“双轴”理论在产后风湿中的应用特色探析  

Analysis on the characteristics of application of “Biaxial” theory in postpartum rheumatism

作　　者：赵鑫 杜杰扬 李晓旭 朱珂 石金杰 赵珈禾 葛琳[3] 曹炜 ZHAO Xin;DU Jieyang;LI Xiaoxu;ZHU Ke;SHI Jinjie;ZHAO Jiahe;GE Lin;CAO Wei(Department of Rheumatology,Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing100102,China;School of Clinical Medicine,Beijing University of Chinese Medicine,Beijing100029,China;Department of Rheumatology,Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing100053,China)

机构地区：[1]中国中医科学院望京医院风湿病科,北京100102 [2]北京中医药大学临床医学院,北京100029 [3]中国中医科学院广安门医院风湿病科,北京100053

出　　处：《中国医药导报》2024年第21期135-139,共5页China Medical Herald

基　　金：中国中医科学院科技创新工程课题(CI2021A 01513);中国中医科学院望京医院高水平中医医院建设项目(WJCC-202321)。

摘　　要：产后风湿的发病涉及中医脏腑功能和神经内分泌系统的多个方面。“双轴”包括脏腑功能轴,即心肝脾肾之间的相互作用;神经内分泌轴,即下丘脑、垂体及其与靶腺之间的相互作用。中医脏腑功能的失调会影响气血阴阳的平衡,而神经内分泌轴的异常变化可能导致免疫系统的功能失调,这两个维度相互关联、相互作用,共同参与产后风湿的发病过程。本文通过阐述脏腑功能轴与神经内分泌轴与之间的相关性,探析产后风湿中医理论的现代医学内涵,以期为产后风湿的临床诊疗提供新的思路。The occurrence of postpartum rheumatism involves many aspects of traditional Chinese medicine zang-fu viscera function and neuroendocrine system.“Biaxial”includes zang-fu viscera function axis,that is,the interaction between heart,liver,spleen,and kidney;the neuroendocrine axis,that is,the interaction between the hypothalamus,pituitary gland,and their target glands.The dysfunction of traditional Chinese medicine zang-fu-viscera will affect the balance of qi,blood,yin and yang,while the abnormal changes of neuroendocrine axis may lead to the dysfunction of the immune system.These two dimensions are interrelated and interact with each other,and jointly participate in the pathogenesis of postpartum rheumatism.By elaborating the correlation between zang-fu-viscera function axis and neuroendocrine axis,the modern medical connotation of traditional Chinese medicine theory of postpartum rheumatism is explored,in order to provide new ideas for clinical diagnosis and treatment of postpartum rheumatism.

关 键 词：产后风湿 “双轴”理论 脏腑功能轴 下丘脑-垂体-靶腺轴 心身同调 

分 类 号：R271.43[医药卫生—中医妇科学]