宋代以后中医文献对类风湿性关节炎中医病机的认识

Literature of traditional Chinese medicine about pathogenesis of rheumatoid arthritis( RA) after the Song dynasty

类风湿性关节炎(RA)发病率较高,病程长,致畸和致残率高。对类风湿性关节炎中医病机的研究有利于在临床上治病求本,提高疗效。宋代以后中医文献多认为类风湿性关节炎病机关键是邪正交争中的正虚与邪侵,正气亏虚为发病基础,人体感受风寒湿热之邪后,日久不愈,关节经络受阻,气血运行不畅,瘀滞不通,可导致瘀血。痰瘀互结是其反复不愈和关节肿大变形的病理基础。

Rheumatoid Arthritis（ RA） is characterized by high incidence,long course disease,high rate of disability and abnormality. The study of its pathogenesis profits＂concentrating treatment on the root cause＂improves the curative effect. After the Song dynasty,literature of traditional Chinese medicine held the view that the pathogenesis of RA is mainly because of weakened healthy qi and invasion of pathogenic factors in healthy energy- evil struggle.The deficiency and exhaustion of healthy qi is predisposing factors. Phlegm accumulating with blood stasis is the fundamental pathogenesis of repeated attacks,arthrocele and dysarthrosis.