Treatment of Rheumatoid Arthritis Based on"One Qi Circumfluence"Theory
ABSTRACT According to the theory of"one qi circumference",it is believed that qi movement disorder of zang-fu organs and dysfunction of qi transformation are the pathogenesis of rheumatoid arthritis(RA).Zangfu organs disor-der is caused by spleen-stomach depletion and dampness pathogen obstruction,while qi transformation dysfunction is due to spleen-kidney yang qi depletion.For treatment,it is recommended to put focus on regulating qi movement of zang-fu organs,and promoting qi transformation.In clinical practice,the method of fortifying spleen and removing dampness can be used to restore ascending and descending function of the center,with Shengyang Yiwei Decoction(升阳益胃汤),Sijunzi Decoction(四君子汤),Shenling Baizhu Powder(参苓白术散)in their modifications.The method of supplementing and replenishing liver and kidney can be used to unblock the ascending path of qi movement,with Buxue Rongjin Pill(补血荣筋丸),Duhuo Jisheng Decoction(独活寄生汤),Dabuyin Pill(大补阴丸),Liuwei Dihuang Pill(六味地黄丸)in their modifications.To unblock and regulate the downward path of the waterway,it is advised to diffuse lung and direct qi downward using Guizhi Decoction(桂枝汤),Mahuang Decoction(麻黄汤)in their modifica-tions.To restore qi transformation function of zang-fu organs,the method of warming and tonifying spleen and kidney is recommended with formulas such as modified Sini Decoction(四逆汤)and Shenqi Pill(肾气丸).
rheumatoid arthritisbi(痹)syndromeone qi circumferenceThe Source of the Four Sacred Hearts(《四圣心源》)
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