国医大师朱良春治疗成人斯蒂尔病的经验  

TCM Master ZHU Liangchun’s experience in treating adult-onset Still’s disease

作　　者：金毫林 朱婉华 周子朋[3] 马俊福[3] JIN Haolin;ZHU Wanhua;ZHOU Zipeng;MA Junfu(College of Orthopedics and Traumatology,Henan University of Chinese Medicine,Zhengzhou,Henan 450046,China;Nantong Liangchun Hospital of Chinese Medicine,Nantong,Jiangsu 226001,China;Henan Provincial Hospital of Chinese Medicine,Zhengzhou,Henan 450002,China)

机构地区：[1]河南中医药大学骨伤学院,河南郑州450046 [2]江苏省南通良春中医院,江苏南通226001 [3]河南省中医院,河南郑州450002

出　　处：《湖南中医药大学学报》2023年第2期185-188,共4页Journal of Hunan University of Chinese Medicine

基　　金：国家自然科学基金青年项目(81804050);国家中医临床研究基地专项课题(2021JDZX2123)。

摘　　要：成人斯蒂尔病(adult-onset Still’s disease, AOSD)是一种自身免疫性疾病,其证候多变,病机复杂,属于罕见之病。根据AOSD关节炎和(或)关节痛等临床表现,中医学将AOSD归属于“痹病”范畴。国医大师朱良春认为痹病具有“久病多虚、久病多瘀、久病入络、久病及肾”这一共同核心病机,在此基础上创立自拟方痹通汤。临床上,朱良春教授灵活运用痹通汤加减治疗诸多疑难杂症,均取得显著疗效,充分发挥了中医药的优势。将朱良春教授运用痹通汤加减治疗AOSD的经验加以总结,以期为临床开辟新思路,提供新方法。Adult-onset Still’s disease(AOSD) is autoimmune, and it is rare and difficult to treat due to its changeable syndromes and complex pathogenesis. Based on clinical manifestations such as arthritis and/or arthralgia of AOSD, TCM classifies AOSD as the "bi-impediment disease". TCM Master ZHU Liangchun believes that bi-impediment disease has the common core pathogenesis of "weakness due to chronic disease, blood stasis due to chronic disease, chronic disease into the collaterals, and chronic disease into the kidney". Therefore, he creates the formula of Bitong Decoction. In clinical practice, Professor ZHU flexibly has modified Bitong Decoction to treat many other difficult and miscellaneous diseases, and has achieved significant therapeutic effects, giving full play to the advantages of Chinese medicine. This paper has summarized Professor ZHU Liangchun’s experience in treating AOSD with modified Bitong Decoction, in order to provide perspectives and new methods for its clinical practice.

关 键 词：成人斯蒂尔病 痹病 痹通汤 朱良春 医案 

分 类 号：R259[医药卫生—中西医结合]