朱丹溪痹证论治特色探析  

Analysis of The Characteristics of ZHU Dan-xi's Treatment on Bi Syndrome

作　　者：翟争 巩勋[2] 崔家康 姜泉[2] ZHAI Zheng;GONG Xun;CUI Jia-kang;JIANG Quan(Zhejiang Chinese Medical University,Hangzhou 310000,China;Guang an'men hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]浙江中医药大学,杭州310000 [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》2020年第5期583-584,612,共3页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：国家重点研发计划(SQ2018YFC170323)-类风湿关节炎中医药治疗方案优化及循证评价研究;国家青年科学基金项目(81704063)-基于NLRP3炎症小体与SQSTM1/p62平衡探讨清热活血方药在RA治疗中的抗炎机制。

摘　　要：朱丹溪提出"阳常有余,阴常不足""相火论"而蜚声医林,后世称之为"滋阴派"创始人。对痹证诊疗亦颇有建树。立痛风名使痹痿分,提出血虚内热挟痰瘀而致痹,在痹证诊疗全过程处处体现阳有余阴不足的学术思想,如忌辛散燥热劫阴,顾护阴液。富有创造性的提出痹证痰瘀同治,更配合针灸等中医特色疗法圆机活法,同病异治。同时提出痹证养生调摄之法度,形成了较为完整的痹证论治思想,为后世风湿性疾病的辨证、诊疗提供了宝贵的借鉴价值。ZHU Dan-xi proposed that"there is always more than Yang,the Yin is often insufficient"and"phase fire theory".So he is famous in the medical forest.Later generations called him the founder of"Zi Yin School".He has also made great achievements in the diagnosis and treatment of phlegm and blood stasis.The name of the gout is made to discuss flaccid syndrome Bi syndrome.It is suggested that blood deficiency,internal heat,phlegm and blood stasis cause Bi syndrome.The whole process of diagnosis and treatment reflects the lack of Yin and the surplus of Yang:avoiding damaging of dryness-heat,and protecting the Yin liquid.Creatively putting forward to Combined treatment of phlegm and blood stasis,and do not forget the special treatments of traditional Chinese medicine such as acupuncture and moxibustion.At the same time,the preserving health method of Bi syndrome is proposed.A relatively complete academic of treating Bi Syndrome is formed.It has valuable reference for the differentiated and diagnosis and treatment of later rheumatic diseases.

关 键 词：痿痹分论 血虚内热 顾护阴液 痰瘀同治 

分 类 号：R255.6[医药卫生—中医内科学]