文章摘要
何兆春,李霄鹏,陈凯,等.从卫气营血理论探析燥痹的病机及治疗[J].浙江中医药大学学报,2020,44(5):415-418.
从卫气营血理论探析燥痹的病机及治疗
Analysis of Pathogenesis and Treatment of Dryness-Bi Based on the Theory of Weiqi Yingxue
投稿时间:2019-09-23  
DOI:10.16466/j.issn1005-5509.2020.05.002
中文关键词: 燥痹  干燥综合征  卫气营血  病机  分期  银翘散  医案
英文关键词: dryness-Bi  Sjogren's syndrome  Weiqi Yingxue  pathogenesis  sub-stages  Yinqiao Powder  medical records
基金项目:浙江省自然基金科研项目(LY18H270012)
作者单位E-mail
何兆春 浙江中医药大学附属第二医院 杭州 310005  
李霄鹏 浙江中医药大学附属第二医院 杭州 310005  
陈凯 浙江中医药大学附属第二医院 杭州 310005  
王新昌 浙江中医药大学附属第二医院 杭州 310005 ossani@126.com 
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中文摘要:
      [目的]从卫气营血理论探析干燥综合征(燥痹)的病机与治疗。[方法]以中医学相关文献和现代临床研究为理论基础,运用温病学的卫气营血理论,讨论分析燥痹的中医病机与治则治法,探讨燥痹的辨证论治方法,并附一典型病例予以验证。[结果]燥痹的起病、发展过程与温病传变有许多相似之处,其发病不同时期的临床表现可参照温病卫气营血理论进行辨证论治。燥痹分为发病初期燥邪侵犯肺卫,进展期出现气分或卫气营分同病,慢性期燥邪潜伏营、血分,此时阴亏、气虚、血瘀互见,治疗上在不同发病时期采用不同的治则和治法,分别采用辛凉甘润法、清泄阳明法以及益气养阴祛瘀法等施治,能够有效缓解患者临床症状,副作用小,患者接受度较高。所附验案属燥邪侵犯肺卫,宜清热宣肺、祛痰止咳,予银翘散加减,取得较好疗效。[结论]燥痹的治疗可参照卫气营血理论进行辨证施治,能有效控制病情,对指导临床有实用价值,值得同道借鉴。
英文摘要:
      [Objective] To analyze the pathogenesis and treatment of Sjogren's syndrome (dryness-Bi) based on the theory of Weiqi Yingxue(protecting Qi and nutrient blood). Based on the relevant literature of traditional Chinese medicine and modern clinical research, using the theory of Weiqi Yingxue of Seasonal Febrile Diseases to discuss and analyze the pathogenesis and treatment principles of dryness-Bi, and explore the methods of syndrome differentiation and treatment of dryness-Bi. [Results] We find that the onset and development of dryness-Bi are similar to the transmission of seasonal febrile diseases. The clinical manifestations of dryness-Bi in different stages can be treated differently by the theory of Weiqi Yingxue. We use the theory of Weiqi Yingxue of traditional Chinese medicine to analyse the pathogenesis and treatment principles of dryness-Bi, dividing into the early stage of dryness-Bi invading lung-Wei, and the progressive stage when Weiqi Yingxue is invaded, at the chronic stage the latent dry evil is in Ying and blood, which Yin deficiency, Qi deficiency and blood stasis are common. We adopt different treatment principles and methods in different stages of dryness-Bi. We have treated with cold-pungent diaphoresis and tonifying Yin method, clearing away heat in Yangming method, tonifying Qi Yin and activating blood method respectively, which can effectively alleviate patients' pain, with less side effects and more popular in patients. The treatment of dryness-Bi can be based on the theory of Weiqi Yingxue, which can effectively control the disease, and has practical value in guiding clinical practice, and is worthy of fellows reference.
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