汪悦运用白芍治疗类风湿关节炎经验

Experience of WANG Yue in Treating Rheumatoid Arthritis with Radix Paeoniae Alba

类风湿关节炎属中医学痹证范畴,因正气不足,外受风寒湿热之邪,或夹痰、瘀等致病。汪悦教授在临床治疗类风湿关节炎时根据风寒湿、风湿热、寒热错杂等证型的不同,调整白芍的剂量,并与适当药物相配伍,起到"养血敛阴、刚柔并济,凉血散瘀、缓解止痛,解肌和营、通利血痹"的功效。具体结合汪悦教授治疗类风湿关节炎的三则验案从中医理论角度浅析白芍的运用经验。

Rheumatoid arthritis belongs to arthralgia syndrome of traditional chinese medicine,resulting from the deficieny of vital Qi and attack of wind,cold,dampness and heat,and phlegm and stasis are always companied. According to different syndrome types,such as wind-cold-dampness,wind-heat-dampness syndrome and cold-heat syndrome,Professor WANG adjusts the dose of Radix Paeoniae alba and combines with other herbs in a prescription to nourish blood and astringing Yin,couple hardness with softness,cool blood and eliminate stasis,relive spasm and alleviate pain,resolve the flesh and harmonize nutrient,promote blood circulation. Based on 3 cases of rheumatoid arthritis treated by Professor WANG,this article introduced the experience of using Radix Paeoniae alba from the theory of traditional Chinese medicine.