裘昌林教授中药分阶段协同激素治疗重症肌无力

Professor Qiu Changlin's Clinical Experience on Using the TCM Therapy and Glucocorticoid for Treating Myasthenia Gravis

[目的]总结裘昌林教授把握激素"双刃剑",发挥中医药优势分阶段治疗重症肌无力(MG)的临床经验。[方法]通过跟师学习、整理医案等方式,从对激素治疗MG的中医认识、激素副反应的中医治疗2个方面,总结分析裘昌林教授运用中医药联合激素治疗重症肌无力的临床经验,并例举具体医案予以验证。[结果]裘昌林教授认为,从中药性味归经角度来认识,激素应属温热之品、甘味之药,归脾肾二经,而在运用激素治疗重症肌无力时,应区别少火期、壮火期、脾肾阳虚期、相对稳定期和反跳期等不同阶段予以辨证治疗,这样才能有效提高重症肌无力的治疗效果,减轻激素的副反应,利于激素顺利减量甚至停用。所举验案,贯彻裘师的学术经验,获得满意疗效。[结论]裘昌林教授运用中医思维正确认识激素的性味归经,并以中医中药协同激素分阶段辨治重症肌无力,疗效确定,副反应明显减少,值得大力传承并予推广。

[Objective] To summarize professor Qiu Changlin＇s clinical experience on using the TCM therapy and glucocorticoid like ＂double-edged sword＂ for treating myasthenia gravis. [Method] By learning from professor Qiu Changlin and clearing up medical cases, the author finishes the summary and analysis Pro. Qiu Changlin＇s clinical experience on using the TCM therapy and glucocorticoid for treating myasthenia gravis. [Result] Professor Qiu Changlin considers that glucocorticoid has the individual property of medicine, the different clinical symptoms and side effects of glucocorticoid for treating myasthenia gravis at different stages should use TCM treatment based on differentiation, which could improve therapeutic efficacy, reduce the side effects of glucocorticoid and benefit to reducing even stopping glucocorticoid. [Conclusion] Professor Qiu Changlin ＇s clinical experience on using the TCM therapy and glucocorticoid for treating myasthenia gravis could improve therapeutic efficacy, reduce the side effects of glucocorticoid and worthwhile summarize for heritage.