| 沈炎彬,叶项盛,赵婷,等.范永升教授治疗幼年特发性关节炎经验拾零[J].浙江中医药大学学报,2023,47(7):748-750, 766. |
| 范永升教授治疗幼年特发性关节炎经验拾零 |
| Experience of Professor FAN Yongsheng in Treating Juvenile Idiopathic Arthritis |
| DOI：10.16466/j.issn1005-5509.2023.07.007 |
| 中文关键词: 幼年特发性关节炎 儿童 辨证论治 中医临床 验案 名医经验 范永升 |
| 英文关键词: juvenile idiopathic arthritis children treatment based on pattern differentiation TCM clinical practice proven cases experience of famous doctors FAN Yongsheng |
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| 中文摘要: |
| [目的] 总结范永升教授治疗幼年特发性关节炎的经验，为临床提供参考。[方法] 通过临证收集和记录门诊病历，整理范永升教授辨证论治幼年特发性关节炎的经验，总结其病因病机及遣方用药规律，并举医案一则加以佐证。[结果] 范永升教授认为，幼年特发性关节炎多由小儿正气不足、复感外邪所致，病机特点可概括为“湿、热、毒、虚”，急性期治以清热利湿、祛风通络，缓解期治以益气健脾、祛风通络。范教授通过将小儿生理特点与幼年特发性关节炎起病转归有机结合的辨治思路，取得满意的临床疗效。所举医案中患儿处于疾病活动期，证属风湿热痹，治以清热利湿、祛风通络，方用白虎加桂枝汤合四妙丸加减，疗效确切。[结论] 范永升教授从“湿、热、毒、虚”角度辨证论治幼年特发性关节炎，疗效明显，其经验值得借鉴和推广。 |
| 英文摘要: |
| [Objective] To summarize Professor FAN Yongsheng’s experience of treating juvenile idiopathic arthritis(JIA)， providing some references for clinical practice. [Methods] Through collecting and recording medical records from outpatient clinic， the experience of Professor FAN Yongsheng in treating JIA based on pattern differentiation was organized， as well as his understanding of the etiological factors and pathogenesis， and one medical case was attached as evidence. [Results] Professor FAN Yongsheng considers that JIA is commonly caused by deficiency of healthy Qi in children with exposure to external pathogenic factors， with the pathogenesis characterized by “dampness， heat， toxin and deficiency”. For the treatment， the acute stage focuses on clearing heat and draining dampness， removing wind and unblocking collaterals， whereas the remission stage focuses on tonifying Qi and strengthening the spleen， removing wind and unblocking collaterals. Satisfactory clinical efficacy for JIA has been obtained with Professor FAN Yongsheng’s treatment based on pattern differentiation by integrating children’s physiological characteristics with disease onset， development and outcomes. In the case record， the affected child was in the active stage of the disease manifesting as wind-dampness-heat impediment， the treatment was to clear heat， drain dampness， remove wind and unblock collaterals using modified Baihu Jia Guizhi Decoction combined with Simiao Pill， and obvious curative effect was obtained. [Conclusion] Professor FAN Yongsheng’s treatment of JIA based on pattern differentiation considering the pathogenic factors of “dampness， heat， toxin and deficiency” has a significant clinical effect， therefore the experience derived is worthy of reference and promotion. |
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