小柴胡汤联合西药治疗复发性多软骨炎个案报道  

A Case Report of Xiaochaihu Decoction(小柴胡汤)Combined with Western Medicine in Treatment of Relapsing Polychondritis

作　　者：周海蓉[1] 许振 李大可[1] ZHOU Hairong;XU Zhen;LI Dake(Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China;Wanggezhuang Community Health Service Center,Laoshan District,Qingdao 266100,China)

机构地区：[1]山东中医药大学附属医院,山东济南250014 [2]青岛市崂山区王哥庄街道社区卫生服务中心,山东青岛266100

出　　处：《山东中医杂志》2025年第4期465-469,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(编号:82274481)。

摘　　要：报道一例运用小柴胡汤加减治疗复发性多软骨炎的病案。复发性多软骨炎是一种罕见自身免疫性疾病,主要表现为全身软骨组织复发性炎症,严重者出现呼吸困难,呼吸衰竭而亡。目前西医治疗以糖皮质激素、免疫抑制剂为主,疗效并不理想。该病属于中医断耳疮、喉痹、骨痹等范畴,本案以和解少阳为治法,以小柴胡汤为主方加减配合西药治疗,有效缓解了患者的主要症状,减少了西药用量,发挥了减毒增效的作用。This paper reports a case study of applying modified Xiaochaihu Decoction(小柴胡汤)in the treatment of relapsing polychondritis.Relapsing polychondritis is a rare autoimmune disease characterized by recurrent inflammation of cartilage tissues in the whole body,leading to severe respiratory distress,respiratory failure,and death in severe cases.At present,western medicine treatment primarily relies on glucocorticoids and immunosuppressants,and the therapeutic effects are not ideal.In traditional Chinese medicine,this disease belongs to the categories of“sore severing auricle”,“laryngeal paralysis”,and“bone paralysis”.In this case,the treatment took reconciling the Shaoyang as the principle and applied modified Xiaochaihu Decoction combined with western medicine,which effectively alleviated the main symptoms of patients,reduced the dosage of western medicine,and played a role in reducing toxicity and enhancing efficacy.

关 键 词：复发性多软骨炎 和解少阳 小柴胡汤 

分 类 号：R274.9[医药卫生—中西医结合]