王庆国教授治疗类风湿性关节炎经验

Professor WANG Qing-guo's clinical experience of treating rheumatoid arthritis

王庆国教授学验俱丰,对张仲景学术有相当造诣,精于风湿免疫类疾病的辨证施治,尤其对类风湿性关节炎的治疗积累了丰富的临床经验。王教授辨治本病,重视湿热致痹的病机特点,治疗力主清热利湿、宣通经络,临证多选加减木防己汤、白虎加桂枝汤、穿青海甲汤等。王教授将本病分为如下五型:湿热痹阻型,风寒湿痹型,寒热错杂型,痰瘀痹阻型,肝肾亏损、气血不足型,灵活化裁,随证施治。文章拟对王教授治疗本病的学术思想和临证经验进行系统总结,介绍王教授对病机认识、分型论治、辨治特色以及典型病案的运用经验,以期有资于临床。

Professor WANG Qing-guo is rich both in TCM theory and clinical experience, he has extensive experience of treating rheumatoid arthritis. Professor WANG use decoction clearly, medication precise and appropriate, with prominent effect. According to syndrome differentiation of damp-heat leading to rheumatism, professor WANG attaches importance to clearing away damp-heat, dredging meridians and collaterals, he likes to use supplemented Mufangji Decoction, Baihujiaguizhi Decoction, Chuanqinghaijia Decoction and so on. Professor WANG divides rheumatoid arthritis into the following five types： damp-heat leading to rheumatism syndrome, wind-cold and dampness leading to rheumatism syndrome, cold and heat complex syndrome, obstruction due to phlegm stagnation syndrome, and insufficiency of liver and kidney, deficiency of qi and blood syndrome, with a flexible regulation according to the syndrome diagnosis that proved better effect in clinic. This article systematically summarizes professor WANG＇s academic and clinical experiences of treating rheumatoid arthritis, summarizing Mr WANG＇s treatment characteristics, his understanding of prescription syndrome and pathomechanism, the use of prescription and herbs and so on, in order to provide an important reference for clinical treatment.