首页|辨证运用武威汉代医简方剂分期论治类风湿关节炎

辨证运用武威汉代医简方剂分期论治类风湿关节炎

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《武威汉代医简》成书于《黄帝内经》《伤寒杂病论》之年间,其学术价值宝贵,是研究我国古代医药学重要的参考文献,有13枚简牍论及痹证,至今仍对临床实践有着重要的指导价值.文章结合医案阐释《武威汉代医简》系列方剂辨证分期治疗类风湿关节炎.针对类风湿关节炎的主要发病原因:寒、热、湿、瘀、虚,临床诊治中将其分为三期:急性期、迁延期、恢复期;急性发病期从寒湿、湿热论治,寒湿阻络证应用伤寒逐风方,湿热阻络证选方治鲁氏青行解腹方;迁延期病邪以痰瘀为主,选"瘀方"治疗;恢复期肝肾亏虚,使用治东海白水侯所奏方.
Treatment of Rheumatoid Arthritis Based on Syndrome Differentiation Using Prescriptions From Wuwei Handai Yijian
Wuwei Handai Yijian is a medical pamphlet in the early Eastern Han Dynasty,in which there are thirteen slips dealing with Bi syndrome,and the prescriptions used still have extraodinary reference value for modern clinical treatment.In com-bination with the case,this article illustrated the treatment of rheumatoid arthritis on the basis of syndrome differentiation using prescriptions from Wu Wei Han Dai Yi Jian-during the acute period,the treatment should be based on damp-cold and damp-heat;the therapy of damp-cold syndrome is Shanghem Zhufeng Prescription,and the therapy of damp-heat syndrome is Zhi-lushiqingxingjiefu Prescription.During the remission period,the treatment should be based on phlegm and blood stasis,and"sta-sis prescription"should be used.During the stable period,the treatment should be based on the liver and kidney,and Zhidong-haibaishuihousuozou Prescription should be used,which is worthy of clinical reference.

Bi syndromerheumatoid arthritisWuwei Handai Yijiantreatment based on syndrome differentiation

苏小军、王海东、田雪梅、张延昌、可易弘、马正忠、马维明、朱文菊、沈海丽

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甘肃省中医院,甘肃兰州 730050

广河县三甲集中心医院,甘肃广河 731300

兰州大学第二医院,甘肃兰州 730000

痹证 类风湿关节炎 武威汉代医简 辨证分期论治

国家自然科学基金甘肃省自然科学基金甘肃省中医药管理局重点科研项目兰州市科技局指导性计划项目

8226088022JR5RA626GZKZ-2021-32020-ZD-32

2024

实用中医内科杂志
辽宁省中医药学会,中华中医药学会,辽宁省中医药研究院

实用中医内科杂志

影响因子:0.421
ISSN:1671-7813
年,卷(期):2024.38(2)
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