王振亮治疗强直性脊柱炎经验
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摘要
王振亮教授将强直性脊柱炎辨证分为:脾肾亏虚,痰湿痹阻型;肾阳亏虚,寒凝湿阻型;肝肾亏虚,痰瘀痹阻型;寒凝督脉,经腧不利型;寒热错杂,络脉不畅型。针对不同证型分别给予腰痛汤、二藤附子汤、独活寄生汤、当归四逆加吴茱萸生姜汤、桂枝芍药知母汤加减治疗,收效颇佳。
Professor Wang Zhen-liang divides the syndrome differentiation of ankylosing spondylitis into the following:phlegm-dampness obstruction type due to deficiency of spleen and kidney,cold-congealing-dampness obstruction type due to kidney-yang deficiency,phlegm-stasis obstruction type due to deficiency of liver and kidney,unsmooth meridian type due to cold-congealing govern vessel,and collateral obstruction type due to intermingled cold and heat.He gives different syndromes different decoction separately:Backache-Removing Decoction,Caulis Sinomenii and Radix Tripterygii Wilfordii and Aconite Decoction,Pubescent Angelica and Mistletoe Decoction,Chinese Angelica Frigid Extremities Decoction plus Evodia and Fresh Ginger Decoction,Cinnamon Twig and Peony and Rhizoma Anemarrhenae Decoction,and always achieves a remarkable efficacy.
Professor Wang Zhen-liang divides the syndrome differentiation of ankylosing spondylitis into the following:phlegm-dampness obstruction type due to deficiency of spleen and kidney,cold-congealing-dampness obstruction type due to kidney-yang deficiency,phlegm-stasis obstruction type due to deficiency of liver and kidney,unsmooth meridian type due to cold-congealing govern vessel,and collateral obstruction type due to intermingled cold and heat.He gives different syndromes different decoction separately:Backache-Removing Decoction,Caulis Sinomenii and Radix Tripterygii Wilfordii and Aconite Decoction,Pubescent Angelica and Mistletoe Decoction,Chinese Angelica Frigid Extremities Decoction plus Evodia and Fresh Ginger Decoction,Cinnamon Twig and Peony and Rhizoma Anemarrhenae Decoction,and always achieves a remarkable efficacy.
引文
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[3] 杨晓松.强直性脊柱炎诊疗进展[J].中国全科医学,2017,20(S3):218-221.
[4] 刘淼,于静,莫成荣.莫成荣运用补肾强督祛邪通络法治疗强直性脊柱炎经验[J].辽宁中医杂志,2017,44(8):1593-1595.
[5] 温俊茂,李佳颖,陈鹏,等.强直性脊柱炎的中医药临床研究进展[J].中国中医基础医学杂志,2016,22(11):1574-1576.
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[13] 笪巍伟,唐德志,王拥军,等.施杞教授治疗强直性脊柱炎急性期疼痛验案举隅[J].中华中医药杂志,2015,30(10):3552-3554.
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[15] 田硕,苗明三.牛膝的化学、药理及应用特点探讨[J].中医学报,2014,29(8):1186-1188.
[16] 宋运河,王振亮.二藤附子汤治疗类风湿关节炎35例[J].河南中医,2012,32(7):877-878.
[17] 方妍妍,万磊,董文哲,等.雷公藤甲素通过调控VEGFA,SDF-1,CXCR4通路改善强直性脊柱炎患者血小板活化的机制[J/OL].中国中药杂志:1-12[2018-12-02].
[18] 唐逸丰.延胡索化学成分与药理作用研究概况[J].中医临床研究,2018,10(23):144-146.
[19] 孙鹏,李建,沙明波,等.独活寄生汤加减对强直性脊柱炎肾虚督寒证骨代谢和炎症因子的影响[J].中国实验方剂学杂志,2017,23(24):202-207.
[20] 赵婷婷,闫淑婷,张培,等.王振亮教授经方辨治类风湿性关节炎经验[J].中国中医药现代远程教育,2018,16(6):81-83.
[21] 韩曼,姜泉,路志正.路志正治疗强直性脊柱炎经验[J].中医杂志,2016,57(19):1634-1636.
[2] 古洁若.中国脊柱关节炎和强直性脊柱炎的规范监测和研究展望[J].中山大学学报(医学科学版),2015,36(1):1-5.
[3] 杨晓松.强直性脊柱炎诊疗进展[J].中国全科医学,2017,20(S3):218-221.
[4] 刘淼,于静,莫成荣.莫成荣运用补肾强督祛邪通络法治疗强直性脊柱炎经验[J].辽宁中医杂志,2017,44(8):1593-1595.
[5] 温俊茂,李佳颖,陈鹏,等.强直性脊柱炎的中医药临床研究进展[J].中国中医基础医学杂志,2016,22(11):1574-1576.
[6] 梁慧英,冯兴华.冯兴华教授对强直性脊柱炎病因病机认识的探析[J].中华中医药杂志,2011,26(9):2012-2014.
[7] 刘越,赵艳梅,夏群.强直性脊柱炎的诊断与治疗进展[J].中国矫形外科杂志,2015,23(3):235-238.
[8] 刘燊仡,胡悦.胡荫奇教授治疗强直性脊柱炎学术思想探析[J].中华中医药杂志,2014,29(3):765-767.
[9] 张晓亮,袁普卫,李堪印.李堪印治疗强直性脊柱炎经验[J].辽宁中医杂志,2016,43(7):1371-1373.
[10] 张锡纯.重订医学衷中参西录[M].北京:人民卫生出版社,2006:696-698.
[11] 矫健鹏,刘煊.魏品康从痰论治强直性脊柱炎经验探析[J].中华中医药杂志,2011,26(8):1759-1761.
[12] 王新义,田元生.田元生主任中医师从肾虚督瘀论治强直性脊柱炎经验[J].时珍国医国药,2015,26(4):986-987.
[13] 笪巍伟,唐德志,王拥军,等.施杞教授治疗强直性脊柱炎急性期疼痛验案举隅[J].中华中医药杂志,2015,30(10):3552-3554.
[14] 陈修园.陈修园医学全书[M].太原:山西科学技术出版社,2011:766.
[15] 田硕,苗明三.牛膝的化学、药理及应用特点探讨[J].中医学报,2014,29(8):1186-1188.
[16] 宋运河,王振亮.二藤附子汤治疗类风湿关节炎35例[J].河南中医,2012,32(7):877-878.
[17] 方妍妍,万磊,董文哲,等.雷公藤甲素通过调控VEGFA,SDF-1,CXCR4通路改善强直性脊柱炎患者血小板活化的机制[J/OL].中国中药杂志:1-12[2018-12-02].
[18] 唐逸丰.延胡索化学成分与药理作用研究概况[J].中医临床研究,2018,10(23):144-146.
[19] 孙鹏,李建,沙明波,等.独活寄生汤加减对强直性脊柱炎肾虚督寒证骨代谢和炎症因子的影响[J].中国实验方剂学杂志,2017,23(24):202-207.
[20] 赵婷婷,闫淑婷,张培,等.王振亮教授经方辨治类风湿性关节炎经验[J].中国中医药现代远程教育,2018,16(6):81-83.
[21] 韩曼,姜泉,路志正.路志正治疗强直性脊柱炎经验[J].中医杂志,2016,57(19):1634-1636.