张华东教授运用路志正“持中央”理论辨治纤维肌痛综合征的经验总结  

Summary of Professor Zhang Huadong’s experience in treating fibromyalgia syndrome by using Lu Zhizheng’s theory of“hold the center”

作　　者：梅晴晴 张华东[2] 周新尧[2] 江梦瑶 任赵洋 吴长怡 王玉清 李亚青 MEI Qingqing;ZHANG Huadong;ZHOU Xinyao;JIANG Mengyao;REN Zhaoyang;WU Changyi;WANG Yuqing;LI Yaqing(Graduate School,Anhui University of Chinese Medicine,Anhui Province,Hefei 230038,China;Department of Rheumatology,Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100032,China;Graduate School,Guizhou University of Traditional Chinese Medicine,Guizhou Province,Guiyang 550002,China;Graduate School,Inner Mongolia Medical University,Inner Mongolia Autonomous Region,Hohhot 010110,China)

机构地区：[1]安徽中医药大学研究生院,安徽合肥230038 [2]中国中医科学院广安门医院风湿科,北京100032 [3]贵州中医药大学研究生院,贵州贵阳550002 [4]内蒙古医科大学研究生院,内蒙古呼和浩特010110

出　　处：《中国医药导报》2023年第7期127-130,147,共5页China Medical Herald

基　　金：国家自然科学基金青年科学基金资助项目(81804069);中国中医科学院科技创新工程课题(C12021A01510)。

摘　　要：本文介绍张华东教授运用国医大师路志正“持中央”理论辨治纤维肌痛综合征的经验。张华东教授传承国医大师路志正“持中央”理论,认为本病的核心病位在于脾胃。本文深刻剖析“持中央,运四旁”理论,强调脾胃化生气血,濡养其余四脏及四肢百骸的重要性;更分别详述“怡情志”理论与“持中央,调升降”机制,指出气血通畅、情志得怡对纤维肌痛综合征的重要性。本病临床证型较为复杂,临床以气血不足、气滞血瘀、湿阻中焦证多见,治疗上强调以固护脾胃为核心,选方灵活,临床良效颇佳。This article introduces Professor Zhang Huadong’s experience in treating fibromyalgia syndrome with the theory of“hold the center”of Chinese medical master Lu Zhizheng.Professor Zhang Huadong inherits the theory of“hold the center”of Chinese medicine master Lu Zhizheng,and believes that the core disease of this disease lies in the spleen and stomach.This paper deeply analyzes the theory of“hold the center and move the four sides”,emphasizing the importance of the spleen and stomach to produce qi and blood,and to nourish the other four viscera and limbs.Furthermore,the theory of“adjust the emotion”and the mechanism of“hold the center,adjust the rise and fall”are discussed respectively,and the importance of unobstructed qi and blood and happy mood for fibromyalgia syndrome is pointed out.The clinical syndrome type of this disease is more complex,and the clinical syndrome of insufficient qi and blood,stagnation of qi and blood stasis,damp obstruction middle jiao are more common.The treatment emphasizes on strengthening and protecting the spleen and stomach as the core,the selection is flexible,and the clinical effect is quite good.

关 键 词：持中央 纤维肌痛综合征 分证论治 

分 类 号：R249[医药卫生—中医临床基础]