〔摘要〕 溃疡性结肠炎是一种反复发作的慢性疾病，中医药治疗能有效控制其活动期，缓解其症状，降低其疾病复发率，且毒副作用小。朱莹教授从“肝与大肠相通”理论出发辨治溃疡性结肠炎，认为多因情志不畅、肝失疏泄、气机不畅致气滞并伴有湿热蕴结于肠而致病，总结以疏肝解郁、理气祛湿、清热凉血为治则治法，辅以心理疏导及饮食指导进行治疗。从理论内涵、治法用药、辨证论治等方面总结朱莹教授“肝与大肠相通”辨治溃疡性结肠炎的经验，并附验案一则加以佐证。

    〔关键词〕 溃疡性结肠炎；痢疾；泄泻；“肝-肠”轴；肠道菌群；朱莹

    〔中图分类号〕R256.34" " " " " 〔文献标志码〕A" " " " " 〔文章编号〕doi：10.3969/j.issn.1674-070X.2025.03.024

    Professor ZHU Ying's experience in pattern-differentiating and treating ulcerative colitis based on the concept of \"interconnection between the liver and large intestine\"

    LIN Zixi1，2， LONG Dan1，2， ZHU Ying1*

    1. The First Clinical School of Chinese Medicine， Hunan University of Chinese Medicine， Changsha， Hunan 410007， China;

    2. Graduate School， Hunan University of Chinese Medicine， Changsha， Hunan 410208， China

    〔Abstract〕 Ulcerative colitis (UC) is a chronic disease characterized by recurrent episodes. Chinese Medicine (CM) therapy has been shown to effectively manage the active phase of this disease， alleviate symptoms， reduce the recurrence rate， and demonstrate minimal toxic or side effects. Professor ZHU Ying differentiates the patterns of UC and treats them based on the theory of \"interconn？鄄ection between the liver and large intestine\". She holds that emotional distress impairs the liver function in regulating qi flow and thus disrupts the normal qi movement ......