姜良铎教授辨治进行性骨化性肌炎学术经验  

Academic experience of professor Jiang Liangduo in the treatment of myositis ossificans progressiva

作　　者：邓亚萍 王兰[1,2] 梁思灵 李世清 DENG Yaping;WANG Lan;LIANG Siling;LI Shiqing(Department of Emergency,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing100700,China;Jiang Liangduo Famous Doctor Inheritance Workstation,Beijing100700,China)

机构地区：[1]北京中医药大学东直门医院急诊科,北京100700 [2]姜良铎名医传承工作站,北京100700

出　　处：《中国医药导报》2020年第15期151-154,共4页China Medical Herald

基　　金：北京中医药薪火传承“3+3”工程项目姜良铎名医传承工作站(2014-SZ-C-54)。

摘　　要：进行性骨化性肌炎是一种罕见的严重致残性疾病,主要表现为肌腱、韧带、筋膜、腱膜、横纹肌等异位骨形成,病理生理机制尚未完全明确,目前研究表明本病与激活素A型受体突变有关,尚无具体、有效的治疗方法。中医古籍中无“进行性骨化性肌炎”的相关记载,现代医者多将本病归为“痹症”范畴,治疗多以活血化瘀、舒筋活络等为主。姜良铎教授认为本病的病机为肾虚、热毒蕴结于营血分,故治疗以补肾清营、凉血解毒为法,同时在中医药治疗的基础上配合局部低剂量放疗,疗效颇为显著。Myositis ossificans progressiva is a rare and serious crippling disease.It is mainly manifested in the formation of heterotopic bone,such as tendon,ligament,fascia,aponeurosis,striated muscle,etc.The pathophysiological mechanism has not been fully defined.At present,the study shows that the disease is related to the mutation of activin A receptor,and there is no specific and effective treatment.There is no relevant record of“myositis ossificans progressiva”in ancient books of traditional Chinese medicine.Modern doctors mostly classify this disease as“arthralgia”and mainly treat it by promoting blood circulation and removing blood stasis,relaxing muscles and activating collaterals.Professor Jiang Liangduo thinks that the pathogenesis of the disease is kidney deficiency and heat toxin accumulated in the blood.Therefore,the treatment is based on tonifying the kidney,clearing the blood and detoxifying the blood.At the same time,on the basis of traditional Chinese medicine treatment,combined with local low-dose radiotherapy,the effect is quite remarkable.

关 键 词：进行性骨化性肌炎 中医 姜良铎 经验 

分 类 号：R242[医药卫生—中医临床基础]