升阳益胃汤治疗重症肌无力的临床体会  

Clinical Experience of Shenyang Yiwei Decoction in the Treatment of Myasthenia Gravis

作　　者：潘建序 马莉[2] 

机构地区：[1]黑龙江中医药大学研究生院,黑龙江 哈尔滨 [2]黑龙江中医药大学附属第一医院针灸二科,黑龙江 哈尔滨

出　　处：《临床个性化医学》2025年第1期320-325,共6页Journal of Clinical Personalized Medicine

摘　　要：重症肌无力是一种神经肌肉接头传递功能障碍的获得性自身免疫性疾病,80%以上的重症肌无力患者存在胸腺异常。其主要临床表现为肌肉连续收缩后出现严重无力甚至瘫痪,休息后症状减轻。肌无力常于下午或傍晚因劳累后加重,晨起或休息后减轻,表现为“晨轻暮重”,甚至可伴有吞咽困难、言语不清、饮水呛咳、呼吸困难等症状,严重影响了患者的日常生活,大大降低了患者的生活质量,给患者造成了巨大的困扰。本文从中医药的角度分析重症肌无力的发病机制,并通过真实的临床案例记录升阳益胃汤治疗重症肌无力的疗效,为重症肌无力的治疗提供多样有效的中医药治疗方法。Myasthenia gravis is an acquired autoimmune disease of neuromuscular junction transmission dysfunction that occurs in more than 80% of patients Myasthenia gravis patients have thymus abnormalities. Its main clinical manifestations are severe weakness or even paralysis after continuous muscle contraction. The symptoms abated after rest. Muscle weakness is often aggravated in the afternoon or evening due to fatigue, and reduced in the morning or after rest, manifested as “morning light twilight Heavy”, can even be accompanied by dysphagia, slurred speech, drinking cough breathing difficulties and other symptoms, seriously affecting the daily life of patients Life has greatly reduced the quality of life of patients and caused great distress to patients. This paper analyzes the importance from the perspective of Chinese medicine. The pathogenesis of myasthenia and the efficacy of Shengyang Yiwei Decoction in the treatment of myasthenia gravis were recorded through real clinical cases. The treatment of myasthenia provides a variety of effective Chinese medicine treatment methods.

关 键 词：重症肌无力 治疗 中医药 升阳益胃汤 

分 类 号：R74[医药卫生—神经病学与精神病学]