重症肌无力的中医治疗方法探究
|
摘要
重症肌无力(myasthenia gmvis,MG)是一种由自身产生乙酰胆碱受体抗体,使神经-肌肉接头处的突触后膜上的乙酰胆碱受体被破坏引起传递功能障碍的一种自身免疫性疾病。其发病机制至今尚未明确,且国内外暂无特效的治疗方法。随着中医药在重症肌无力临床治疗中不断取得良好的临床效果,长期的临床经验总结认为中药在缓解该病中独具优势。
Myasthenia gmvis(MG) is an autoimmune dysfunction caused by the destruction of acetylcholine receptors on the postsynaptic membrane at the neuro-muscle junction due to its own production of acetylcholine receptor antibodies. Its pathogenesis has not yet been clear, and there is no specific treatment at home and abroad. With the continuous improvement of traditional Chinese medicine in the clinical treatment of myasthenia gravis, long-term clinical experience concluded that Chinese medicine plays a role in the relief of this disease and has unique advantages.
Myasthenia gmvis(MG) is an autoimmune dysfunction caused by the destruction of acetylcholine receptors on the postsynaptic membrane at the neuro-muscle junction due to its own production of acetylcholine receptor antibodies. Its pathogenesis has not yet been clear, and there is no specific treatment at home and abroad. With the continuous improvement of traditional Chinese medicine in the clinical treatment of myasthenia gravis, long-term clinical experience concluded that Chinese medicine plays a role in the relief of this disease and has unique advantages.
引文
[1] Souza P V,Batistella G N,Lino V C,et al. Clinical and genetic basis of congenital myasthenic syndromes[J]. Arq Neuropsiquiatr,2016,74(9):750.
[2] Schodrowski J,Seipelt M,Adibi-sedeh I,et al. Myasthenia gravis[J].Der Internist,2016,57(4):349.
[3]陈玉萍,张娟,王卫,等.重症肌无力伴发胸腺瘤患者胸腺瘤切除术联合放疗、环磷酰胺治疗疗效评价[J].中华内科杂志,2015,54(3):201-204.
[4] Silvestri N J,Wolfe G I. Myasthenia gravis[J]. Semin Neurol,2012,32(3):215-216.
[5] Keesey J C. Clinical evaluation and management of myasthenia gravis[J].Muscle Nerve,2004,29(4):484-505.
[6] Yu Wai Man C Y,Chinnery P F,Griffiths P G,et al. Extraaocular muscles have fundamentally distinct properties that make them selectively vulnerable to certain disorders[J].Neuromuscul Disord,2005,15:17-33.
[7]中华人民共和国国家质量监督检验免疫总局.中华人民共和国国家标准·文献著录·第一部分·总则[S]. 2009:5.
[8]钱同,蒋旭宏,裘昌林.裘昌林中医治疗重症肌无力经验[J].浙江中西医结合杂志,2016,26(8):687-690.
[9]张诚,陈金亮,胡军勇.中医对重症肌无力病因病机的探讨[J].光明中医,2000,15(91):12-14.
[10]张志慧,陈金亮,胡军勇.重症肌无力危象中医病因病机探讨[J].辽宁中医杂志,2009,33(10):1268-1269.
[11]朱卫士,张静生.浅析重症肌无力与痿证的异同[J].辽宁中医药大学学报,2009,11(7):21-22.
[12]双晓萍,谭子虎.近30年重症肌无力中医证型和用药规律分析[J].辽宁中医药大学学报,2015,17(1):149-151.
[13]刘少云.尚尔寿教授诊治重症肌无力经验摭拾[J].中医药学刊,2001(19):306.
[14]林丽,曹惠芬,孟如.中医辨证论治重症肌无力临床总结[J].云南中医中药杂志,2000,21(3):15-16.
[15]石卫东.中医辩证治疗重症肌无力20例[J].光明中医,2008,23(10):1487.
[16]刘亚军,满运军,王佳,等.重症肌无力中医辨证与西医分型及疗效探讨[J].北京中医药,2009,28(3):206-207.
[17]刘友章,宋雅芳,蓝海,等.重症肌无力脾虚湿热病机探析[J].中华中医药学刊,2009,26(2):229-230.
[18]洪霞,郭春莉,宁侠,等.周绍华治疗重症肌无力经验[J].中医杂志,2016,57(13):1093-1094.
[19]周兴莲,李广文.李广文主任医师对重症肌无力的诊治特色[J].光明中医,2016,31(16):2327-2330.
[20]刘畅,赫群.针灸治疗重症肌无力型上胞下垂55例[J].实用中医药杂志,2017,33(11):1306-1307.
[21]徐兴华,代东良,方晓丽.“温通针法”针刺风池穴为主治疗眼肌型重症肌无力30例[J].中国针灸,2016,36(9):939.
[22]刘新娟,谢强.谢强教授升阳祛霾针灸法治疗眼肌型重症肌无力[J].光明中医,2017,32(19):2761-2762.
[23]钟仲义,林琼,苏仙英,等.足反射疗法治愈下肢重症肌无力一例报告[A]. 2000足部反射区健康法全国研讨会会议交流文集[C]. 2000.
[24]宋彬彬.常规西药联合补脾强力汤治疗重症肌无力疗效观察[J].实用中西医结合临床,2017,11(17):46-47.
[25]李华岳,石世华.针刺联合贞芪扶正胶囊与单用中药对重症肌无力的疗效观察[J].中国实验方剂学杂志,2010,9,16(12):191-192.
[26]薛银萍,乞国艳,董会民,等.参芪扶正注射液在重症肌无力激素冲击治疗过程中的应用[J].广东医学,2016,37(24):3754-3756.
[27]吴相春,陈金亮,吴以岭,等.中西医结合治疗ⅡA型重症肌无力75例临床观察[J].中国中西医结合杂志,2006,26(1):82-83.
[28]邓铁涛,刘友章,刘小斌.中西医结合抢救26例重症肌无力危象[J].广州中医药大学学报,2004,21(5):344-346.
[29]王勤鹰,余敏,姜嘟嘟,等.重症肌无力中医证治与进展[J].中国医药导刊,2017,12(19):1328-1332.
[30]黄子天.国医大师邓铁涛学术经验传承研究[D].广州:广州中医药大学,2016.
[2] Schodrowski J,Seipelt M,Adibi-sedeh I,et al. Myasthenia gravis[J].Der Internist,2016,57(4):349.
[3]陈玉萍,张娟,王卫,等.重症肌无力伴发胸腺瘤患者胸腺瘤切除术联合放疗、环磷酰胺治疗疗效评价[J].中华内科杂志,2015,54(3):201-204.
[4] Silvestri N J,Wolfe G I. Myasthenia gravis[J]. Semin Neurol,2012,32(3):215-216.
[5] Keesey J C. Clinical evaluation and management of myasthenia gravis[J].Muscle Nerve,2004,29(4):484-505.
[6] Yu Wai Man C Y,Chinnery P F,Griffiths P G,et al. Extraaocular muscles have fundamentally distinct properties that make them selectively vulnerable to certain disorders[J].Neuromuscul Disord,2005,15:17-33.
[7]中华人民共和国国家质量监督检验免疫总局.中华人民共和国国家标准·文献著录·第一部分·总则[S]. 2009:5.
[8]钱同,蒋旭宏,裘昌林.裘昌林中医治疗重症肌无力经验[J].浙江中西医结合杂志,2016,26(8):687-690.
[9]张诚,陈金亮,胡军勇.中医对重症肌无力病因病机的探讨[J].光明中医,2000,15(91):12-14.
[10]张志慧,陈金亮,胡军勇.重症肌无力危象中医病因病机探讨[J].辽宁中医杂志,2009,33(10):1268-1269.
[11]朱卫士,张静生.浅析重症肌无力与痿证的异同[J].辽宁中医药大学学报,2009,11(7):21-22.
[12]双晓萍,谭子虎.近30年重症肌无力中医证型和用药规律分析[J].辽宁中医药大学学报,2015,17(1):149-151.
[13]刘少云.尚尔寿教授诊治重症肌无力经验摭拾[J].中医药学刊,2001(19):306.
[14]林丽,曹惠芬,孟如.中医辨证论治重症肌无力临床总结[J].云南中医中药杂志,2000,21(3):15-16.
[15]石卫东.中医辩证治疗重症肌无力20例[J].光明中医,2008,23(10):1487.
[16]刘亚军,满运军,王佳,等.重症肌无力中医辨证与西医分型及疗效探讨[J].北京中医药,2009,28(3):206-207.
[17]刘友章,宋雅芳,蓝海,等.重症肌无力脾虚湿热病机探析[J].中华中医药学刊,2009,26(2):229-230.
[18]洪霞,郭春莉,宁侠,等.周绍华治疗重症肌无力经验[J].中医杂志,2016,57(13):1093-1094.
[19]周兴莲,李广文.李广文主任医师对重症肌无力的诊治特色[J].光明中医,2016,31(16):2327-2330.
[20]刘畅,赫群.针灸治疗重症肌无力型上胞下垂55例[J].实用中医药杂志,2017,33(11):1306-1307.
[21]徐兴华,代东良,方晓丽.“温通针法”针刺风池穴为主治疗眼肌型重症肌无力30例[J].中国针灸,2016,36(9):939.
[22]刘新娟,谢强.谢强教授升阳祛霾针灸法治疗眼肌型重症肌无力[J].光明中医,2017,32(19):2761-2762.
[23]钟仲义,林琼,苏仙英,等.足反射疗法治愈下肢重症肌无力一例报告[A]. 2000足部反射区健康法全国研讨会会议交流文集[C]. 2000.
[24]宋彬彬.常规西药联合补脾强力汤治疗重症肌无力疗效观察[J].实用中西医结合临床,2017,11(17):46-47.
[25]李华岳,石世华.针刺联合贞芪扶正胶囊与单用中药对重症肌无力的疗效观察[J].中国实验方剂学杂志,2010,9,16(12):191-192.
[26]薛银萍,乞国艳,董会民,等.参芪扶正注射液在重症肌无力激素冲击治疗过程中的应用[J].广东医学,2016,37(24):3754-3756.
[27]吴相春,陈金亮,吴以岭,等.中西医结合治疗ⅡA型重症肌无力75例临床观察[J].中国中西医结合杂志,2006,26(1):82-83.
[28]邓铁涛,刘友章,刘小斌.中西医结合抢救26例重症肌无力危象[J].广州中医药大学学报,2004,21(5):344-346.
[29]王勤鹰,余敏,姜嘟嘟,等.重症肌无力中医证治与进展[J].中国医药导刊,2017,12(19):1328-1332.
[30]黄子天.国医大师邓铁涛学术经验传承研究[D].广州:广州中医药大学,2016.