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Treatment of Ulcerative Colitis with Chinese Herbal Medicine

Overview​

Ulcerative colitis (UC) is a chronic inflammatory bowel disease (IBD) that severely impacts the digestive tract, leading to persistent inflammation, pain, and digestive distress. Conventional treatments typically include steroids, immunomodulators, and biologic therapies; however, not all patients respond effectively to these interventions. This case study examines the treatment of a 30-year-old female diagnosed with ulcerative colitis using Chinese herbal medicine, demonstrating significant symptom improvement and medication discontinuation.

Key challenges​

The patient, diagnosed with ulcerative colitis six years prior, initially developed symptoms during a period of high emotional stress. Her primary symptoms included:

Despite ongoing pharmaceutical intervention, her condition remained uncontrolled, leading to a diminished quality of life and continuous gastrointestinal distress.

Treatment​

Throughout the treatment, herbal prescriptions were continuously adapted based on symptom progression to optimize the patient’s response.

Anti-inflammatory herbs targeting intestinal damp-heat and regulating digestion.

Adjusted formulation to further reduce symptoms, particularly abdominal pain and bleeding.

Additional modifications to regulate stool frequency and eliminate nausea.

A personalized herbal prescription was introduced to address inflammation, balance digestive function, and control bleeding. In Traditional Chinese Medicine (TCM), this condition is often associated with “damp-heat” affecting the intestines. The treatment plan included:

Outcomes

The patient experienced significant improvement at each stage of treatment:

Marked reduction in bleeding and urgency. Abdominal pain became less severe, and appetite slightly improved.

Complete cessation of bleeding and pain, with only residual frequent bowel movements.

Normalized bowel function, no nausea, and an overall improved quality of life.

Following the completion of treatment, the patient was able to discontinue her pharmaceutical medications, maintaining stability without relapse. This case highlights the potential of Chinese herbal medicine as an effective alternative for managing ulcerative colitis, particularly for patients unresponsive to conventional treatments.

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