高明利教授春秋两季防治风湿病临床经验总结

发布时间：2019-03-08 11:44

【摘要】：风湿病也称“痹证”、“痹病”,是以肢体疼痛、重着、肿胀、屈伸不利等为主要临床表现的一类疾病的总称,属于现代医学的风湿免疫疾病范畴。中医时间医学认为人体功能活动与病理变化因受到自然界气候变化、日月更迭等因素影响而呈现出一定的规律,根据这种规律选择适当时间治疗疾病,可以获得较佳疗效[1]。高明利教授认为,春季秋两季均是风湿病的好发季节,也是防治风湿病的重要时节。春季人体质偏阳虚,易感受邪气。可借助春季阳气渐盛之势结合补阳中药可有效防治或延缓风湿病进展。此外,还可以结合一些外治法,像针刺大椎、足三里以提升阳气,或穴位贴敷以增强身体机能,调节免疫,恢复体内阴阳平衡以达到防治风湿病的目的。秋季为一年阴气渐盛之时,久病阴虚的患者可利用“秋收冬藏”的季节特点以涵养阴液。秋气主燥,体内温热余气尚存,此时通过药物、贴敷、针灸、熏蒸等内外治法固护体内阳气,使体内的阳气由疏泄的趋势转为收敛、封藏。配合在方药中加入一些祛湿药,内外联合可有效祛除体内湿气而缓解湿邪引发的症状。临床上遇风邪所致的痹证患者时,可根据古籍中记载的方药结合患者实际情况适当加以入阴经的中药,同时可配以阴经的针刺治疗,可在原有基础上增进疗效。寒邪导致的痹证疼痛特点为昼轻夜重,临床上可根据痛痹特点,在临睡前给药或适当加大用药剂量,或可更好的减轻夜间疼痛。
[Abstract]:Rheumatism, also known as "arthralgia", "arthralgia", is the main clinical manifestations of limb pain, serious, swelling, flexion and extension as the main clinical manifestations of a class of diseases, belongs to the modern medicine category of rheumatic immune diseases. Traditional Chinese medicine time medicine holds that the changes of human body function and pathology are influenced by natural climate change, change of day and month, and so on. According to this law, appropriate time is chosen to treat the disease. Can obtain better curative effect [1]. Professor Gao Mingli believes that both spring and autumn are the most frequent seasons for rheumatism, and they are also important seasons for the prevention and treatment of rheumatism. Spring people's physique Yang deficiency, easy to feel evil qi. The development of rheumatism can be effectively prevented or delayed by the combination of Yang Qi and Yang tonifying herbs in spring. In addition, it can be combined with some external treatments, such as acupuncture Dazhui, Zusanli to promote Yang Qi, or acupoint application to enhance the body function, regulate immunity, restore the balance of yin and yang in the body to achieve the purpose of prevention and treatment of rheumatism. Autumn is a year when Yin Qi gradually flourishing, patients with chronic disease Yin deficiency can make use of the seasonal characteristics of "autumn harvest and winter storage" to conserve Yin liquid. Autumn qi mainly dryness, the body warm and hot residual gas still exist, at this time through medicine, application, acupuncture, fumigation and other internal and external treatment to protect the internal Yang Qi, so that the internal Yang qi from the trend of drain into convergence, sealed. The combination of internal and external combination can effectively remove dampness and relieve the symptoms caused by dampness pathogen by adding some dampening drugs into the prescription. The patients with arthralgia syndrome caused by wind evil can be treated with traditional Chinese medicine according to the actual situation of the patients recorded in ancient books. At the same time, they can be treated with acupuncture of yin meridian, which can improve the curative effect on the basis of the original. The characteristic of arthralgia syndrome caused by cold evil is light day and heavy night. According to the characteristic of arthralgia, medicine can be given before bedtime or the dosage can be increased properly, or the nocturnal pain can be alleviated better.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R249;R259

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