邓氏理论治疗重症肌无力的思路与经验(英文)

Deng's theory on treatment of myasthenia gravis

目的:探讨邓铁涛教授治疗重症肌无力的思路与经验,以期更有效地改善患者的预后。方法:①大补脾气:应以补脾益气为主线,贯穿于整个治疗过程之中。②调理五脏:强调在抓住脾脏虚损的同时,注意兼顾他脏,多元调治。③随症加减:在强肌健力饮(黄芩、党参、白术、升麻、陈皮及五爪龙等)的基础上因不同病症加减用药。④疗程要长:即使症状完全消失后,尚需服药一两年巩固疗效。结果:邓氏理论能抓住病本,多元调治,随症施治,治疗效果均非常显著。自创的强肌健力饮经验方在临床上也取得了较好的干预效果。结论:邓氏理论认为重症肌无力主要是脾脏虚损,关联五脏(以肾为主),治法以大补脾气为主,方用强肌健力饮(自创经验方)加减,遣药重用黄芪。此外,还应注重患者的心理治疗和饮食调养。邓氏理论对于指导重症肌无力治疗具有重要的临床意义。

AIM： By introducing the thinking and experience of professor Deng Tietan to treat myasthenia gravis, to improve the therapeutic effect and prognosis.METHODS： ① Strengthening the spleen-qi： Strengthening the spleen and benefiting vital qi had been the main line throughout the whole process of treatment of myasthenia gravis. ②Regulating the five zang-organs： It emphasized that while we grasp spleen-asthenia, we must give consideration to other organs at the same time, regulate and treat the patient with muhimeans.③ Modifying the prescription： Based on the prescription of strengthening muscle and increasing strength （radix astragali, radix codonopsis pilosulae, rhizoma atractylodis macrocephalae, rhizoma cimicifugae, pericarpium citri reticulatae, radix fici simplicissimae, etc.）, the disease had been treated with different dosage of drugs according to the varied symptoms.④ Long therapeutic course： The patients remained therapy for one or two years, even though the symptoms had disappeared completely. RESULTS： Because of grasping the root cause, therapy with multi-means and modified prescription according to the varied symptoms, it had a satisfactory effect. An excellent therapeutic effect had been obtained with the decoction for strengthening muscle and increasing strength, which is created by Deng himself. CONCLUSION： Deng＇s theory holds that myasthenia gravis is mainly due to spleen-asthenia, and related to other four organs （with a predominance of kidney）, and the therapy should be strengthening the spleen-qi, so the prescription was selected for strengthening muscle and increasing strength （which is created by Deng himself）, with radix astragali being in a lager quantity. Moreover, he paid more attention to psychological therapy and dietary regulation. The Deng＇s theory is of considerable clinical significance in guiding treatment of myasthenia gravis.