Discussion on Professor JIN Mingxiu's experience in treating depression with arthralgia based on the theory of viscera Qi and blood
Rheumatoid arthritis belongs to the category of Bi syndrome(痹证)in traditional Chinese medicine,which is a kind and its pathogenesis is often closely related to the psychological state of patients.Mental and emotional diseases mostly belong to the scope of Yu(郁)syndrome in traditional Chinese medicine.Clinically,it is found that most patients with Bi syndrome have emotional abnormalities such as depression and anxiety,and it is common that depression due to paralysis or paralysis caused by depression leads to depression with arthralgia.Professor JIN Mingxiu has found in clinical practice that many patients with depression and arthralgia have dysfunction of viscera Qi(气)and blood,and then appear the phenomenon of viscera Qi and blood comorbidity.Professor JIN Mingxiu points out that the pathogenesis of depression with arthralgia is complicated,with both deficiency and excess occurring,and many viscera are involved.Based on the theory of viscera Qi and blood,Professor JIN believes that the pathogenesis of this disease is visceral deficiency,mutual accumulation of phlegm,stasis and depression,Qi movement blockage,leading to Qi and blood blocking the meridians.Its pathological properties are based on deficient root and excessive superficial,with both spleen and kidney deficiency as the basis,and liver Qi stagnation,and phlegm and stasis blocked collaterals as the superficial syndrome.The treatment should be start from the perspective of viscera Qi and blood,with removing phlegm and blood stasis,and relieving depression and dredging collaterals as the core,based on the overall view,attention should be paid to regulating Qi movement and adjusting the function of viscera.Specifically,the treatment focuses on the coordination and balance of the functions of the liver,spleen and kidney.Starting from the overall,it pays attention to the balance of five-zang organs(五脏),the generation and operation of Qi and blood,and the self-regulation of emotions;it emphasizes the role and significance of regulating Qi movement and adjusting the function of the viscera in the treatment process.Based on the basic theory of traditional Chinese medicine,this paper conducts an in-depth analysis of the etiology and pathogenesis of depression with arthralgia from the perspective of viscera Qi and blood,and discusses its application in clinical treatment based on the clinical experience of Professor JIN Mingxiu,in order to provide a certain guiding significance for clinical practice.
Bi syndromeRheumatoid arthritisYu syndromeDepressionTreatment experience
万方数据
维普
