论“营卫留止”对风湿免疫疾病证治的启示  

Implications of“Yingwei Liuzhi”for treatment of immune rheumatism

作　　者：龚蓓[1] 赵福涛[2] 苏励[1] 孙鼎[1] 茅建春[1] 曲环汝[1] GONG Bei;ZHAO Futao;SU Li;SUN Ding;MAO Jianchun;QU Huanru(Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China;Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)

机构地区：[1]上海中医药大学附属龙华医院,上海200032 [2]上海交通大学医学院附属第九人民医院,上海200011

出　　处：《上海中医药杂志》2023年第12期64-66,共3页Shanghai Journal of Traditional Chinese Medicine

基　　金：上海市卫健委华东片区及市级中医专科专病联盟建设项目(ZY[2021-2023]-0302);上海市卫健委中西医临床协作试点项目(ZY[2018-2020]-FWTX-1009);上海中医药大学后备卓越中医人才项目(2020年度);龙华医院重大成果培育计划专项(CG2022009)。

摘　　要：在深入探析《内经知要》中“营卫留止”本义的基础上,认为其描述了营气与卫气不协调、不畅达的状态,可看作痹病的内因之一。结合现代风湿免疫疾病中部分血管炎的临床表现,探讨“营卫留止”思想对于临床诊疗的启示意义,从而丰富对于风湿免疫疾病的中医证治认识。并附评医案1则。Based on an in-depth analysis of the original meaning of“Yingwei Liuzhi”(lingered nutrient qi and defense qi)in the book Neijing Zhiyao(Abstracts of Classic of Internal Medicine),we believe that this term describes an uncoordinated and obstructed state between the nutrient qi and defense qi,which may contribute to the development of Bi syndrome.By connecting this concept with clinical manifestations of certain vasculitis in modern immune rheumatism,we explore the insightful implications of“Yingwei Liuzhi”in clinical diagnosis and treatment,thereby enriching our understanding on traditional Chinese medicine syndrome differentiation and treatment of immune rheumatism.One case is presented for comment.

关 键 词：风湿免疫疾病 痹病 中医理论 病因病机 中医药疗法 

分 类 号：R259[医药卫生—中西医结合]