类风湿关节炎湿热证候的研究进展  

Research progress on damp heat syndrome of rheumatoid arthritis

作　　者：刘蔚翔 姜泉[1] LIU Wei-xiang;JIANG Quan(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]中国中医科学院广安门医院,北京100053

出　　处：《中华中医药杂志》2023年第1期251-256,共6页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点研发计划(No.2018YFC1705202);中国中医科学院科技创新工程重大攻关项目(No.CI2021A01501)。

摘　　要：近年来中医学术界对类风湿关节炎中医核心证候日渐关注,《类风湿关节炎病证结合诊疗指南》确立了包括湿热在内的八大证候。本课题组前期在全国多中心完成了千人级的证候调查,确立了湿热证候作为类风湿关节炎的核心证候,创新性提出类风湿关节炎“湿、热、瘀”核心病机理论。文章将从其历代阐论、核心病机、临床论治、客观化指标研究及展望等方面对类风湿关节炎湿热证候的研究进展进行梳理,旨在为类风湿关节炎核心证候的进一步深入研究提供参考。In recent years,more and more attention has been paid to the core traditional Chinese medicine(TCM)syndromes of rheumatoid arthritis.The Guidelines for the Combination of Rheumatoid Arthritis Disease and Syndrome Diagnosis and Treatment has established eight major syndromes,including damp heat.Our research group completed the syndrome survey of more than 1000 people in multiple centers across the country in the early stage,established the damp heat syndrome as the core syndrome of rheumatoid arthritis,and innovatively proposed the core pathogenesis theory of rheumatoid arthritis,namely’dampness,heat and blood stasis’.This paper discusses the research progress of rheumatoid arthritis damp heat syndrome from the aspects of its historical interpretation,core pathogenesis,clinical treatment,objective index research and prospect,in order to provide reference for the further research of rheumatoid arthritis core syndrome.

关 键 词：类风湿关节炎 尪痹 湿热 中医药 核心证候 清热活血方 

分 类 号：R259[医药卫生—中西医结合]