Differentiation and treatment of dysentery according to seasonal conditions based on the theory of "spleen and stomach serving as the foundation of acquired constitution"

LI Lingling; LIU Yexuan; WU Tianxin; CAI Ronglin; LI Zihui; SUN Juan

doi:10.16025/j.1674-1307.2026.02.021

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Differentiation and treatment of dysentery according to seasonal conditions based on the theory of "spleen and stomach serving as the foundation of acquired constitution"

更新时间：2026-04-08

- Differentiation and treatment of dysentery according to seasonal conditions based on the theory of "spleen and stomach serving as the foundation of acquired constitution"
- Beijing Journal of Traditional Chinese Medicine Vol. 45, Issue 2, Pages: 258-261(2026)
- 作者机构：
  
  1.安徽中医药大学中医学院，合肥 230012
  2.安徽中医药大学针灸推拿学院，合肥 230012
  3.安徽中医药大学科技处，合肥 230012
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2026.02.021
  CLC：
- Received：25 March 2025，
  
  Published：25 February 2026
- 稿件说明：
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李玲玲，刘烨轩，武天鑫，等.基于“脾胃为后天之本”理论探讨痢疾因时制宜的辨治思路［J］.北京中医药，2026，45（2）：258-261.

LI Lingling,LIU Yexuan,WU Tianxin,et al.Differentiation and treatment of dysentery according to seasonal conditions based on the theory of "spleen and stomach serving as the foundation of acquired constitution"[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(02):258-261.
李玲玲，刘烨轩，武天鑫，等.基于“脾胃为后天之本”理论探讨痢疾因时制宜的辨治思路［J］.北京中医药，2026，45（2）：258-261. DOI： 10.16025/j.1674-1307.2026.02.021.

LI Lingling,LIU Yexuan,WU Tianxin,et al.Differentiation and treatment of dysentery according to seasonal conditions based on the theory of "spleen and stomach serving as the foundation of acquired constitution"[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(02):258-261. DOI： 10.16025/j.1674-1307.2026.02.021.

摘要

中医学认为，痢疾的病位在肠，与脾胃和肠密切相关。脾胃湿热是痢疾的病机关键，贯穿疾病的始终。基于“脾胃为后天之本”理论，以清利湿热、恢复脾运为治疗原则，因时制宜，因时选方。春夏治以清利湿热、调气和血止痢之芍药柏皮丸，秋冬治以清热化湿、温中行气止痛之香连丸，以期为临床痢疾的治疗提供新思路。

Abstract

In traditional Chinese medicine （TCM）， dysentery is located in the intestines and is closely related to the spleen， stomach， and intestines. Dampness-heat in the spleen and stomach is regarded as the key pathogenesis of dysentery and runs throughout the course of the disease. Based on the theory that "spleen and stomach serving as the foundation of acquired constitution"， treatment follows the principle of clearing dampness-heat and restoring the spleen's transportive function， with prescriptions selected according to seasonal conditions. In spring and summer，

Shaoyao Bopi Pills

are used to clear dampness-heat， regulate

， harmonize blood， and arrest dysentery； in autumn and winter，

Xianglian Pills

are used to clear heat， eliminate dampness， warm the middle， promote

movement， and relieve pain. This approach aims to provide new insights for the clinical treatment of dysentery.

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references

缪雨希 , 李水芹 . “脾胃为后天之本”理论源流及发展 [J ] . 四川中医 , 2021 , 39 ( 2 ): 15 - 18 .

李胜志 , 王大敏 , 李冀 . 中医对溃疡性结肠炎(UC)认识探源 [J ] . 中医药学刊 , 2003 , 21 ( 9 ): 1450 - 1451 .

陈贵廷 , 杨思澍 . 实用中西医结合诊断治疗学 [M ] . 北京 : 中国医药科技出版社 , 1991 : 447 - 450 .

梁笑楠 , 尹凤荣 , 张晓岚 . 炎症性肠病诊断与治疗的共识意见(2018年,北京)溃疡性结肠炎部分解读 [J ] . 临床荟萃 , 2018 , 33 ( 11 ): 987 - 990 .

张少华 . 溃疡性结肠炎患者 Th17 和 Th1 / Th2 细胞亚群的研究 [J ] . 中国热带医学 , 2011 , 11 ( 1 ): 86 - 87 .

牛敏 , 邵天波 , 陈瑞春 , 等 . 溃疡性结肠炎患者肠道菌群分析和细菌毒素基因检测 [J ] . 郑州大学学报(医学版) , 2015 , 50 ( 4 ): 514 - 518 .

韩志星 , 吴秋玲 . “治未病”以“脾胃为后天之本”为基 [J ] . 中医临床研究 , 2022 , 14 ( 7 )： 56 - 58 .

李同达 , 韩丹阳 , 李萍萍 . 燕赵医学“脾胃理论”的传承发展及其在肿瘤治疗中的应用 [J ] . 北京中医药 , 2024 , 43 ( 12 ): 1336 - 1338 .

赵海虹 , 梁敏丽 , 卢秀霞 , 等 . 基于脾胃学说探讨中医体质与肠道菌群的关系 [J ] . 中华中医药杂志 , 2022 , 37 ( 12 ): 7106 - 7109 .

郑昊龙 , 陈丝 , 宋囡 , 等 . 脾虚模型大鼠肠道菌群分布及时效性研究 [J ] . 中医杂志 , 2020 , 61 ( 14 ): 1262 - 1267 .

王鹤潼 , 张佳乐 , 蒋恬 , 等 . 国医大师朱良春运用仙鹤草治疗疑难杂症思路探析 [J ] . 江苏中医药 , 2023 , 55 ( 2 ): 19 - 21 .

史瑞 , 李军祥 , 沈洪 , 等 . 溃疡性结肠炎中医诊疗专家共识(2023) [J ] . 中华中医药杂志 , 2024 , 39 ( 1 ): 288 - 296 .

奚玉杰 , 奚玉鑫 , 白静 , 等 . 基于“络病”理论探讨溃疡性结肠炎肠外表现病机 [J ] . 湖南中医药大学学报 , 2024 , 44 ( 3 ): 489 - 492 .

刘嘉欣 , 周天羽 . 《临证指南医案》痢疾辨治特色探析 [J ] . 中医临床研究 , 2022 , 14 ( 32 )： 21 - 24 .

孙芳 , 陆新瑜 . 周玉祥从湿毒论治溃疡性结肠炎经验 [J ] . 实用中医药杂志 , 2014 ( 9 ): 871 - 872 .

左黎黎 . 基于古籍医家的痢疾源流探析 [D ] . 北京 : 中国中医科学院 , 2021 .

时浩洋 , 杨玉莹 , 王方园 , 等 . 浅析“春夏宜桂枝汤,秋冬宜白术汤 ”[J ] . 北京中医药 , 2023 , 42 ( 3 ): 310 - 312 .

张家兴 . 香连丸治疗38例杆菌性痢疾 [J ] . 中医杂志 , 1955 , 5 ( 8 ): 20 - 21 .

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