类风湿性关节炎中医治法探讨

Investigation on traditional therapeutics for rheumatoid arthritis

目的:通过对现代医家运用中医治疗类风湿性关节炎的系列方剂进行归纳性的回顾,结合药物的使用特点,对其治法进行探讨,以期丰富和提高中医治疗类风湿性关节炎的诊治理论,更为有效地指导临床实践。方法:选取近20年的核心医学期刊和相关的中医药书籍,从中收集中医治疗类风湿性关节炎的组方340首。依据中医病因病机学理论和方药学理论,结合现代研究成果,统计分析所使用的药物,并由此探讨该病的中医治法。结果:中医治疗本病在辨证论治的基础上,遵循扶正祛邪,标本兼治的原则。其治法为祛风散寒,清热除湿;益气养血,调和营卫;化痰散结,祛瘀通络;补益肝肾,健脾化湿。结论:从现代医家治疗类风湿性关节炎丰富多样的遣药组方特点,归纳中医治疗该病的治法,为有效治疗本病提供理论基础,并为临床实践提供借鉴和参考。

Objective： Thought reviewing the literature of prescription of treating rheumatoid arthritis （RA） to enrich and improve the theory of treating RA and provide the instruction for the clinical practice of treating RA. Methods： 340 Prescriptions of treating RA were collected, these prescriptions were analyze according to the theory of traditional Chinese medicine. Results： Principle of treating RA was strengthening healthy qi to eliminate pathogens. Conclution： The traditional therapeutics of RA was plentiful, and provided theory nucleus and reference for treating RA.