〔摘要〕 炎症性肠病常合并强直性脊柱炎有肠外病变表现，现代医学目前对于该共病发病机制尚不明确，临床缺乏有效防治方法，无法从根本上改善疾病的预后和减少复发。中医学认为该共病发病多为脾肾失司，二者制化失常为其主要病机表现。临床表现或以脾胃升降失司为主，或以肾虚温煦不足为主。治疗从脾肾论治出发，在炎症性肠病合并强直性脊柱炎共病的临床诊断和治疗中具有良好的临床效果。通过探讨从脾肾论治炎症性肠病及其肠外表现强直性脊柱炎共病的中医治疗经验，并附临床验案一则，以供临床参考借鉴。

    〔关键词〕 炎症性肠病;肠外病变;强直性脊柱炎;脾肾学说;温肾健脾;共病

    〔中图分类号〕R274" " " " "〔文献标志码〕A" " " " " 〔文章编号〕doi：10.3969/j.issn.1674-070X.2024.08.019

    On treating inflammatory bowel disease combined with ankylosing spondylitis from the spleen and kidney theory

    GAO Siyuan1，2， GU Yangyi1，2， ZHANG Xiao1，2， SHEN Yi1，3， CHENG Peng1，2， CHANG Cen1，4，

    HE Dongyi1，4， ZHU Qi1，3*， LI Li1，4*

    1. Guanghua Hospital of Shanghai University of Chinese Medicine， Shanghai， 200052， China; 2. Shanghai University of Chinese Medicine， Shanghai 201203， China; 3. Internal Medicine Department for Joint Disorders， Guanghua Hospital of Shanghai University of Chinese Medicine， Shanghai， 200052， China; 4. Shanghai Institute of Integrated Chinese and Western Medicine for Arthritis， Shanghai Research Institute of Chinese Medicine， Shanghai 200052， China

    〔Abstract〕 Inflammatory bowel disease is often accompanied by ankylosing spondylitis with extraintestinal lesions. Currently ......