闵仲生对关节病型银屑病辨证论治经验  

MIN Zhongsheng's Treatment Based on Syndrome Differentiation in Psoriatic Arthritis

作　　者：王丹旭 闵仲生[1] 

机构地区：[1]南京中医药大学附属医院,南京210029

出　　处：《浙江中医药大学学报》2017年第11期870-872,共3页Journal of Zhejiang Chinese Medical University

摘　　要：[目的]探讨闵仲生教授辨证治疗关节病型银屑病的学术观点和临床经验。[方法]通过跟师学习、整理临床医案等方式,从病因病机、辨证论治、治疗原则与方法等论述闵仲生教授治疗关节病型银屑病的学术观点和临床经验,总结其用方,并举一经典案例予以佐证。[结果]闵仲生教授认为关节病型银屑病的致病因素主要概括为"湿""瘀""虚"。通常患者因外感风、寒、湿、热之邪,邪毒留滞肌表及骨节,致气血瘀滞,经络失和,出现关节屈伸活动不利,病久转为肝肾亏虚等虚证之象。同时提出关节病型银屑病的治疗应把握"早期发现、同时治疗、及早干预、树立信心"十六字原则。[结论]闵仲生教授将关节病型银屑病分为风湿阻络、寒热错杂、肝肾亏虚三型,治疗上分别以祛风除湿、散寒止痛、凉血活血、补益肝肾为主,临床上行之有效,值得推广应用。[Object]To explore the academic view and clinical experience of Professor MIN ＇s treatment based on syndrome differentiation in psoriatic arthritis. [Methods] Through the study with MIN, organising clinical medical case, discussing Professor MIN ＇s academic view and clinical experience in psoriatic arthritis from the etiology and pathogenesis, treatment based on syndrome differentiation, principles and methods,summing up prescription, and stating a classic case as an evidence. [Results] Professor MIN summarizes the pathogenesis of psoriatic arthritis as＂dampness＂,＂stasis＂and＂weakness＂.The exogenous wind, cold, dampness and heat evils, left in the muscle and joints,leading to qi stagnation and blood stasis, meridian discord and active barrier, ultimately to liver and kidney deficiency. Professor MIN also suggests that the treatment of psoriatic arthritis should grasp the principle of sixteen words＂Detect Early, Treat Simultaneously,Intervene Early, Make Confidence＂.[Conclusion] MIN Zhongsheng＇s treatment based on syndrome differentiation in psoriatic arthritisis is clinically effective and has the value of popularization and application.

关 键 词：银屑病 关节病型 辨证论治 寒热错杂 闵仲生 医案 临床经验 

分 类 号：R658[医药卫生—外科学]