强直性脊柱炎的中医治疗进展

Progress of the Treatment of Ankylosing Apondylitis

强直性脊柱炎中医病因病机有内因和外因之分,内因为肾督两虚、阳失布化,外因多为风寒湿热之邪侵袭。中医治疗方法多样,内治疗法以辨证论治为基础,遵循"急则治其标,缓则治其本"的原则,急性期以祛风寒湿之邪,缓解期则补肾强督,活血通络。寒湿痹阻者温经散寒;湿热痹阻者清热利湿;肾虚督寒者温肾壮督;肾虚血瘀者补肾活血;或辨证联合西药治疗,能延缓疾病进展,改善预后;外治疗法有针灸、中药熏洗、穴位贴敷及其他疗法,如运动疗法等,具有操作安全、不良反应小等优势。中医治疗强直性脊柱炎可改善患者的症状和生活质量,减少西药不良反应,有助于患者恢复自信及促进功能康复。

TCM etiology and pathogenesis of ankylosing spondylitis can be divided into internal and external causes.Internal causes are deficiency of both kidney and governor channel,loss of yang distribution,and external causes are mostly attacked by wind,cold,dampness and heat.There are many kinds of TCM therapies.Internal therapies are based on syndrome differentiation and treatment.They follow the principle of"treating the target as soon as possible,treating the root as slowly",dispelling the pathogenic factors of wind,cold and dampness in acute stage,tonifying the kidney and strengthening the governorchannel in remission stage,activating blood circulation and dredging collaterals.Those with cold-dampness obstruction can warm meridians and disperse cold,those with dampness-heat obstruction can clear away heat and diff use dampness,those with kidney deficiency and cold,those with kidney deficiency and blood stasis can invigorate kidney and promote blood circulation;or dialectical combined with western medicine treatment can delay the progress of disease and improve prognosis.External treatment methods include acupuncture,herbal fumigation,acupoint application and other sports therapies,which are safe to operate and have adverse reactions.Should be small,significantly improve the advantages of joint function.Chinese medicine treatment of ankylosing spondylitis can improve the symptoms and quality of life of patients,reduce adverse reactions of Western medicine,help patients to restore self-confidence and promote functional rehabilitation.