洪译 王真权 刘莹

    〔摘要〕 克罗恩病(Crohn's disease， CD)已成为最常见的消化系统疑难病之一。此病病位在肠道，涉及脾、胃、肝、肾、肺等多个脏腑。谢力子教授强调其发病与脾胃升降失常、肝失疏泄以及二者藏血、统血关系失常密切相关。故克罗恩病应基于 “肠-肝-脾轴”同时治疗。CD活动期注重祛邪，方选自拟方乌梅败酱方；缓解期注重扶正，方选自拟肠炎方。采用中药口服、药物灌肠、食疗多种方式联合治疗CD。选取一例克罗恩病医案加以分析，反映谢力子教授临床调治经验。

    〔关键词〕 克罗恩病；肠-肝-脾轴；乌梅败酱方；肠炎方；医案；谢力子

    〔中图分类号〕R266 ? ? ? 〔文献标志码〕A ? ? ? ?〔文章编号〕doi：10.3969/j.issn.1674-070X.2023.04.014

    Professor XIE Lizi's experience in treating Crohn's disease based on the

    "intestine-liver-spleen axis" of Chinese medicine

    HONG Yi， WANG Zhenquan*， LIU Ying

    The Second Hospital of Hunan University of Chinese Medicine， Changsha， Hunan 410005， China

    〔Abstract〕 Crohn's disease (CD) has become one of the most common and intractable diseases of digestive system， which mainly affects the intestinal tract， involving several other viscera such as the spleen， stomach， liver， kidneys， lungs， etc. according to TCM theory. Professor XIE Lizi emphasizes that CD pathogenesis is highly related to the failure of spleen ascending and stomach descending， liver failing to control conveyance and dispersion， as well as the imbalanced relationship between the liver storing blood and the spleen controlling blood. Based on the "intestine-liver-spleen axis" of Chinese medicine ......