从“肝肾同源”论治强直性脊柱炎伴发葡萄膜炎探析  

Treatment of ankylosing spondylitis with uveitis from “liver and kidney being of the same source”

作　　者：高媛 徐春龙[1] 刘正立[1] 吴加亮[1] 欧阳云[1] GAO Yuan;XU Chunlong;LIU Zhengli(Yancheng Hospital of Traditional Chinese Medicine Affiliated of Nanjing University of Chinese Medicine,Yancheng 224000,China)

机构地区：[1]南京中医药大学附属盐城市中医院,盐城224000

出　　处：《中国中医眼科杂志》2020年第5期350-352,362,共4页China Journal of Chinese Ophthalmology

基　　金：江苏省“双创博士”资助项目;2018年盐城市医学科技发展计划项目(YK2018033);2016年盐城市中医院科研项目(YB201614)。

摘　　要：强直性脊柱炎是一种慢性非特异性炎症性疾病,主要侵犯骶髂关节、脊柱及旁软组织,其中葡萄膜炎是最常见的关节外表现。青壮年患者多以急性或反复发作的葡萄膜炎就诊。西医学主要以局部对症治疗为主,有一定的副作用,且病情容易反复。因此,笔者基于“肝肾同源”理论,探析了本病的病因病机,围绕“肝肾同治”基本治则,提出了三种治法,不仅体现了中医的整体观,而且彰显了中医的治未病的思想。笔者强调需重视强直性脊柱炎伴发葡萄膜炎患者的早期诊断与综合治疗,提高本病的整体疗效。Ankylosing spondylitis is a chronic,non-specific inflammatory disease,which primarily invades the sacroiliac joint,spine,and paraspinal soft tissues,of which uveitis is the most common extra-articular manifestation.Young and middle-aged patients are often treated with acute or recurrent uveitis.Western medicine is mainly based on local symptomatic treatment,which has some certain side effects,and the condition is easy to repeat.Therefore,based on the theory of the liver and kidney being of the same source,the author explored the etiology and pathogenesis of this disease,and proposed three treatment methods around the basic principle of liver and kidney together,which not only embodied the holistic view of Traditional Chinese Medicine,but also highlighted the idea of preventive treatment of disease of traditional Chinese medicine.To improve the overall effect of the disease,early diagnosis and comprehensive treatment were emphasized in patients of ankylosing spondylitis with uveitis.

关 键 词：强直性脊柱炎 葡萄膜炎 中医药 肝肾同源 

分 类 号：R773.9[医药卫生—眼科]