娄多峰治痹学术思想探析

Academic thinking of LOU Duo-feng professor in treating rheumatism

文章总结了娄多峰教授治疗痹病的学术思想。娄老将痹病的病因简要地概括为虚、邪、瘀3个方面,提出了虚邪瘀病因学说,并认为虚邪瘀又是痹病的基本病机;创立了虚邪瘀辨证理论,指出痹病治疗需正虚、外邪、瘀血3者整体对待。治痹要遵循4大原则:①扶正祛邪,标本同治;②宣散疏通,依部用药;③三因制宜,异同相治;④守方变方,杂合以治。并列举了娄老治疗痹病的基础方通痹汤及其加减化裁方法;介绍了娄老对虚热型顽痹(类痹关节炎)的辨证治疗经验。

The article summed up academic thinking of LOU Duo-feng professor in treating rheumatism. Professor LOU thought that deficiency, pathogen and stasis were the fundamental pathogenesis of rheumatism, and suggested that we should handle deficiency, pathogen and stagnation as a whole in treating rheumatism. There were four treatment principles should be obey in treating rheumatism： firstly, strengthening the genuine-qi to eliminate the evil-qi, simultaneous treatment of principal and subordinate symptoms; Secondly, application of diffusing and obstruction-removing, choosing different medicine according to different location of disease; Thirdly, treatment in accordance with three types of disease causes, treating combing similarities and differences; Lastly, changes of prescriptions and principals according to different courses of disease. In this article, the author list Tongbitang, the basic prescription of Professor LOU in treating rheumatism, and his clinical experience in treating deficiency heat type of obstinate arthralgia.