李铁教授经方治疗阿狄森氏病1例经验总结  

Professor Li Tie’s experience in the treatment of Adison’s disease

作　　者：汪莉 李铁 周正国 WANG Li;LI Tie;ZHOU Zheng-guo(Dalian Integrated Traditional Chinese and Western Medicine Hospital,Dalian 116011,China)

机构地区：[1]大连市中西医结合医院

出　　处：《中国实用医药》2019年第28期96-97,共2页China Practical Medicine

摘　　要：阿狄森氏病在中医历代医家未见系统论述,但结合本病临床表现,李铁教授认为,其与"黑疸"、"女劳疸"、"虚劳"等有类似之处.患者在发病后期可出现全身性黑色素沉着,尤以脸部出现最为明显.虽然本病的病因病机可以从外感六淫,邪气久积而向元阳不足、命门火衰转化,从肾论治为治疗本病之大法.临床以和缓为主,以经方八珍汤加减,辅助以益气养阴、化湿解毒等法.以调和阴阳,改善患者免疫.在众多交杂的病证中先理胃气,养胃阴,收到了较好的临床效果.Adison’s disease has not been systematically discussed by physicians in the past dynasties of traditional Chinese medicine,but according to its clinical manifestations,Professor Li Tie believes that it has similarities with"black jaundice","coital jaundice"and"consumptive disease".Patients may have systemic melanin deposition in the later stage of the disease,especially in the face.Although the etiology and pathogenesis of this disease can be transformed from six exogenous pathogenic factors,chronic accumulation of evil Qi to kidney-yang insufficiency and life-gate fire deficiency,and the treatment of this disease from kidney is the main method.Palliation is the main method in clinic,with the addition and subtraction of the classical prescription Bazhen Decoction,supplemented by the methods of invigorating Qi and nourishing yin,removing dampness and detoxification,in order to regulate Yin and Yang and improve the immunity of patients.In many mixed diseases and syndromes,first regulating stomach qi and nourishing stomach yin have received good clinical effect.

关 键 词：阿狄森氏病 女劳疸 黑疸 

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