扶正法为主辨治类风湿性关节炎

Invigorating Vital Essence as Major Therapy in Syndrome Differentiation and Treatment of Rheumatoid Arthritis

着重阐明了类风湿性关节炎应以扶正法为主治疗。辨证时,初发以脾气虚为主,但有兼寒湿、湿热之分;久病则以肝肾不足、气血亏虚为主,兼有痰瘀阻络。治疗上,活动期可加用外治法,有利于药物更快作用于病变关节并保护肠胃;久病入络可加虫类药以搜剔风湿之邪,补肾通络。

This paper expounds that the method of invigorating vital essence is the major therapy for rheumatoid arthritis. In early stage of the disease, the key pathogenesis is spleen-asthenia, moreover, with damp-cold or damp-heat; in advanced stage, the key pathogenesis is deficiency of liver-kidney and hlood-qi, with collaterals ohstraction by phlegem and blood stasis. In active stage, external treatment can also be used to accelerate the effect of Chinese medicine on lesion and protect stomaeh-qi; since pathogen usually intrudes into collaterals in protracted disease, insect drugs is needed to pick out wind-damp pathogen and to invigorate kidney and dredge collaterals.