四藤一仙汤加味治疗SAPHO综合征1例  

A case of SAPHO syndrome treated with Modified Siteng Yixian Decoction

作　　者：路理杰 李军祥[1] 石磊[1] 李晓红[1] 陈晓伟[1] LU Lijie;LI Juxiang;SHI Lei;LI Xiaohong;CHEN Xiaowei(Department of Spleen,Stomach,and Hepatobiliary,Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China)

机构地区：[1]北京中医药大学东方医院脾胃肝胆科,北京100078

出　　处：《中国医药导报》2023年第32期180-183,共4页China Medical Herald

基　　金：国家自然科学基金青年科学基金资助项目(82004113);国家中医药管理局中医药传承与创新“百千万”人才工程(岐黄工程)岐黄学者项目[国中医药人教发[2018]12号];国家中医药管理局全国老中医药专家学术经验继承工作项目(国中医药人教函[2022]76号)。

摘　　要：SAPHO综合征是一种主要累及骨关节和皮肤的炎症性疾病,临床发病率低,极易误诊,西医目前尚未形成系统而完善的治疗方案。本研究通过描述1例SAPHO综合征患者中医诊疗过程,患者以全身骨关节疼痛为主要症状,中医辨证为骨痹,认为其肝肾不足、脾胃虚弱为本,气滞、湿热、瘀血为标,标本兼治,以祛风除湿、养血通络、平补肝肾、健脾疏肝为治则,选用名老中医施今墨先生的经验方——四藤一仙汤加味,治疗后患者骨痛症状明显缓解。本研究中医诊疗过程详实,充分发挥中医整体观念及辨证论治优势,临床效果佳,为治疗SAPHO综合征提供临床思路。SAPHO syndrome is an inflammatory disease mainly involving bone,joint,and skin,with low clinical incidence and easy misdiagnosis.Western medicine has not yet developed a systematic and perfect treatment plan.This study describes the traditional Chinese medicine diagnosis and treatment process of a patient with SAPHO syndrome,the patient with systemic bone and joint pain as the main symptom,traditional Chinese medicine syndrome differentiation for bone impediment,it is considered that the deficiency of liver and kidney,weakness of spleen and stomach is the basis,qi stagnation,dampnesss and heat,blood stasis is the standard,and the symptoms and root causes are treated with dispelling wind and removing dampness,nourishing blood and dredging channels,tonifying both liver and kidney,strengthening spleen and soothing liver,the famous old Chinese medicine Mr.Shi Jinmo’s experience prescription-Siteng Yixian Decoction were choosed,the symptoms of bone pain were significantly relieved after treatment.In this study,the diagnosis and treatment process of traditional Chinese medicine is detailed and accurate,giving full play to the overall concept of traditional Chinese medicine and the advantages of syndrome differentiation and treatment,and the clinical effect is good,providing clinical ideas for the treatment of SAPHO syndrome.

关 键 词：SAPHO综合征 骨关节疼痛 中医药治疗 四藤一仙汤 

分 类 号：R587[医药卫生—内分泌]