回纹型风湿症与周痹刍议  

Study of Panlindromic Rheumatism and Panodynia

作　　者：阎小萍[1] 

机构地区：[1]中日友好医院,北京100029

出　　处：《中华中医药杂志》2007年第6期373-375,共3页China Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：文章对于回纹型风湿症的涵义、临床表现、诊断治疗及研究进展进行总结。根据其临床特点,认为回纹型风湿症酷似《黄帝内经》之“周痹”,并进一步探讨周痹的病因病机、理论渊源和临床诊治;且提出周痹的辨证论治应分为发作期和缓解期。对于前者应重在清热祛风、除湿通络;对于后者则应根据证候不同分别予以双调脾肺、化湿祛痰,或补益肝肾、滋阴清热,或温补脾肾等治法。希冀能促使周痹及周痹与回纹型风湿症的关系等问题得到更深入的探讨与研究。This article summarized the definition, clinical manifestation, diagnosis and the development in research of Panlindromic Rheumatism （PR）. According to the clinical characteristics of PR, we considerd that it was very much like ＂panodynia＂ in traditional Chinese medicine （TCM） as described in Inner Canon of Huangdi . It discussed the pathogenesis, the theorical source, the diagnosis and treatment of panodynia further. And it suggested that the treatment of panodynia based on syndrome differentiation should be different in the acute and the chronic phase. In the acute phase, principle of removing heat, expelling wind, eliminating dampness and freeing the connecting channels should be applied while in the chronic phase principle of supplementing the spleen and boosting the lung, eliminating dampness and clearing away the phlegm rheum, supplementing the liver and boosting the kidney , supplementing yin and clearing away heat, warming the spleen and recuperating the kidney should be applied respectively according to different clinical manifestation. The theory of ＂To treat the one going to be sick not the one already sick＂ in the Inner Canon of Huangdi is implied in the paper. We hope this paper may arouse intensive discussion and more research for panodynia and the relation between panodynia and PR.

关 键 词：风湿病 回纹型风湿症 周痹 中医药疗法 诊断 

分 类 号：R255.6[医药卫生—中医内科学]