系统性红斑狼疮并发五体痹中医辨治探析

Explore Syndrome Differentiation and Treatment with TCM to SLE Combined with Five Body Arthralgia

五体痹是指皮痹、肌痹、脉痹、筋痹和骨痹。五体痹的五种痹证与系统性红斑狼疮(systemic lupus erythematosus,SLE)的临床表现有一定的联系,如SLE合并的皮疹、关节肌肉疼痛、雷诺氏症、抽搐、股骨头坏死等都与相应的五种痹证相似。SLE合并五体痹标志着病情的加重,关系到疾病的预后,且五体痹的病机复杂。本文分别从SLE合并皮痹、SLE合并肌痹、SLE合并脉痹、SLE合并筋痹和SLE合并骨痹的病因、病机、临床表现、中医治则及方药进行分析,论述了治疗SLE应分清疾病受累部位,重视辨病选药。探析中医辨治SLE合并五体痹,值得学习。

Five body arthralgia refers to skin arthralgia, muscle arthralgia, vessel arthralgia, muscular arthralgia and bone arthralgia. The five kinds of arthral-gia syndromes of the five body arthralgia have a certain relationship with SLE in clinical manifestations.For example,SLE combined with rash, joint and muscle pain, Raynaud＆#39;s disease, convulsions, avascular necrosis of the femoral head is similar to corresponding five kinds of arthralgia.SLE combined with five body arthralgia marks the exacerbation of the disease which is related to the prognosis of the disease. And the pathogenesis of the five body arthralgia is complex. This paper respectively analyses the etiology, pathogenesis, clinical manifestations, treatment, prescription and traditional Chinese medicine of SLE with skin arthralgia,muscle arthralgia,vessel arthralgia,muscular arthralgia and bone arthralgia. Discussing the treatment of SLE should distinguish affected area of the disease, pay attention to identifing disease and selecting medicine. Exploring syndrome differentiation and treatment with TCM of SLE combined with five body arthralgia is worth learning.