施杞教授治疗强直性脊柱炎急性期疼痛验案举隅  

Professor SHI Qi's experience in treating acute pain of ankylosing spondylitis

作　　者：笪巍伟[1] 唐德志[1] 王拥军[1] 施杞[2] 

机构地区：[1]上海中医药大学附属龙华医院,上海中医药大学脊柱病研究所,上海200032 [2]不详

出　　处：《中华中医药杂志》2015年第10期3552-3554,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点基础研究发展计划(973计划)(No.2010CB530400);教育部创新团队发展计划项目(No.IRT1270);国家自然科学基金青年基金项目(No.81102604);上海市科委青年科技启明星计划项目(No.14QA1403500);上海市卫生系统新优青培养计划项目(No.XYQ2013085);上海市教育委员会科研创新项目(No.14YZ051);上海高校青年教师培养资助计划项目(No.ZZszy13005)~~

摘　　要：总结施杞教授治疗强直性脊柱炎急性期疼痛的学术思想,认为痰、热、瘀、毒邪阻滞是引起疼痛的重要因素,并根据实验室检查、临床表现,将急性期疼痛症状分为热毒型和痰瘀型两类;施杞教授考虑本病起病隐袭、病程缠绵,通常伴有肝肾内亏、气血闭阻,故临证以活血化瘀为治则,再分别配以清热解毒、化痰通络之法,兼顾肝肾、气血。同时,结合现代科学对症状的病理机制、中药有效成分的研究和分析,更具针对性地配伍用药,往往收效颇佳。To summarized the academic thoughts of professor SHI Qi in treating acute pain of ankylosing spondylitis.He believes that the block of phlegm,heat,blood stasis,poison are the important factors causing the pain.And he divides the pain symptoms into two types as heat-toxin or phlegm-blood stasis according to the laboratory examinations and clinical manifestations.Professor SHI considers the disease＇s insidious onset and lingering course,always with deficiency of liver and kidney,obstruction of qi and blood.Thus he believes that the therapeutic principle for this disease is promoting blood circulation to remove blood stasis,then respectively with clearing away heat and toxic material or eliminating phlegm and freeing channels,combined tonifying the liver-kidney and qi-blood in clinical practice.At the same time,integrating with the research and analysis of modern science on symptoms＇ pathological mechanism and Chinese herbal medicines＇ active components,he applied of drugs more pertinently,which often receive an ideal effect.

关 键 词：强直性脊柱炎 急性期疼痛 名老中医经验 施杞 

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