宗气与重症肌无力辨治  

Zongqi and Differentiation and Treatment of Myasthenia Gravis

作　　者：冉宁晶[1] RAN Ningjing(Department of Neurology,Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China)

机构地区：[1]成都中医药大学附属医院神经内科,成都610075

出　　处：《实用中医内科杂志》2018年第10期15-17,共3页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：重症肌无力是一种由神经-肌肉接头处传递功能障碍所引起的自身免疫性疾病,与中医痿证接近。宗气为人体气机之根本。重症肌无力发病多与清阳不升,大气下陷有关,病因与宗气相关,病位在肌肉及血脉,患者肺脾肾亏虚致宗气不足,或由气滞血瘀痰凝等因素致宗气瘀滞,病性多虚实夹杂。除了传统的脏腑辨证外,尚需从气的不同层次来分析脏腑虚实及邪正关系。重症肌无力患者均于清晨或傍晚加重,亦可多变。病程迁延,可自发减轻缓解。感冒、情绪激动、过劳、月经来潮、使用麻醉、镇静药物、分娩、手术等常使病情复发或加重;过度悲伤、生气、感冒、急性支气管炎、妊娠或分娩等都可加重肌无力症状。附重症肌无力验案1则。Myasthenia gravis is an autoimmune disease caused by neuromuscular junction dysfunction,which is close to impotence syndrome.Zongqi is the root of human Qi.The incidence of myasthenia gravis is mostly related to the absence of clear Yang,the depression of atmosphere,the etiology of which is related to zongqi,the location of disease is in muscle and blood vessel,the deficiency of lung,spleen and kidney leads to deficiency of Qi,or the stagnation of Qi caused by stagnation of Qi,blood stasis and phlegm coagulation,etc.Therefore,in addition to the traditional syndrome differentiation of zang-fu organs,it is necessary to analyze the relationship between deficiency and deficiency of zang-fu organs and evil and righteousness from different levels of Qi.Myasthenia gravis patients are aggravated in the morning or evening,also variable.The course of the disease may be postponed fromRelief and relief.Colds,emotional agitation,overstrain,menstruation,use of anesthesia,sedative drugs,labor,surgery,and so on often make the disease relapse or aggravation;excessive sadness,anger,cold,acute bronchitis,pregnancy or childbirth can aggravate myasthenia symptoms.1 cases of myasthenia gravis are attached.

关 键 词：重症肌无力 痿证 宗气 病因 病机 

分 类 号：R277.7[医药卫生—中医学]