高祥福教授治疗强直性脊柱炎的经验

The Experience of the Professor Gao Xiangfu of Traditional Chinese Medicine Treatment of Ankylosing Spondylitis

[目的]总结高祥福教授治疗强直性脊柱炎(ankylosing spondylitis,AS)的临床经验。[方法]通过跟随高祥福教授临诊,整理高祥福教授治疗AS的相关病例资料,归纳高祥福教授治疗AS的学术观点和临床经验,总结其常用方药配伍(如桂枝芍药知母汤、六味地黄丸)及加减化裁特色,并附相应验案,以验证之举隅。[结果]高祥福教授认为AS的发病以肾虚为本,外感风寒湿热邪气,内生瘀血、痰浊是重要的致病因素。"肾为腰之府",肾虚是AS发生发展的内因所在,补肾能够生精养髓壮骨。肾虚日久,久病多虚,久病多瘀,瘀滞不通,不通则痛,故当活血化瘀。因此高祥福教授治疗本病以补肾活血为根本,再者辨证为是寒湿、湿热,亦或是阴虚,其临证用药灵活变通,临床疗效颇佳。[结论]高祥福教授治疗AS的经验,特色鲜明,疗效确定,值得深入学习和推广运用。

[Objective] To sum up the doctor of traditional Chinese medicine treatment of ankylosing spondylitis.[Method]This author, by following professor Gao Xiangfu diagnosis, professor finishing high treatment of ankylosing spondylitis cases information,inductive professor Gao Xiangfu treatment of ankylosing spondylitis academic view and clinical experience, summed up the commonly used agent for compatibility（such as cassia twig peony rhizomaanemarrhenae decoction,liuweidihuang pill） and added and subtracted the cutting characteristic,and attached to the corresponding test case,in order to verify.[Results]Professor Gao Xiangfu thinks that the pathogenesis of ankylosing spondylitis with kidney empty as this,exogenous pathogens,cold and dampness,blood stasis and phlegm turbidity are important endogenous pathogenic factors. Kidney empty is internal cause,in the development of ankylosing spondylitis, tonifying kidney can reinforce palp and bones. Kidney empty long,long illness,more long more stasis,general clauses pain,so promoting blood circulation to remove blood stasis. So professor Gao Xiangfu treatment of this disease in kidney invigorates the circulation as a fundamental,moreover as cold dampness,hot and humid,or Yin deficiency syndrome differentiation,its clinical medication flexibility,has a good clinical effect.[Conclusion] Traditional Chinese medicine compound has its unique advantage in treatment of ankylosing spondylitis. Professor Gao Xiangfu thinks kidney and blood stasis are the key to the formation of ankylosing spondylitis,a unique feature of its task party drugs,and clinical treatment has important guiding significance.