产后痹的证治  

Syndrome differentiation and treatment of postpartum arthralgia

作　　者：李满意 刘红艳 娄玉钤 LI Man-yi;LIU Hong-yan;LOU Yu-qian(Henan Rheumatism Hospital,Henan Rheumatism Research Institute,Zhengzhou 450045,China)

机构地区：[1]河南风湿病医院,河南风湿病研究所,郑州450045

出　　处：《中华中医药杂志》2020年第2期726-728,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：河南省中医药科学研究专项课题(No.2018ZY3012)。

摘　　要：产后痹为临床常见风湿病(痹病),西医不能明确诊断,而无法有效治疗,研究总结出产后痹的证治方药、规律,以提高临床疗效,奠定产后痹的研究基础。收集研究历代医家论治产后痹的经验,特别是娄多峰教授的虚邪瘀痹病理论,结合临床实践,总结出产后痹的病因病机(虚、邪、瘀)和证治方案(辨证分为:气血亏虚、风寒阻络,营卫失和、外邪痹阻,脾肾阳虚、寒湿阻络,肝肾阴虚、筋脉失养,瘀血凝滞、外邪痹阻,血虚肝郁、气机郁滞6型)。临床应用,取得良好的效果。Postpartum arthralgia is a common rheumatic disease(arthralgia disease)in clinic.Western medicine can’t make clear diagnosis,so can’t treat it effectively.To collect and study the experience of doctors in past dynasties in treating postpartum arthralgia,especially professor LOU Duo-feng’s theory of deficiency,evil and stasis Bi,and summarize the etiology and pathogenesis(deficiency,evil and stasis)and treatment plan(syndrome differentiation can be divided into six types:deficiency of qi and blood,cold and wind blocking collaterals,disharmony of ying and wei,obstruction of external pathogenic factors,deficiency of spleen and kidney yang,obstruction of cold and dampness,deficiency of liver and kidney yin,deficiency of muscles and channels,stagnation of blood stasis,obstruction of external pathogenic factors,stagnation of blood and liver,stagnation of qi).Clinical application has achieved good results.

关 键 词：产后痹 风湿病 痹病 中医药 虚、邪、瘀 辨证论治 

分 类 号：R249[医药卫生—中医临床基础] R271.43[医药卫生—中医学]