伏邪与重症肌无力的发病关系探讨  

Discussion on the relationship between hidden pathogens and myasthenia gravis

作　　者：吴雷 张冬梅[2] 吕志国[2] 兰天野[2] 王百通 卢靖[2] 常天瀛 徐鹏[2] 张艺缤 亢泽峥 吴桐 徐寒莹 陈助明 王健[2] WU Lei;ZHANG Dongmei;LV Zhiguo;LAN Tianye;WANG Baitong;LU Jing;CHANG Tianying;XU Peng;ZHANG Yibin;KANG Zezheng;WU Tong;XU Hanying;CHEN Zhuming;WANG Jian(College of Traditional Chinese Medicine,Changchun University of Chinese Medicine,Changchun 130117,China;Affiliated Hospital of Changchun University of Chinese Medicine,Changchun 130021,China)

机构地区：[1]长春中医药大学中医学院,长春130117 [2]长春中医药大学附属医院,长春130021

出　　处：《吉林中医药》2024年第6期621-624,共4页Jilin Journal of Chinese Medicine

基　　金：国家重点研发计划“中医药现代化”重点专项项目(2022YFC3501301);吉林省科技发展计划项目(20220203162SF)。

摘　　要：伏邪理论源于《黄帝内经》,属于中医病因学范畴,后经诸多医家发挥,在指导中医临证上有着较为广泛的应用。国医大师任继学教授提出的“伏邪致病”理论应用到多种疾病中效果显著。重症肌无力具有病情迁延难愈,反复发作的特点,究其根本在于伏邪潜藏,稽留不去。脾肾虚损是伏邪潜藏的根本,影响筋脉经络、气血津液、营卫失调三个方面。因此本篇基于“伏邪致病”的角度,探索重症肌无力的病因病机,以求为重症肌无力的中医防治提供新的理论指导。The theory of hidden pathogens originates from the Huangdi Neijing,and belongs to the category of etiology of traditional Chinese medicine.After being carried forward by many doctors in later generations,it has been widely used in guiding the clinical practice of traditional Chinese medicine.The theory of"hidden pathogenic factors causing diseases"proposed by Professor Ren Jixue,a master of traditional Chinese medicine,has achieved significant effects in the treatment of various diseases.Myasthenia gravis,an intractable case with a prolonged course and recurrent attacks,is by nature caused by those hidden,lingering pathogens,for which spleen and kidney deficiency acts as the root cause,affecting the disharmony in three aspects:between tendons and meridians,among qi,blood,and fluids,and between nutrient qi and defensive qi.In light of that,this article explores the etiology and pathogenesis of myasthenia gravis from the perspective of"hidden pathogenic factors causing diseases"in order to provide a new theoretical guidance for the prevention and treatment of the disease in traditional Chinese medicine.

关 键 词：伏邪学说 重症肌无力 病因病机 

分 类 号：R746.1[医药卫生—神经病学与精神病学]