国医大师王琦治疗多发性大动脉炎医案举隅并讨论  

A case study and discussion of National TCM Master Wang Qi's treatment of Takayasu arteritis

作　　者：程引 刘兴 崔殿坤 李杰 王海隆 王建明[4] 李园 马晗 张安琪 陈顺琪 蔡煜阳 于国竞 田启慧 李玲孺[2] 王琦 CHENG Yin;LIU Xing;CUI Diankun;LI Jie;WANG Hailong;WANG Jianming;LI Yuan;MA Han;ZHANG Anqi;CHEN Shunqi;CAI Yuyang;YU Guojing;TIAN Qihui;LI Lingru;WANG Qi(Institute of Basic Theory for Chinese Medicine,China Academy of Chinese Medical Sciences,Beijing 100700;National Research Institute of Chinese Medicine Constitution and Preventive Treatment,Beijing University of Chinese Medicine;Dongzhimen Hospital,Beijing University of Chinese Medicine;China-Japan Friendship Hospital;不详)

机构地区：[1]中国中医科学院中医基础理论研究所,北京100700 [2]北京中医药大学国家中医体质与治未病研究院 [3]北京中医药大学东直门医院 [4]中日友好医院 [5]不详

出　　处：《现代中医临床》2025年第2期3-8,30,共7页Modern Chinese Clinical Medicine

基　　金：中国中医科学院科技创新工程中国中医科学院学部委员学术传承与传播专项(No.CI2022E002XB)。

摘　　要：多发性大动脉炎属于临床罕见病、疑难病,具有起病早、病程长、易反复、致残率高、疾病负担重的特点,患者常身心同病、治疗依从性低、生活质量下降。西医治疗以风湿免疫科为主导,以糖皮质激素为基础用药,联合免疫抑制剂及其他改善病情的药物治疗;中医治疗以病情不同阶段的不同证候表现为主导,以患者为中心进行辨证论治。本文主要记录了国医大师王琦治疗1例多发性大动脉炎验案的详细诊疗过程,采用学生讨论与专家点评相结合的方式对名师临床经验进行总结,以期更高效地传承其学术思想,为中医医案相关研究提供借鉴。Takayasu arteritis(TA) is a rare and difficult clinical disease characterized by early onset, long course of disease, easy recurrence, high disability rate and heavy disease burden. Patients often experience both physical and mental illness, with low treatment compliance and decreased quality of life. Western medicine treatment is primarily managed by the rheumatology and immunology departments, with glucocorticoids as the foundational medication, combined with immunosuppressive agents and other drugs to improve the condition. Traditional Chinese Medicine(TCM) treatment focuses on different syndrome manifestations at different stages of the disease, with a patient-centered approach. This paper records a detailed case of Takayasu arteritis treated by Wang Qi, a National TCM Master, using a combination of student discussion and expert comments to summarize the clinical experience of this renowned TCM practitioner. The aim is to more efficiently pass on his academic ideas and provide references for related research in TCM case studies.

关 键 词：多发性大动脉炎 王琦 诊疗经验 医案报道 

分 类 号：R269[医药卫生—中西医结合] R249[医药卫生—中医外科学]