首页|基于脾虚致痹理论应用药对治疗类风湿关节炎的经验

基于脾虚致痹理论应用药对治疗类风湿关节炎的经验

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类风湿关节炎归属中医学"尪痹"范畴,由外感风寒湿邪、痹阻经脉而发.然"邪之所凑,其气必虚",万磊主任医师秉承新安医派的固本培元理念,结合多年临床实践,总结经验,认为该病的基本病机为本虚标实,本虚以脾虚为主,标实以风寒痰湿瘀为要.同时擅用药对从脾论治类风湿关节炎,结合患者不同时期症状变化,注重轻重缓急,坚持内外兼治,随症调配,临床疗效显著.结合验案将万磊主任医师基于脾虚致痹理论,运用"黄芩-茯苓""桂枝-芍药""当归-黄芪""威灵仙-鸡血藤""桑寄生-牛膝"五组药对为例治疗类风湿关节炎的临床经验进行分析总结,以飨同道.
Experience of couplet medicines in the treatment of rheumatoid arthritis based on the theory of Pain Caused by Spleen Deficiency
Rheumatoid arthritis is a"wangbi"symptom in traditional Chinese medicine,and it is caused by external exposure to wind,cold and damp pathogens and obstruction of meridians.The reason why the pathogenic factors can invade the human body is that the healthy Qi of the human body is deficient.Chief physician Wan Lei,adhering to the principle of the Xin'an School of Medicine of reinforcing the vital essence and strengthening the primordial Qi,believes that the basic pathogenesis of the disease is deficiency in origin and excess in superficiality.Deficiency in origin is mainly due to spleen deficiency while wind,cold,phlegm,dampness and blood stasis are the keys to excess in superficiality.At the same time,Wan Lei is good at using couplet medicines in the treatment of rheumatoid arthritis from the point of the spleen and adjust-ing the Chinese medicine formula according to the symptoms,which achieves remarkable clinical effect.Based on the theory of Pain Caused by Spleen Deficiency and combined with medical cases,this paper analyzes and summarizes the clinical experience of chief physician Wan Lei in the treatment of rheumatoid arthritis with five groups of couplet medicines for the readers,namely,Huangqin-Fuling,Guizhi-Shaoyao,Danggui-Huangqi,Weilingxian-Jixueteng,and Sangjisheng-Niuxi.

rheumatoid arthritisPain Caused by Spleen Deficiencycouplet medicinesclinical experience

闫佩文、万磊

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安徽中医药大学第一临床医学院,安徽 合肥 230031

安徽中医药大学第一附属医院,安徽 合肥 230031

类风湿关节炎 脾虚致痹 药对 临床经验

新安医学与中医药现代化研究所揭榜挂帅项目

2023CXMMTCM020

2024

山西中医药大学学报

山西中医药大学学报

ISSN:
年,卷(期):2024.25(6)
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