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冷文飞教授运用中药膏方治疗类风湿关节炎经验
Professor LENG Wenfei’s experience in the treatment of rheumatoid arthritis with TCM ointment prescription
【摘要】 类风湿关节炎是一种以侵蚀性、对称性多关节炎为主要临床表现的慢性、全身性自身免疫性疾病。其基本病理改变为关节滑膜的慢性炎症、血管翳形成,并逐渐出现关节软骨和骨破坏,可最终导致关节畸形和功能丧失,是造成人类丧失劳动力和致残的主要原因之一,给患者带来痛苦及工作生活上的障碍,给家庭带来负担。目前尚无根治方法,西医目前主要以控制炎症、改善症状,防止和减少关节骨的破坏为治疗目标,多应用非甾体抗炎药、激素、抗风湿药、生物制剂等。但其远期效果不佳,病情反复,且其药物长期使用不良反应大。类风湿性关节炎中医属“尫痹”范畴,导师冷文飞教授根据多年临床经验认为中晚期类风湿性关节炎患者多因久病缠绵,易伤气耗津,易耗气伤血,损阴劫津,损及肝肾,形成气血阴阳亏虚,经脉痹阻导致关节肿胀、畸形、脏腑功能失调。膏方既可治疗慢性消耗性疾病,又可滋补大病过后的虚弱病体,是兼顾治病与补虚双重作用的良剂。故冷文飞教授围绕整体观念、辨证论治、临证处方,以三辨、三衡为要领,以中医经方为基础加减制成膏剂内服治疗类风湿关节炎,其临床疗效显著,可有效缓解患者症状,减少复发,达到调整阴阳,标本兼治之功。main causes of loss of labor force and disability, bringing pain to patients and obstacles in work and life, and bringing burden to families.At present, there is no radical cure. Currently, Western medicine mainly aims at controlling inflammation, relieving symptoms, preventing and reducing the damage of joints and bones, and mainly applies non-steroidal anti-inflammatory drugs, hormones, antirheumatic drugs,biological agents and so on, but its long-term effect is not good. It is a repeated illness, and its long-term use of drug has adverse reactions Rheumatoid arthritis belongs to “Wangbi (尫痹)” category in traditional Chinese medicine. Professor LENG Wenfei, the tutor, believes that middle-late rheumatoid arthritis patients due to long illness lingering tend to suffer from Qi (气) and fluid consumption, Yin (阴),fluid and blood damage, which in turn harms the liver and kidney, and leads to the formation of Qi, blood, Yin and Yang (阳) deficiency,the meridians obstruction causes joint swelling, deformity, viscera dysfunction. Ointment prescription can not only treat chronic wasting disease, but also nourish the weak body after serious illness. It is a good agent that takes into account both treatment and deficiency. Therefore, Professor LENG Wenfei focuses on the holistic concept, treatment based on syndrome differentiation and clinical prescription, and takes three differences and three balances as the key points. Based on traditional Chinese medicine prescription, the professor prepares a paste for internal administration to treat rheumatoid arthritis, which has remarkable clinical effect. It can effectively relieve the symptoms of patients, reduce the recurrence, achieve the adjustment of Yin and Yang, and target both the symptoms and root causes of the disease.
【Abstract】 Rheumatoid arthritis is a chronic, systemic autoimmune disease with erosive and symmetrical polyarthritis as its main clinical manifestations.Its basic pathological changes include chronic inflammation of joint synovium, pannus formation, and gradual destruction of articular cartilage and bone, which can eventually lead to joint deformity and loss of function, which is one of the main causes of loss of labor force and disability, bringing pain to patients and obstacles in work and life, and bringing burden to families. At present, there is no radical cure. Currently, Western medicine mainly aims at controlling inflammation, relieving symptoms, preventing and reducing the damage of joints and bones, and mainly applies non-steroidal anti-inflammatory drugs, hormones, antirheumatic drugs, biological agents and so on, but its long-term effect is not good. It is a repeated illness, and its long-term use of drug has adverse reactions Rheumatoid arthritis belongs to“ Wangbi(尫痹)” category in traditional Chinese medicine. Professor LENG Wenfei, the tutor, believes that middle-late rheumatoid arthritis patients due to long illness lingering tend to suffer from Qi(气) and fluid consumption, Yin(阴), fluid and blood damage, which in turn harms the liver and kidney, and leads to the formation of Qi, blood, Yin and Yang(阳) deficiency, the meridians obstruction causes joint swelling, deformity, viscera dysfunction. Ointment prescription can not only treat chronic wasting disease, but also nourish the weak body after serious illness. It is a good agent that takes into account both treatment and deficiency. Therefore, Professor LENG Wenfei focuses on the holistic concept, treatment based on syndrome differentiation and clinical prescription, and takes three differences and three balances as the key points. Based on traditional Chinese medicine prescription, the professor prepares a paste for internal administration to treat rheumatoid arthritis, which has remarkable clinical effect. It can effectively relieve the symptoms of patients, reduce the recurrence, achieve the adjustment of Yin and Yang, and target both the symptoms and root causes of the disease.
【Key words】 Rheumatoid arthritis; TCM ointment prescription; Syndrome differentiation and treatment; Experience summary;
- 【文献出处】 中医临床研究 ,Clinical Journal of Chinese Medicine , 编辑部邮箱 ,2023年12期
- 【分类号】R249;R259
- 【下载频次】18