基于“体脏合痹-瘀”辨治类风湿关节炎合并心血管疾病  

Differentiation and treatment of rheumatoid arthritis combined with cardiovascular diseases based on body dysmorphia-stasis

作　　者：姜春云 姜泉[1] 常甜 夏聪敏 马协丽 JIANG Chunyun;JIANG Quan;CHANG Tian;XIA Congmin;MA Xieli(Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]中国中医科学院广安门医院,北京100053

出　　处：《陕西中医》2025年第3期372-376,共5页Shaanxi Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(81974568);国家自然科学基金资助重点项目(82230121);国家重点研发计划项目(2018YFC1705202);中央级公益性科研院所基本科研业务费课题(ZZ16-XRZ-038);中央高水平中医医院临床科研业务费资助项目(HLCMHPP2023087);中国中医科学院科技创新工程项目(CI2021A01501)。

摘　　要：阐述“体脏合痹-瘀”理论在类风湿关节炎合并心血管疾病(RA-CVD)发病过程中的重要性。“瘀”作为RA-CVD与“体脏合痹”的纽带,既是RA-CVD发病机制,又是体脏合痹的核心理念。“脉络瘀阻”是RA-CVD的核心病机又是RA-CVD的发病基础,而“浊瘀毒邪”阻滞贯穿始终,并将“活血化瘀”“豁痰行瘀”作为RA-CVD久病入络的基本治疗原则,多法合用,为中医临床辨治RA-CVD提供理论依据和诊疗思路。Describe importance of theory of body-organ combination paralysis-stasis in pathogenesis of rheumatoid arthritis combined with cardiovascular disease(RA-CVD),on the basis of which stasis as the link between RA-CVD and body-organ combination paralysis was both pathogenesis and core concept of RA-CVD,while pulse and vein stasis was the core pathogenesis of RA-CVD.Stasis as the link between RA-CVD and body-organ combination paralysis was both pathogenesis of RA-CVD and core concept of body-organ combination paralysis,while stasis in the veins and channels was the core mechanism and pathogenesis of RA-CVD,turbid stasis and toxicity.The turbid stasis and poisonous evil blockage was found throughout the whole process,and activating blood circulation,removing stasis and exempting phlegm.Promoting stasis were the basic treatment principles for RA-CVD,combined to provide the oretical basis and diagnostic and therapeutic ideas for clinical diagnosis and treatment of RA-CVD in traditional Chinese medicine.

关 键 词：类风湿关节炎 心血管疾病 体脏合痹-瘀 脉络瘀阻 浊瘀毒邪 

分 类 号：R255.6[医药卫生—中医内科学]