范永升教授成人斯蒂尔病中医诊治特色探析

Professor Fan Yongsheng's Experience in Treating Adult Onset Still's Disease

[目的]探析范永升教授运用中医诊治成人斯蒂尔病的特色。[方法]通过多年侍诊,从病名、病因、病机、治疗原则、辨证方法、用药特色等方面出发,整理和分析范永升教授诊治成人斯蒂尔病的中医特色。[结果]范永升教授根据本病的临床特点提出了"热疹痹"的新病名,认为本病的基本病机为风湿热毒,痹阻气血。治疗原则初期应疏风清热、解肌透邪;进展期应清热祛湿、解毒通络,或清营凉血、透热转气;恢复期当养阴清热、散瘀通络。选方用药强调清热解毒,注重祛除湿邪,善用和解法。[结论]范永升教授运用中医特色辨证治疗本病,取得了较好的疗效,为临床用药提供了参考。

[Objective]To analyse professor Fan Yongsheng＇s characteristics of using TCM to diagnose and treat the adult Still disease. [Methods]Through many years of study, from the name of disease, etiology, pathogenesis, treatment principles and differentiation method, medication characteristic, we sorted and analysed professor Fan Yongsheng＇s characteristics of using traditional Chinese medicine to diagnose and treat the adult Still disease.[1Lesults]Professor FanYongSheng put forward a new name of ＂Re Zhen Bi＂according to the clinical characteristics. The basic pathogenesis is wind, wet and hot poison blocking qi and blood. Therapeutic principles are draining wind and heat, getting rid of evil through the muscles at initial stage; clearing heat and expelling damp, removing poison evil and meridian obstruction, or removing hot poison in blood at progressive stage;replenishing Yin and removing heat, promoting blood circulation to remove meridian obstruction at recovery phase. The characteristics of applying drugs are emphasizing clearing away heat and toxic material, paying attention to dispeling damp and making the best of reconciliation method. [Conclusion] Professor Fan Yongsheng using the characteristics of TCM to treat the disease, has obtained good curative effect, and provides reference for clinical medication.