基于“大气论”的岭南重症肌无力病机阐述

Exposition on pathogenesis of myasthenia gravis in Lingnan based on 'Da-qi theory'

大气有"撑持全身"的重要作用,大气虚损和重症肌无力密切相关;以大气虚损立论重症肌无力不仅要重视大气本身,亦当重视在大气生成过程中发挥重要作用的肝、脾、肾;湿热、痰/瘀/郁、毒是影响脏腑及大气气机的重要因素,也是重症肌无力患者病情加重或迁延的重要因素,与大气虚损具同等重要地位;滞是重症肌无力患者虚实搏结病理状态的概括;适当应用天然药物、顺从脏腑规律进行调节有助于重症肌无力患者症状的改善和病情的向愈。结合岭南重症肌无力发病的地域特点,文章从以上方面进行了探讨。

Da-qi plays an important role in supporting our whole body, and its deficiency is closely related with MG pathogenesis. Not only attentions should we pay to Da-qi itself, but also viscus as liver, spleen and kidney which play important roles in the process of Da-qi generation should we value. Heat and dampness, phlegm/blood stasis/depression, and toxin are all important factors which affect the functional activities of vital energy of viscera and Da-qi, and account for the exacerbation and persistent state with MG patients. Stagnancy of vital energy is the generalization of the pathological deadlocked state of Da- qi. Complying with viscera inherent law and proper applying of natural medicine may help relieve symptoms and heal MG. Combining with the geographical characteristics of MG in Lingnan, this article discusses MG pathogenesis from the above aspects concerned.