王济华治疗风湿病经验

Wang Jihua′s Experience of Treating Rheumatology

王济华教授认为,风湿病的基本病机为人体阴阳失调,正气亏虚,外感风寒湿邪,表邪入里郁而化热,导致痹阻关节、肌肉、筋骨,病情日久多见肝肾不足、气血亏虚、脾虚湿胜、痰瘀交阻等。王教授治疗风湿病常个体化分辨患者风寒湿之偏重、阴阳气血之盛衰,遵循轻微解表发汗,兼顾温经止痛,重视健脾化湿、热痹当清、调补气血、虫类药化瘀剔络、滋补肝肾等治痹要点,组方精妙、配伍严谨、疗效肯定,可有效缓解关节炎症,减轻症状,改善患者生活质量。王济华教授强调,对于沉寒痼冷痹阻络脉,一般温药不能奏效,必用附子、乌头之品,用药时需要注重辨证准确、炮制方法得当、用量适度,且需在正确配伍的前提下间断运用,密切观察,以防蓄积中毒,而达到增效减毒的目的。

Professor Wang Jihua believes that the basic pathogenesis of rheumatism is the imbalance of yin and yang in the human body,deficiency of healthy qi,external pathogenic factors such as wind,cold,and dampness,external pathogenic factors entering the internal stagnation and transforming heat,leading to obstruction of joints,muscles,and muscles and bones.Over time,the condition is often characterized by liver and kidney deficiency,qi and blood deficiency,spleen deficiency and dampness excess,and phlegm-stasis obstruction,etc.Professor Wang often individualizes the treatment of rheumatism by distinguishing the severity of wind,cold,and dampness in patients,as well as the rise and fall of yin,yang,qi,and blood.He follows the key points of treating rheumatism,such as releasing the exterior and sweating,warming meridians and relieving pain,invigorating the spleen and resolving dampness,clearing heat rheumatology,adjusting and tonifying qi and blood,removing blood stasis in collaterals with insect drugs,nourishing the liver and kidney,etc.The formula formation is exquisite,the compatibility is rigorous,and the therapeutic effect is positive.It can effectively alleviate joint inflammation,relieve symptoms,and improve the quality of life of patients.Professor Wang Jihua emphasizes that for chronic cold stagnation and obstruction of collaterals,general warming medicine cannot be effective,and products such as Fuzi(Radix Aconiti Lateralis Preparata) and Wutou(Aconitum carmichaeli Debx) must be used.When using medicine,attention should be paid to accurate syndrome differentiation,appropriate processing methods,moderate dosage,and intermittent use should be made under the premise of correct compatibility.Close observation should be carried out to prevent the accumulation of poisoning and achieve the goal of increasing efficacy and reducing toxicity.