龙运光从湿论治痹证经验拾萃  

LONG Yunguang's Experience in Treating Arthralgia from the Perspective of Dampness

作　　者：袁雪梅 王秋燚 罗丰 李春香 龙运光 马武开 姚血明 龙滢任 YUAN Xuemei;WANG Qiuyi;LUO Feng;LI Chunxiang;LONG Yunguang;MA Wukai;YAO Xueming;LONG Yingren(Guizhou University of Traditional Chinese Medicine,Guizhou Guiyang 550001,China;The Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine,Guizhou Guiyang 550002,China;Qiandongnan Tianjing Rehabilitation National Hospital,Guizhou Kaili 556000,China)

机构地区：[1]贵州中医药大学,贵州贵阳550001 [2]贵州中医药大学第二附属医院,贵州贵阳550002 [3]贵州省黔东南天晶康复民族医院,贵州凯里556000

出　　处：《中医药临床杂志》2024年第10期1908-1912,共5页Clinical Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金委员会(编号:82160869、82374494);贵州省基础研究(自然科学)(编号:黔科合基础-ZK[2023]一般412)、贵科合学术新苗[2023-36号];贵州中医药大学第二附属医院-青苗项目,(编号:GZEYK-Y[2022]32号);贵州中医药大学国家与省级科技创新人才团队培育项目(编号:贵中医TD合字[2022]004号);龙运光贵州省民族医药专家传承工作室(编号:黔中医药函[2021]124号);龙运光全国名老中医药专家传承工作室(编号:国中医药人教函[2022]75号);贵州省中医药管理局中医药、民族医药科学技术研究课题(QZYY-2024-009);贵州省高等学校中西医结合防治疾病转化医学重点实验室,黔教技[2023]017号。

摘　　要：痹证是由风、寒、湿三种邪气引起的以肢体关节疼痛酸楚、麻木重着为主要表现的一类病证,龙运光教授认为湿邪与痹证的发病具有密切的关系,贯穿痹证发生发展的始终。龙运光教授提出“痹证从湿论治”的观点,并善用药对、虫类药、藤类药、民族医药治疗痹证具有良好疗效。此外,龙运光教授强调痹病日久易损伤脾胃、肝肾,在辨证论治时不仅要注意顾护脾胃,健脾除湿,也常使用杜仲、桑寄生等药物以滋补肝肾。作者有幸跟随龙运光教授门诊研习,现通过归纳和整理龙运光教授治疗痹证的临证经验,希望为中医药治疗痹证提供更多理论的支撑。Bi syndrome is a disease caused by three kinds of evil spirits:wind,cold and dampness,with the main manifestations of pain,soreness,numbness and heaviness in the limb joints.Professor LONG believes that dampness is closely related to the onset of Bi syndrome and runs through the development of Bi syndrome.Professor Long proposed the viewpoint of“treating Bi syndrome from dampness”,and made good use of drug pairs,insect drugs,rattan drugs,and ethnic medicine to treat Bi syndrome with good efficacy.In addition,Professor LONG emphasized that Bi disease is easy to damage the spleen,stomach,liver and kidney over time.When distinguishing and treating,we should not only pay attention to protecting the spleen and stomach,strengthening the spleen and removing dampness,but also often use drugs such as Eucommia ulmoides and mistletoe to nourish the liver and kidney.The author was fortunate to follow Professor LONG’s outpatient study.Now,by summarizing and organizing Professor LONG Yunguang’s clinical experience in treating Bi syndrome,we hope to provide more theoretical support for the treatment of Bi syndrome with traditional Chinese medicine.

关 键 词：痹证 名医经验 民族医药 龙运光 

分 类 号：R255.6[医药卫生—中医内科学]