国医大师周仲瑛教授治疗类风湿关节炎经验  

Experience of traditional Chinese medicine master professor ZHOU Zhong-ying in treating rheumatoid arthritis

作　　者：周生花[1] 周计春[2] 刘龙 

机构地区：[1]河南省中医院,郑州450002 [2]河北医科大学中医学院,石家庄050017 [3]长海医院中医系,上海200433

出　　处：《中华中医药杂志》2014年第8期2502-2504,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：同济大学"中医大师传承人才培养项目"(No.国中医药函[2008]185)~~

摘　　要：国医大师周仲瑛教授学验俱丰,尤善于疑难杂病的辨治。文章总结了周仲瑛教授诊治类风湿关节炎的学术思想和临证经验。周教授认为:先天禀赋不足是类风湿关节炎发病的主要原因,风寒湿热是致病原因,但更是重要的病理因素。本病中晚期病机主要是本虚标实、虚实夹杂,肝肾亏虚、气血不足为本,痰瘀互结、风湿痹阻为标。对该病的辨治首明辨寒热属性,次区别邪正虚实。方药运用上注重根据病位选药,对药增效,藤类引经,虫类药物应用及专病专药。Traditional Chinese medicine master professor ZHOU Zhong-ying is famous for his abundant academic experience and effective management of many difficult and miscellaneous diseases. This article sums up the academic thought of professor ZHOU in treating rheumatoid arthritis （RA）. Professor ZHOU believes that inherent weakness is the main cause of RA. Wind-cold and dampness-heat are not only the major cause, but also the pathogenic factors. In the advanced stages, the main disease mechanism is deficient in origin and excessive in superficiality, with actual situation mixture and the deficiency of liver and kidney, deficiency of qi and blood as the origin cause, with phlegm and stasis, cold-dampness blockage as the superficiality. The diagnostics should determine cold or heat firstly, and discriminate deficient or excessive secondly. The treatment plan and drug selection should base on disease location, use synergized medications, lead by rattan herbs, combine with insect drugs.

关 键 词：周仲瑛 国医大师 临证经验 类风湿关节炎 

分 类 号：R249[医药卫生—中医临床基础] R259[医药卫生—中医学]