基于气血精神辨证理论探讨重症肌无力的辨治  

Exploration of the Diagnosis and Treatment of Myasthenia Gravis Based on the Theory of Qi,Blood,Spirit,and Mental Differentiation

作　　者：王磊 李晓红 张丽萍 蔡胜杰 宋福印 WANG Lei;LI Xiao-hong;ZHANG Li-ping;CAI Sheng-jie;SONG Fu-yin(Department of Endocrinology,The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China;Beijing Tongrentang Hospital of Traditional Chinese Medicine,Beijing 100051,China;Department of Internal Medicine,Beijing Tongrentang Hospital of Traditional Chinese Medicine,Beijing 100051,China)

机构地区：[1]北京中医药大学第三附属医院内分泌科,北京100029 [2]北京同仁堂中医医院内科,北京100051 [3]北京同仁堂中医医院儿科,北京100051

出　　处：《中华养生保健》2024年第24期27-31,共5页CHINESE HEALTH CARE

基　　金：中医养生学教育部重点实验室建设项目(2024-JYB-900114-001)。

摘　　要：重症肌无力是医学界疑难病症,中医西医尚未完全攻克。宋福印在《黄帝内经》气血精神理论基础上,结合当代社会特点、综合心身病证、功能性病证、疑难病证病理特点和发病规律总结出了气血精神辨证理论。宋福印运用该辨证理论,从“气病”和“精病”辨治,认为肝经郁热导致“精”布失调或“精”瘀,是部分重症肌无力的关键问题所在,治疗以解郁清热、理气散精为法,取得较好疗效,为中医治疗重症肌无力提供了新的思路。Myasthenia gravis presents a complex challenge in the field of medicine,for which both traditional Chinese medicine and Western medicine have yet to find complete solutions.Drawing from the principles of Qi blood essence spirit in Huangdi Neijing,Song Fuyin developed a differentiated theory of Qi blood essence spirit based on contemporary societal characteristics,comprehensive psychosomatic syndrome,functional disease syndrome,pathological features,and pathogenesis of challenging diseases.By applying the theory of syndrome differentiation,Song Fuyin distinguished between"qi disease"and"essence disease"treatments and posited that certain cases of myasthenia gravis may stem from an imbalance or stagnation of"essence"caused by liver channel obstruction.

关 键 词：气血精神辨证 解郁清热 重症肌无力 

分 类 号：R277.7[医药卫生—中医学]