治痹临证选药  

Medicine for Numbness

作　　者：陈卫东 杜国平 陈丽珍 

机构地区：[1]江西省峡江县人民医院中医骨伤科,江西峡江331409

出　　处：《实用中医内科杂志》2013年第2期114-115,共2页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：风寒湿三气杂至,合而为痹。临证须针对"痹"的特点,因证选药,或选用温热药散"痹";或选用涤痰化瘀药通"痹",或选用扶正补虚药祛"痹",如此方能达到事半功倍效果。根据风寒湿三气之偏盛分别采用祛风散寒、燥湿通络诸法,选用温热药仍正治之法。然外感热邪或寒湿久著或阴血不足,内有郁热与外邪相搏、热与风湿相合而雍阻经脉而致热痹者,辨治仍需选用温热药,盖因气血流通不畅,病邪壅滞经脉,闭阻经络;热痹虽存,纯用寒凉之品直折其热,恐难流通气血,开启闭阻,反招闭门留寇之祸,使热不得泄,痹不得通,病邪深伏,致病情缠绵难愈。Numbness comes as cold, rheumatism and dampness are combined together. In case of that, were supposed to select the proper medicine for the treatment. Aiming at different characteristics of the illness, medicine for expelling wind to dispersing cold, drying dampness or strengthening the spleen are perfect choices. However, to treat the syndrome of pathogenic wind attacking the superficies, the best choice is to use mild but strengthening medicine. Because it comes from stagnation of Qi and blood. If not, the tonic with cold quality arc used directly, itll result in the block of Qi and blood, causing the illness to last for a longer time.

关 键 词：痹证 历节 痛风 温热 涤痰化瘀 中医药治疗 医案 

分 类 号：R255.6[医药卫生—中医内科学]