杜雨茂从脾肾辨治重症肌无力经验

Professor Du Yumao's experience in treating myasthenia gravis from spleen and kidney

总结杜雨茂教授治疗重症肌无力的经验,认为该病以脾气虚弱、肾精亏损为本,兼有气滞浊毒。临证应辨证施治,脾胃气虚型,以补中益气为主,佐以温养肾气;脾肾气阴两虚型,补肾健脾,补先天实后天;肝肾阴虚型,以补肾为主,兼补肺脾;脾肾阳虚型,先健脾开胃,后温阳填精。

This paper summarizes Professor Du＇s experience in treating myasthenia gravis（MG）. It is believed that the pathogenesis of this disease is deficiency of spleen-qi,deficiency of kidney essence and qi stagnated with turbid toxin. Therefore,treatment should be based on syndrome differentiation. For qi deficiency of spleen and kidney syndrome,strengthening middle energizer to nourish qi,warming and nourishing kidney-qi should be used; for deficiency of both qi and yin of spleen and kidney syndrome,tonifying kidney,strengthening spleen,nourishing congenital essence to strengthen postnatal essence should be used; for deficiency of liver-yin and kidney-yin syndrome,tonifying kidney mainly and tonifying lung and spleen should be used; for deficiency of spleen-yang and kidney-yang syndrome,invigorating spleen to promote appetite firstly and warming yang to replenish essence should be used for the treatment of MG.