中药复方介入撤减激素干预类风湿关节炎医案1则
A Case of Chinese Herbal Compound Intervention to Remove Hormone Intervention in Rheumatoid Arthritis
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1.南京中医药大学附属医院 江苏省中医院风湿科,南京 210029
2.苏州中西医结合医院肝病科,苏州 215101
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王敏, 管玉洁, 何晓瑾. 中药复方介入撤减激素干预类风湿关节炎医案1则[DB/OL].(2023-03-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35765433&Fpath=home&index=0
WANG Min, GUAN Yujie, HE Xiaojin. A Case of Chinese Herbal Compound Intervention to Remove Hormone Intervention in Rheumatoid Arthritis[DB/OL].(2023-03-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35765433&Fpath=home&index=0
王敏, 管玉洁, 何晓瑾. 中药复方介入撤减激素干预类风湿关节炎医案1则[DB/OL].(2023-03-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35765433&Fpath=home&index=0 DOI:
WANG Min, GUAN Yujie, HE Xiaojin. A Case of Chinese Herbal Compound Intervention to Remove Hormone Intervention in Rheumatoid Arthritis[DB/OL].(2023-03-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35765433&Fpath=home&index=0 DOI:
病史摘要,2,患者张某,男,57岁。2020年10月8日因“全身多关节疼痛半年余”就诊。患者半年前无明显诱因出现双手近端指间关节、膝关节疼痛,至江苏省人民医院诊断为类风湿关节炎,辗转省人医、南京鼓楼医院,予甲氨蝶呤、羟氯喹、糖皮质激素控制病情,关节疼痛未见明显缓解,遂至何教授门诊就诊。何教授以补益肝肾,祛风除湿,蠲痹止痛为治疗之法拟方论治,临床疗效满意,使激素成功撤减,免疫抑制剂也逐步减量,且症状迅速得到控制,炎性指标下降明显,病情趋于稳定。中医诊断 痹证,肝肾不足、风湿痹阻证西医诊断 类风湿关节炎,膝骨关节炎干预措施 以补益肝肾,祛风除湿,蠲痹止痛为治疗之法拟方论治。疗效转归 临床缓解
Summary of case history, Patient Zhang, male, 57 years old, presented with "systemic multi-joint pain for more than half a year" on October 8, 2020. Half a year ago, the patient developed pain in the proximal interphalangeal joints and knee joints of both hands without obvious inducement, and was diagnosed as "rheumatoid arthritis" in Jiangsu Provincial People's Hospital. He was treated with methotrexate, hydroxychloroquine, and glucocorticoids to control the disease in Provincial People's Hospital and Nanjing Drum Tower Hospital.Professor He proposed prescriptions for the treatment of tonifying liver and kidney, dispelling wind and dampness, eliminating bi and relieving pain.The hormone was successfully withdrawn, the dose of immunosuppressive agents was gradually reduced, and the symptoms were quickly controlled, the inflammatory indicators decreased significantly, and the condition tended to be stable.,TCM diagnosis, bi-impediment disorders, deficiency of the liver and kidney pattern, rheumatism arthralgia,Western medcine diagnosis, rheumatoid arthritis, knee Osteoarthritis,Therapeutic methods, To tonify the liver and kidney, dispel wind and dehumidify, juanbi and relieve pain for the treatment of the proposed prescription.,Clinical outcomes, clinical remission.
类风湿关节炎膝骨关节炎
rheumatoid arthritisknee osteoarthritis
韩宇飞,高明利,刘东武.类风湿性关节炎的发病机制研究进展综述[J].中国卫生标准管理,2021,12(1):162-165.
耿研,谢希,王昱,等. 类风湿关节炎诊疗规范[J]. 中华内科杂志,2022,61(1):51-59 .
类风湿关节炎诊断及治疗指南[J].中华风湿病学杂志,2010(4):265-270.
骨关节炎诊断及治疗指南[J].中华风湿病学杂志,2010(6):416-419.
Smolen JS, Aletaha D, McInnes IB. Rheumatoid arthritis[J].Lancet,2016,388(10055):2023-2038..
Jones G, Nash P, Hall S. Advances in rheumatoid arthritis[J]. Med J Aust,2017,206(5):221-224.
林昌松,李楠,姜玉宝,等.类风湿关节炎的中西医结合治疗研究进展[J].中华中医药杂志,2017,32(11):5020-5023.
王春丽,潘春柳,姚李祥,等.鸡血藤的化学成分和药理作用研究进展[J].现代中药研究与实践,2021,35(02):96-102.
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