstract] Melanosis coli (MC) has no equivalence name in traditional Chinese medicine (TCM)， so it is ascribed to “constipation” “abdominal distension”， and so on according to clinical manifestations. Professor Li Guodong proposes that MC is a result of wrong treatment that brings the deficiency of qi and blood， the deficiency gives rise to blood stasis， which is the real reason of MC. In the treatment of MC， professor Li Guodong aims at activating blood circulation and removing stasis， strengthening spleen and kidney， nourishing qi， so as to achieve the effects of activating blood circulation and removing stasis， loosening the bowel to relieve constipation. Removing stasis can shorten the course of MC. During the course of treatment based on syndrome differentiation ......