胡国俊教授基于“主客交”理论治疗强直性脊柱炎经验  

Professor HU Guojun’s Experience in Treating Ankylosing Spondylitis Based on the Theory of“Host and Client Interaction”

作　　者：赵漫玲 汪英杰 郭锦晨 余子奇 施卫兵[1] 胡国俊[1] ZHAO Manling;WANG Yingjie;GUO Jinchen(Institute of Xin’an Medicine and TCM Modernization,The First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei(230031),China;The Second Affiliated Hospital of Anhui University of Chinese Medicine;Anhui University of Chinese Medicine)

机构地区：[1]安徽中医药大学第一附属医院新安医学与中医药现代化研究所,合肥230031 [2]安徽中医药大学第二附属医院 [3]安徽中医药大学

出　　处：《浙江中医药大学学报》2025年第1期54-58,共5页Journal of Zhejiang Chinese Medical University

基　　金：胡国俊全国名中医传承工作室(皖中医药发展秘〔2021〕30号);合肥综合性国家科学中心大健康研究院新安医学与中医药现代化研究所重点培育项目(2023CXMMTCM009);安徽省教育厅高等学校科学研究重点项目(2023AH050733、2023AH050783)。

摘　　要：[目的]总结全国名中医胡国俊教授基于“主客交”理论治疗强直性脊柱炎的临证经验。[方法]通过跟师侍诊、整理典型医案及查阅相关文献,从理论溯源、病因病机、治法探析及用药特色等四方面总结胡国俊教授基于“主客交”理论治疗强直性脊柱炎的学术经验,并附医案一则加以佐证。[结果]胡老认为强直性脊柱炎之病因病机与“主客交”理论高度相符,临证以“扶正祛邪、分解主客”为要旨,提出补虚应查阴阳之异,祛邪当辨邪气之殊,善用血肉有情之品、虫类药、藤茎类药及温补类药物以助固主气、逐客气,疗效确切。所附验案中,胡老以分解主客之胶结为施治主线,标本同治,终使主盛邪去,痼疾乃愈。[结论]胡老创新性运用“主客交”理论治疗强直性脊柱炎,收效颇佳,可为临床强直性脊柱炎的辨治提供新参考。[Objective Objective]To summarize the clinical academic experience of Professor HU Guojun,a famous Chinese medicine doctor,in the treatment of ankylosing spondylitis based on the theory of“host and client interaction”.[Methods Methods]Professor HU Guojun’s experience in the treatment of ankylosing spondylitis based on the theory of“host and client interaction”was summarized from four aspects,including theoretical tracing,etiology,pathogenesis,treatment and medication characteristics,by consulting doctors,collating typical medical records and consulting relevant literature,and a medical case was attached to support it.[Results Results]Professor HU believes that the etiology and pathogenesis of ankylosing spondylitis are highly consistent with the“interaction between host and client”theory.In clinical practice,he emphasizes the principle of“supporting the vital energy and dispelling pathogenic factors,while differentiating between host and guest.”He advocates that tonifying deficiency should involve examining the differences between Yin and Yang,and expelling pathogenic factors should involve distinguishing the characteristics of the pathogenic Qi.He skillfully uses blood-enriching and flesh-tonifying substances,insect-based medicines,vine and stem herbs and warming and tonifying drugs to strengthen the host energy and expel the client energy,resulting in significant therapeutic effects.In the attached case study,Professor HU used the principle of dissolving the entanglement between host and guest as the main treatment approach.By addressing both the root cause and symptoms simultaneously,he ultimately achieved the strengthening of the host energy and the expulsion of the pathogenic factors,leading to the resolution of the chronic condition.[Conclusion Conclusion]Professor HU has innovatively applied the“host and client interaction”theory in the treatment of ankylosing spondylitis,yielding excellent results.This approach can serve as a new reference for the clinical diagnosis and treatment of

关 键 词：强直性脊柱炎 主客交 扶正祛邪 分解主客 用药特色 名医经验 医案 胡国俊 

分 类 号：R681[医药卫生—骨科学]