主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2018, Vol. 41 ›› Issue (3): 181-185.doi: 10.3969/j.issn.1006-2157.2018.03.001

• 理论研究 •    下一篇

基于伏邪学说辨治类风湿关节炎*

徐愿1, 陶庆文1, 王艳1, 宋乃光2#, 张弛2   

  1. 1 中日友好医院中医风湿病科 免疫炎性疾病北京市重点实验室 北京 100029;
    2 北京中医药大学
  • 收稿日期:2017-08-05 出版日期:2018-03-30 发布日期:2018-03-30
  • 通讯作者: #宋乃光,女,教授,主任医师,博士生导师,E-mail:songnaiguang101@126.com
  • 作者简介:徐愿,男,博士,副主任医师
  • 基金资助:
    *国家自然科学基金面上项目(No.81673941), 国家自然科学基金青年科学基金项目(No.81603588),北京薪火传承“3+3”工程宋乃光名老中医工作室,中日友好医院青年科技英才培养计划(No.2015-QNYC-B-08)

Differentiation and treatment of rheumatoid arthritis according to theory of latent pathogens*

Xu Yuan1, Tao Qingwen1, Wang Yan1, Song Naiguang2#, Zhang Chi2   

  1. 1 Department of Rheumatism, Beijing Key Laboratory of Autoimmune and Inflammatory Diseases, China-Japan Friendship Hospital, Beijing 100029, China;
    2 Beijing University of Chinese Medicine, Beijing 100029, China
  • Received:2017-08-05 Online:2018-03-30 Published:2018-03-30
  • Supported by:
    *Surface Project of National Natural Science Foundation (No. 81673941), National Natural Science Fundation for Young Scholars (No. 81603588)

摘要: 类风湿关节炎发病具有伏邪致病的特点:患者正气亏虚及素体寒湿或湿热是决定发病的内在因素和先决条件;感受六淫邪气为标,且以风寒湿热邪气为主;隐匿潜伏,遇感而作、因加而发为其临床特征。因此,基于伏邪学说可指导类风湿关节炎的辨治,包括避免六淫邪气,及早治疗,使邪无所藏;补益正气,调理体质,使邪无依附;隐匿阶段“先证而治”,截断扭转。这体现了治未病的思想,对于提高临床疗效,减少骨破坏的发生,降低致残率具有重要意义。

关键词: 类风湿关节炎, 伏邪, 治未病

Abstract: Rheumatoid arthritis (RA) takes on the characteristics of diseases due to latent pathogens. Essential qi deficiency is an internal factor, and ordinary factors of cold-dampness or damp-heat are preconditions of diseases due to latent pathogens. The six excesses are external pathogenic factors and pathogens of wind-cold and damp-heat are main pathogenic causes. The clinical characteristics of diseases due to latent pathogens are reflected in hiding and incubation, and aggravating factors will cause the diseases attack. The theory of latent pathogens can guide the diagnosis and treatment of RA, including avoiding six excesses and early treatment for getting rid of latent pathogens, and tonifying healthy qi and regulating constitution for truncating and reversing disease through starting treatment at asymptomatic stage, which reflects the thought of preventive treatment of disease. It is of great significance to improve clinical efficacy, decrease the occurrence of bone destruction and reduce disability rate

Key words: rheumatoid arthritis, latent pathogen, preventive treatment of disease

中图分类号: 

  • R254.2