中医分型论治类风湿性关节炎关节畸形  

Joint Deformity Due to Rheumatoid Arthritis Treated From the TCM Patterns

作　　者：张永文[1] 张晓立[1] 程艳[1] 

机构地区：[1]南京中医药大学附属南京市中西医结合医院,江苏南京210014

出　　处：《河南中医》2016年第7期1294-1296,共3页Henan Traditional Chinese Medicine

摘　　要：类风湿性关节炎病程日久,失治误治,痰瘀阻络,或劳欲过度,损伤肾气,或年老体虚,肾元不固,肌肉筋骨失其濡养,皆可导致关节畸形。类风湿性关节炎关节畸形的中医病因有:病久失治,素体虚弱,年老体衰。其病机特点:久病则瘀血阻络,多兼痰浊阻络,病久则肝肾不足,气血两虚。该病可分为瘀血阻络证、痰瘀痹阻证、气血两虚证、肝肾不足证等。由于瘀血阻络是RA关节畸形的重要发病机制,故活血通络是治疗的基本法则。Chronic rheumatoid arthritis （RA） or mistreatment of RA may lead to phlegm and blood stasis obstructing the collater- als：or excessive sexual activity indulgence may impair kidneyqi;or aging and weak constitution resulting in non-consolidation of the kidney vital qi and malnutrition of the muscles,tendons and bones. All the above can induce joint deformity. The TCM causes of joint deformity due to RA include ： chronic RM, mistreatment, weak constitution and aging. The pathogenesis has the features as ： long-term disease leading to blood stasis obstructing the collaterals ,commonly complicated with phlegm turbidity blocking the collaterals;long-term illness leading to deficiency of the liver,kidney,qi and blood. This disease can be classified into syndrome of blood stasis obstructing the collaterals, syndrome of blood stasis and phlegm obstruction, syndrome of qi and blood deficiency, syndrome of liver and kidney insufficiency. Since blood stasis obstructing the collaterals is the important pathogenesis of the joint de- formity of RA, activating blood flow and dredging collaterals is the basic treatment principle.

关 键 词：类风湿性关节炎 关节畸形 分型论治 瘀血阻络证 痰瘀痹阻证 气血两虚证 肝肾不足证 

分 类 号：R274.984.3[医药卫生—中西医结合]