基于肝脾同调探讨纤维肌痛综合征

Discussion on Treatment of Fibromyalgia Syndrome Based on Concurrent Harmonizing Liver and Spleen

纤维肌痛综合征(Fibromyalgia syndrome,FMS)是一种以全身弥漫性疼痛、特定部位压痛为主要特征的风湿性疾病,临床上可同时伴有疲劳感、睡眠障碍、抑郁及焦虑等多种非特异性症状。FMS的发病原因及发病机制尚不完全明确,医学上尚无特异性检验指标。目前治疗上应用最为广泛的为改善症状的抗抑郁药物及抗肌松药物,临床效果多不满意。中医学基于整体观念,辨证施治,具有明显优势。此文基于“肝脾同调”探讨纤维肌痛综合征的诊治。

Fibromyalgia syndrome(FMS)is a rheumatic disease characterized by diffuse systemic pain and specific site tenderness.It can be accompanied by multiple non-specific symptoms such as fatigue,sleep disorders,depression,and anxiety in clinical practice.The etiology and pathogenesis of FMS are not fully understood,and there are no specific test indicators in medicine.At present,the most widely used antidepressants and muscle relaxants for improving symptoms are often unsatisfactory in clinical efficacy.Traditional Chinese medicine,based on a holistic approach and syndrome differentiation treatment,has obvious advantages.This article explored the diagnosis and treatment of FMS based on“concurrent harmonizing liver and spleen”.