Typical ulcerative colitis treated by herbs-partitioned moxibustion: A case report
Typical ulcerative colitis treated by herbs-partitioned moxibustion: A case report
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隔药灸治疗典型溃疡性结肠炎一例
DOI：
10.12998/wjcc.v8.i8.1515
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发表时间：
2020-04-26
影响因子：
1.1
通讯作者：
Wu, Huan-Gan
中科院分区：
文献类型：
--
作者：
Lin, Ya-Ying;Zhao, Ji-Meng;Wu, Huan-Gan
溃疡性结肠炎（Ulcerative Colitis，UC）又称慢性非特异性UC，是一种以弥漫性结肠粘膜炎症为特征的炎症性肠病。UC的发病率和患病率明显上升，严重影响患者的生活质量，给世界卫生基础设施和经济带来巨大负担。病例摘要我们报告一位60岁男性，患有溃疡性结肠炎超过10年，以反覆腹痛、血性腹泻及粘液脓性粪便为主诉。经柳氮磺胺吡啶、美沙拉秦、中药治疗无效后，采用隔药灸“中脘”、“天枢”、“气海”穴，每日1次，每次约30 min，每周3次，共6 mo，患者腹痛、便血、粘液脓便等主要临床症状逐渐好转，术后6个月内镜下观察粘膜基本愈合。在随后的3个月随访期间，患者的病情得到缓解，没有复发。HPM在本例溃疡性结肠炎的治疗中显示出显著的效果，并且该效果将帮助患者维持缓解至少3个月。结论HPM治疗后UC患者的一系列症状明显改善。
BACKGROUND Ulcerative colitis (UC), also known as chronic nonspecific UC, is an inflammatory bowel disease characterized by diffuse colonic mucosal inflammation. The incidence and prevalence of UC have risen markedly, and the disease seriously affects the quality of life of patients, and poses a great burden on the world health care infrastructure and economy. CASE SUMMARY We present a 60-year-old man who had ulcerative colitis for more than 10 years, with recurrent abdominal pain, bloody diarrhea with mucopurulent stool. The treatments with sulfasalazine, mesalazine, and traditional Chinese medicine were not effective, and herbs-partitioned moxibustion (HPM) was then applied at “Zhongwan” (RN12), “Tianshu”(ST25), and “Qihai” (RN6) once a day for about 30 min, 3 times per week, for 6 mo.His main clinical symptoms of abdominal pain, bloody diarrhea with mucopurulent stool gradually improved, and the mucosa had nearly healed, as observed under endoscopy by the 6th mo. The patient’s condition was alleviated without relapsing during the subsequent 3-mo follow-up period. HPM showed a significant effect in the treatment of ulcerative colitis in this case, and the effect would help the patient to maintain remission for at least 3 mo. CONCLUSION A series of symptoms of this UC patient significantly improved with the treatment of HPM.