吴生元治疗肌痹经验撷要
Summary of WU Shengyuan's Experience on Treating Muscle Arthritis
DOI:10.13192/j.issn.1000-1719.2022.07.010
扫 描 看 全 文
1.云南中医药大学,云南 昆明 650000
2.云南中医药大学第一附属医院,云南 昆明 650021
扫 描 看 全 文
杨显娜, 凌丽, 唐海倩, 等. 吴生元治疗肌痹经验撷要[DB/OL].(2022-11-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2022.07.010
YANG Xianna, LING Li, TANG Haiqian, et al. Summary of WU Shengyuan's Experience on Treating Muscle Arthritis[DB/OL].(2022-11-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2022.07.010
杨显娜, 凌丽, 唐海倩, 等. 吴生元治疗肌痹经验撷要[DB/OL].(2022-11-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2022.07.010 DOI:
YANG Xianna, LING Li, TANG Haiqian, et al. Summary of WU Shengyuan's Experience on Treating Muscle Arthritis[DB/OL].(2022-11-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2022.07.010 DOI:
目的,2,总结吴生元教授治疗肌痹的经验与心得。,方法,2,通过对吴生元教授临床诊治肌痹病案的整理总结,分析其在肌痹治疗上临床遣方用药的特点及常见证型。,结果,2,吴生元教授认为肌痹的基本病机是正虚不能御邪,风寒湿热之邪侵袭肌腠,留滞于肌肉关节,脉络闭阻,气血运行不畅,遂出现皮肤红斑,局部肌肉关节疼痛。病程初期以祛邪为主,扶正为辅,多调补肺脾;病程后期以扶正为主,祛邪为标,重视补益肝肾。脏腑辨证以脾为主,病因辨证以湿为主。治疗肌痹注重邪气偏盛转化辨治,审证查因,祛邪为先;强调顾护先后天,调护脾胃贯穿治疗始终。根据临床经验分为风热伤肺证、寒湿痹阻证、湿毒化热证、气虚血瘀证、气血亏虚证、上热下寒证、脾肾阳虚证论治。,结论,2,吴生元教授在肌痹治疗上临床疗效颇验,值得学习。
Objective,2,To summarize Professor WU Shengyuan's experience on treating myoarthralgia.,Methods,2,Through the summary of professor WU Shengyuan's clinical diagnosis and treatment of myoarthralgia, the characteristics and common evidences of clinical prescriptions in myoarthralgia treatment were analyzed.,Results,2,Professor WU Shengyuan believes that the basic pathogenesis of muscle arthralgia is that the deficiency of vital Qi can not resist the evil. The evils of wind-cold, dampness and heat invade the muscle, stagnate in the muscle joints, obstruct the veins and the blood flow is not smooth, resulting in skin erythema and local muscle joint pain. At the early stage, the mainmethod is to dispel pathogenic factors, supplemented by strengthening the vital Qi, and regulate and supplement lung and spleen. In the later stage, we should focus on strengthening the body and eliminating pathogenic factors, and pay attention to tonifying liver and kidney. Spleen is the main factor of Zang-Fu syndrome differentiation and dampness is the main cause of syndrome differentiation based on causes. In the treatment of muscular arthralgia, we should pay attention to the transformation of excessive evil Qi, verify and investigate the causes, and eliminate the evil first. It is emphasized that kidney and spleen-stomach should be paid attention to and the spleen and stomach should be regulated throughout the treatment. According to clinical experience, it can be divided into wind-heat injuring lung syndrome, cold-dampness obstructing syndrome, dampness-toxin transforming heat syndrome, Qi deficiency and blood stasis syndrome, Qi and blood deficiency syndrome, upper heat and lower cold syndrome and Yang deficiency of spleen and kidney syndrome.,Conclusion,2,Professor WU Shengyuan's experience on treating myoarthralgia has proved clinical effect and is worthy of learning.
肌痹辨治经验吴生元
myoarthralgiaexperience on syndrome differentiation and treatmentWU Shengyuan
王承德, 沈丕安, 胡荫奇. 实用中医风湿病学[M]. 北京: 人民卫生出版社, 2009: 347.
葛均波, 徐勇健, 王辰. 内科学[M]. 北京: 人民卫生出版社, 2018: 847-850.
中华医学会风湿病学分会. 多发性肌炎和皮肌炎诊断及治疗指南[J]. 中华风湿病学杂志, 2010, 14(12): 828-831.
孟毅. 皮肌炎和多发性肌炎的中医治验浅析[J]. 中华中医药杂志, 2010, 25(6): 956-957.
邱志济, 朱建平, 马璇卿. 朱良春治疗皮肌炎用药经验和特色选析——著名老中医学家朱良春教授临床经验(46)[J]. 辽宁中医杂志, 2003, 30(10): 782-783.
乐宇民, 杜建. 中西医结合治疗皮肌炎6例分析[J]. 福建中医药, 2015, 46(6): 69.
李满意, 娄玉钤. 肌痹的源流及相关历史文献复习[J]. 风湿病与关节炎, 2014, 3(9): 57-65.
王昊, 阎小萍. 读《内经》痹论篇“三痹”、“五体痹”有感[J]. 中国中医急症, 2013, 22(1): 76-77.
彭井华, 贾新华. 从“痹”“痿”探讨特发性炎性肌病合并间质性肺病[J]. 安徽中医药大学学报, 2020, 39(1): 35-37.
熊佳, 朱培成, 李红毅, 等. 国医大师禤国维论治皮肌炎经验[J]. 中国中医药信息杂志, 2019, 26(1): 116-118.
尹远平. 查玉明对皮肌炎中医的辨治五法[J]. 辽宁中医杂志, 2000, 27(4): 149-150.
林依璇, 王雪茜, 程发峰, 等. 王庆国治疗皮肌炎经验[J]. 天津中医药大学学报, 2017, 36(6): 406-408.
何彦春, 周艳华, 李光耀, 等. 周祖山治疗肌痹经验[J]. 中医药导报, 2019, 25(22): 123-124, 134.
郭晓明, 高明利. 高明利教授辨证治疗皮肌炎和多发性肌炎[J]. 实用中医内科杂志, 2012, 26(5): 19-20.
陈俊蓉, 陈利国, 王华强. 浅谈《内经》五体痹与五脏痹发病关系[J]. 四川中医, 2012, 30(4): 44-46.
赵艳霞, 陈学荣. 陈学荣教授治疗皮肌炎、多发性肌炎中医辨证思想[J]. 中国中西医结合皮肤性病学杂志, 2010, 9(5): 274-275.
肖勇洪, 杨曈, 汪学良, 等. 浅谈脾胃同治的重要性[J]. 湖南中医杂志, 2017, 33(7): 142-143.
戴娜, 何兰, 胡晶, 等. “脾主肌肉”的理论探讨及其临床意义[J]. 中医杂志, 2018, 59(2): 95-99.
王东, 王玲. 从脾主运化论治糖尿病周围神经病变[J]. 辽宁中医杂志, 2020, 47(1): 74-76.
秦国政, 吴生元. 扶阳存津擅用温通大法[M]. 北京: 中华中医药出版社, 2015: 68-69.
王宏, 唐超炫, 张艳坤, 等. 彭江云运用潜阳封髓丹治疗口腔扁平苔藓经验浅谈[J]. 山西中医, 2020, 36(1): 34-35.
赵常国, 陈艳林, 吴生元, 等. 吴生元经验方加味潜阳封髓丹治疗放化疗后口腔溃疡的临床疗效观察[J]. 四川中医, 2017, 35(5): 180-182.
0
浏览量
2
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构