从温阳通督法论治强直性脊柱炎探讨
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1.江西中医药大学2018级硕士研究生(江西 南昌 330006);2.江西中医药大学附属医院(江西 南昌 330006)

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※基金项目 国家自然科学基金地区科学基金项目(No.81760888);江西省自然科学基金项目(No.20202BABL206136)


Discussion on the treatment of ankylosing spondylitis by Warming Yang and Tong Du
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National Natural Science Foundation of China Regional Science Foundation Project (No. 81760888);The Natural Science Foundation of Jiangxi Province (No. 20202BABL206136)

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    摘要:

    本文从皮肉筋脉骨节出现疼痛、损害变形等症状与阳气、脑髓神机、脏腑经脉之间的关系着手进行分析,认为脾肾阳虚、寒湿痹阻是强直性脊柱炎的病机关键,督脉阳虚、脉络瘀阻是本病发病的经络学基础,而督阳亏虚、脑髓神机运转失常则是疼痛发生的重要机制。故临证时,应注重温阳通督,温补脾肾,祛寒化湿;此外,针对疼痛症状则强调温运阳气,醒神养神,以促进脑髓神机运转,进而发挥安神镇痛、减缓皮肉筋脉骨节受损及关节变形之效。因此,温阳通督、安神镇痛法在强直性脊柱炎治疗中应用,有助于提高临床疗效。

    Abstract:

    Through the analysis of the etiology and pathogenesis of ankylosing spondylitis, it is believed that the key to the pathogenesis of the disease is yang deficiency of the spleen and kidney, and cold-dampness blockage. The Yang deficiency of the Du Channel and the stasis of the collaterals are the meridian basis of the pathogenesis of ankylosing spondylitis. Insufficiency of Du Yang and malfunction of brain and nerves are important mechanisms for the occurrence of symptoms such as pain and joint damage. Therefore, during clinical treatment, the etiology and pathogenesis of the disease should be focused on warming the yang, warming the spleen and kidney, dispelling cold and removing dampness; in addition, for the pain symptoms, it is emphasized to warm the yang qi, refresh the mind and nourish the mind, so as to promote the operation of the brain and the nerves, and then play a soothing and analgesic. Reduce damage to skin, muscles, veins and joints and joint deformation. Therefore, paying attention to the application of Wenyang Tongdu and Anshen Analgesia in the treatment of ankylosing spondylitis will help improve the clinical efficacy.

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●张雅静,胡莎莎,何兴伟.从温阳通督法论治强直性脊柱炎探讨[J].,2021,20(4):30-32

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  • 收稿日期:2020-09-04
  • 最后修改日期:2020-11-04
  • 录用日期:2020-12-24
  • 在线发布日期: 2021-09-03
  • 出版日期: 2021-08-25