李庚和中西医结合辨治重症肌无力经验  

LI Genghe's Experience in Differentiating and Treating Myasthenia Gravis

作　　者：竺世静 李庚和[1] ZHU Shijing;LI Genghe(Shanghai Municipal Hospital of Traditional Chinese Medicine,Shanghai 200071,China)

机构地区：[1]上海市中医医院,上海200071

出　　处：《山东中医杂志》2018年第12期1015-1017,共3页Shandong Journal of Traditional Chinese Medicine

摘　　要：李庚和教授认为重症肌无力属中医虚劳范畴,病因病机为脾肾虚损、真气不足,临床可分为脾虚气弱、脾肾气阴两虚、脾肾阳虚3种证型,治疗以升阳益气、健脾补肾为总法,基本方以补中益气汤化裁,并根据不同证型随症加减,病情急迫时配合使用西药控制病情发展。列举验案1则以说明疗效。Professor Li Genghe holds that myasthenia gravis belongs to consumptive disease in traditional Chinese medicine and the pathogenesis of the disease is deficiency of spleen,kidney and genuine qi.She divides myasthenia gravis into three syndromes :spleen deficiency and qi weakness syndrome,qi and yin deficiency of spleen and kidney syndrome and yang deficiency of spleen and kidney syndrome.In treatment, raising yang and benefiting qi,strengthening spleen and kidney are the general methods,and the basic formula for the disease is modified from Buzhong Yiqi Decoction.For different syndrome,the basic formula should vary with the symptoms.If the disease is urgent,Professor LI also choose western medicines to control its progression.A case is listed to illustrate the efficacy.

关 键 词：重症肌无力 中西医结合 辨治经验 李庚和 

分 类 号：R249[医药卫生—中医临床基础] R277.7[医药卫生—中医学]