摘要
强直性脊柱炎(AS)是一种慢性炎症性关节病,其确切病因及发病机制尚未明确.尽管现代医学在治疗AS方面取得了一定的进展,如非甾体抗炎药、抗风湿药、生物制剂的应用,具有起效快、短期效果明显的特点,但随着病情的进展,西药不良反应叠加及所需治疗费用增加,或其他风险的增加均影响着患者的治疗选择.因此,近年来中医药在防治AS方面,尤其在缓解疼痛、改善关节活动度、控制炎症活动方面的疗效逐渐受到关注.当代医家的论治经验已进一步丰富了传统中医对AS的理解,且中医药独特的病因病机理论和辨证施治方法为AS的治疗提供了新的思路.AS的病因辨证,多从虚、邪、瘀等方面而论;脏腑辨证,多从肝、脾、肾等脏腑之间的失调论之.本文就近年来中医当代医家论治AS经验做简要总结和探析.
Abstract
Ankylosing spondylitis(AS)is a chronic inflammatory joint disease,the exact etiology and pathogenesis of which are still unclear.Although modern medicine has made some progress in the treatment of AS,such as the use of non-steroidal anti-inflammatory drugs,anti-rheumatic drugs,and biological agents,which are characterized by quick onset and significant short-term effects,as the condition progresses,the adverse reactions of Western medicine,combined with increasing treatment costs or other risks,all affect patients'treatment choices.Therefore,in recent years,traditional Chinese medicine(TCM)has gradually attracted attention in the prevention and treatment of AS,especially in relieving pain,improving joint mobility,and reducing inflammation.The treatment experience of contemporary TCM practitioners has further enriched the understanding of AS in TCM,and the unique theories of pathogenesis and treatment methods in TCM have provided new insights into the treatment of AS.The etiological differentiation of AS is mostly discussed from the aspects of deficiency,pathogenic factors,and stasis.The organ differentiation mainly focuses on the imbalance between organs such as the liver,spleen,and kidneys.This article briefly summarized and explored the treatment experience of contemporary TCM practitioners in recent years.
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