刘友章辨治重症肌无力临床经验

Experience Summary of LIU Youzhang Treating Myasthenia Gravis Based on Syndrome Differentiation

重症肌无力为难治性疾病,现代医学干预疗效不稳定,且停药后易复发,刘友章教授结合岭南地区气候特点,认为脾胃虚损,肌肉筋脉失养为重症肌无力之本,湿热为标;脾虚为主,五脏相关,整体调适、重视兼症,标本兼治,因地制宜,临床擅用岭南药,根据重症肌无力不同时期健脾与清热化湿各有侧重。缓解期重在补脾肾,活动期注意湿气困脾或湿气郁久化热,或外感使MG病情复发或症状加重,此时既要重视补脾,更要注重化湿清热,以免湿热之邪进一步损伤既虚之脾。

Myasthenia Gravis is difficult to treat. The effect of modern medical intervention is not stable and after medication it is easy to recur. According to the climatic conditions in Lingnan region, Professor LIU Youzhang believes that the root of myas- thenia gravis is muscle and tendons failing to be nourished because of spleen and stomach deficiency while the secondary cause is damp-heat. Spleen deficiency is the main reason and five Zang-organs are all associated with this disease. Professor LIU is skilled in treating this disease according to different stages, focusing on strengthening spleen or clearing heat and resolving damp. In the chronic period, the treatment should focus on supplement spleen and kidney. In the active period, the symptoms become more seri- ous because of damp-Qi damaging spleen or turning into heat or attacked by external factors. Therefore, during this stage the treat- ment should both focus on supplementing spleen and clearing heat and damp so as to avoid damp - heat damaging spleen.