王承德从湿论治风湿病  

WANG Cheng-de Treats Rheumatism from Dampness

作　　者：黄雪琪 沙正华 林海[2] 王承德 

机构地区：[1]国家中医药管理局对台港澳中医药交流合作中心,北京100027 [2]中国中医科学院广安门医院,北京100053

出　　处：《中国中医基础医学杂志》2017年第8期1121-1123,共3页JOURNAL OF BASIC CHINESE MEDICINE

摘　　要：痹病之根皆源于湿,湿邪致病特点为黏滞、重着、隐袭、秽浊、潮湿、趋下。故基于古代文献对湿与风湿病的论述,从风湿病的病名、病因病机、湿邪致病特点以及祛湿的理法方药进行阐释,说明从湿论治风湿病的重要性。并引用导师王承德"痹必挟湿"的观点,提出对痹病的治疗应注重祛湿,依其寒热不同有温补、清补之异。祛湿之法如化、通、温、渗、燥等,但生湿之源责之于脾,治湿须理脾。治湿之法有祛风除湿、清热利湿、温阳化湿、淡渗利湿、芳香化湿、燥湿祛湿,并提出相应经方和经验用药。临证祛湿应当注重配伍,可收事半功倍之效。Arthromyodynia root comes from dampness. Pathogenic characteristics of the dampress evil is viscous,heavy,insidious,dirty,damp and trend. This article is based on the ancient literature on dampness and rheumatism.Explained from its disease name,etiology and pathogenesis,pathogenic dampness characteristics and dampness physical method,prescription and medicine. Emphasize the importance of treating rheumatism from the theory of dampness. And the author points out the view that ＂Bi is often accompanied by dampness ＂. Its treatment should focus on eliminating dampress. According to the different cold and heat,there are differences between warming up and clearing and mending.Method,such as,turning,throughing,warming,infiltrating,drying etc,But the source of the dampness is the spleen,and it is the root of the dampness. The method is expelling wind and removing dampness,clearing heat and dampness,warming yang and resoluing dampress,light penetration dampness,resolving dampness,eliminating and clearing dampness. And proposed classical prescriptions and medication experience. We should pay attention to the compatibility and reach further better effects.

关 键 词：风湿病 痹病 湿邪 祛湿 王承德 

分 类 号：R255.6[医药卫生—中医内科学]