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作 者:杜蜀徽 黄传兵[2] 夏艳楠 陈小涵 徐佳敏 DU Shuhui;HUANG Chuanbing;XIA Yannan;CHEN Xiaohan;XU Jiamin(Anhui University of Chinese Medicine,Anhui Hefei 230038,China;The First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Hefei 230031,China)
机构地区:[1]安徽中医药大学第一临床医学院,安徽合肥230012 [2]安徽中医药大学第一附属医院,安徽合肥230031
出 处:《中医药临床杂志》2024年第10期1896-1899,共4页Clinical Journal of Traditional Chinese Medicine
基 金:2022年度省级中医优势专科建设项目-风湿病科:安徽省卫健委(皖中医药服务秘〔2022〕34号);安徽省名中医工作室安徽省名中医工作室建设项目(中发展〔2022〕5号)。
摘 要:白塞病是一种复发性以血管炎为病理改变的自身免疫系统的疾病,影响全身的多个系统和器官,病情复杂多变,病势缠绵反复。黄传兵教授认为该病为本虚标实,湿热蕴毒为标,正虚为本,瘀血为重要病理因素。治疗早期常见肝脾湿热证和脾胃积热证,治宜清热利湿、泻火解毒,方用龙胆泻肝汤或甘草泻心汤合泻黄散加减、清胃散化裁。中晚期常见脾虚湿阻证和阴虚内热证,治宜攻补兼施,扶正祛邪,方用补中益气汤化裁、六味地黄丸合二至丸或百合地黄汤加减。治疗全程重视活血祛瘀、随症加减,临床疗效佳。Behcet’s disease is a recurrent autoimmune disease with vasculitis as the pathological change,which affects many systems and organs of the whole body.The condition is complex and changeable,and the disease is lingering and repeated.Professor HUANG Chuanbing believes that the disease is based on deficiency and excess,with damp heat accumulating toxin as the standard,deficiency of both Qi and yin as the foundation,damp-heat as an important pathogenic factor,and deficiency of both positive and negative throughout.To treat common damp-heat syndrome of liver and spleen and heat accumulation syndrome of spleen and stomach in early stage,it is advisable to clear away heat and promote diuresis,purge fire and detoxify,and the prescriptions are Longdan Xiegan Decoction or Gancao Xiexin Decoction combined with Xiehuang Powder,and Qingwei Powder.In the middle and late stage,spleen deficiency and dampness stagnation syndrome and yin deficiency and internal heat syndrome are common,and the treatment should be combined with attack and reinforcement,strengthening the body resistance and eliminating evil.The prescription is modified by Buzhong Yiqi Decoction,Liuwei Dihuang Pill combined with Erzhi Pill or Baihe Dihuang Decoction.At the same time,pay attention to promoting blood circulation and removing blood stasis,and add and sub tract with symptoms.Good clinical effect.
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