Discussion on postpartum arthralgia based on the "<italic style="font-style: italic">Xuanfu</italic>-collaterals" theory

MA Huilan; GUO Yanfen; LU Kunbin; DAI Yamei; LUO Yujie; WU Fangzhen; CHEN Yuyu; ZHAO Yushan; WANG Zhengyang; CHEN Shanni; ZHAO Zhongwen

doi:10.3969/j.issn.1006-2157.2023.02.020

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Discussion on postpartum arthralgia based on the "Xuanfu-collaterals" theory

Clinical Studies | 更新时间：2023-03-07

- Discussion on postpartum arthralgia based on the "Xuanfu-collaterals" theory
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 2, Pages: 269-272(2023)
- 作者机构：
  
  福建中医药大学附属第二人民医院　福州　350003
- 作者简介：
  
  A/Prof. ZHAO Zhongwen, Chief Physician, Associate Professor, Master’s Supervisor. The Second People’s Hospital of Fujian University of Traditional Chinese Medicine, No.282, Huada Street, Wusi Road, Gulou District, Fuzhou 350003. E-mail: zhaozw1064@126.com
- 基金信息：
  
  Natural Science Foundation of Fujian Province(2020J01244);Educational Research Project for Young and Middle-aged Teachers of Fujian Province Education Department(JAT200197)
- DOI：10.3969/j.issn.1006-2157.2023.02.020
  CLC： R271.43
- Received：11 June 2022，
  
  Online First：22 September 2022，
  
  Published：28 February 2023
- 稿件说明：
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MA Huilan, GUO Yanfen, LU Kunbin, et al. Discussion on postpartum arthralgia based on the "Xuanfu-collaterals" theory[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(2): 269-272. DOI: 10.3969/j.issn.1006-2157.2023.02.020.
DOI：

MA Huilan, GUO Yanfen, LU Kunbin, et al. Discussion on postpartum arthralgia based on the "Xuanfu-collaterals" theory[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(2): 269-272. DOI: 10.3969/j.issn.1006-2157.2023.02.020. DOI：

摘要

产后痹属于中医“痹证”范畴，临证多以产后“多虚多瘀”为病机特点，治以补虚泻实之法。玄府、络脉幽微难察，遍布全身，二者相互为用、沟通内外，是运行气血津液的功能性通道，也是外邪入侵、痰瘀等实邪产生的关键病位。本文基于“玄府－络脉”理论体系，阐明了玄府通、络脉荣、营卫调、脏腑和的生理功能，提出玄府开阖无常、络虚邪阻、营卫失和为产后痹的基本病机，临床上以开玄解郁、补虚通络、调和营卫为治疗基础，为从中医微观结构层次认识及治疗产后痹提供新思路。

Abstract

Postpartum arthralgia belongs to the category of "arthralgia syndrome" in traditional Chinese medicine

in which clinical syndromes are mostly characterized by "multiple deficiency and much blood stasis" after childbirth. Treatment method includes tonifying deficiency and reducing excess.

Xuanfu

and collaterals are not only all over the body

but also subtle and difficult to observe. They interact with each other and connect the internal and external body. They are not only the functional channels for transporting qi

blood

and body fluids

but also key disease sites for the invasion of external evils

phlegm and blood stasis

and other evils. Therefore

based on the theoretical system of "

Xuanfu

-collaterals"

in the present paper we clarify the physiological functions of unblocked

Xuanfu

vigorous collaterals

recuperated nutrient blood and defensive qi

and healthy internal organs. It is proposed that the impermanence of opening and closing of the

Xuanfu

the impermanence of the collaterals

and the disharmony of the nutrient blood and defensive qi are the basic pathogenesis of postpartum paralysis. Clinically

treatment is based on opening the

Xuanfu

and relieving the blood stasis

tonifying deficiency and dredging collaterals

and reconciling nutrient blood and defensive qi. This study provides new ideas for understanding and treating postpartum paralysis at the microstructure level of traditional Chinese medicine.

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references

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Discussion on postpartum arthralgia based on the "Xuanfu-collaterals" theory

DOI：10.3969/j.issn.1006-2157.2023.02.020

摘要

Abstract

关键词

Keywords

references