基于张景岳阴阳一体观探讨类风湿关节炎相关间质性肺病急性加重的治疗  

Discussion on the Treatment of Acute Exacerbation of Rheumatoid Arthritis-Associated Interstitial Lung Disease Based on ZHANG Jingyue's View of Yin-Yang Holism

作　　者：梁艳霞 李广森 王雯雯 刘峰谷 苏文文 赵慧颖 邢鸿飞 樊茂蓉[1,2] LIANG Yanxia;LI Guangsen;WANG Wenwen;LIU Fenggu;SU Wenwen;ZHAO Huiying;XING Hongfei;FAN Maorong(Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing,100091;Beijing University of Chinese Medicine)

机构地区：[1]中国中医科学院西苑医院,北京市100091 [2]北京中医药大学

出　　处：《中医杂志》2024年第18期1943-1947,共5页Journal of Traditional Chinese Medicine

基　　金：中国中医科学院中央级公益性科研院所基本科研业务费(ZZ15-WT-07-02);中国中医科学院科技创新工程(CI2021A01105);国家中医药管理局第五批全国中医临床优秀人才研修项目[国中医药人教函[2022]239号]。

摘　　要：基于张景岳阴阳一体观,探讨类风湿关节炎相关间质性肺病(RA-ILD)急性加重的病因病机及治法。认为RA-ILD急性加重的基础为真阴不足、阴不制阳;外邪侵袭是RA-ILD急性加重的常见诱因。治疗时首当潜降相火,方用引火汤加减;相火已潜则专注于培补阴阳,若为真阴亏虚为主,可选用左归丸加减,若真阳亏虚亦明显,可选用右归丸加减。阴阳平衡,则病情得解。This article is based on ZHANG Jingyue's theory of yin-yang holism to explore the etiology,pathogenesis,and treatment of acute exacerbation of rheumatoid arthritis-associated interstitial lung disease(RA-ILD).It is believed that the foundation of acute exacerbation of RA-ILD lies in real yin insufficiency and yin fail to control yang;external pathogen attacking is a common cause of acute exacerbation of RA-ILD.For treatment,it is important to first suppress ministerial fire by prescribing modified Yinhuo Decoction(引火汤);if ministerial fire submerged,focus should be on nourishing both yin and yang;if real yin deficiency is the main issue,modified Zuogui Pill(左归丸)should be used;if real yang deficiency is prominent as well,modified Yougui Pill(右归丸)can be chosen.When yin and yang balanced,the disease could be solved.

关 键 词：类风湿关节炎 间质性肺病 张景岳 阴阳一体观 真阴不足 阴不制阳 

分 类 号：R259[医药卫生—中西医结合]