国医大师路志正从虚论治产后痹经验浅述

TCM master LU Zhi-zheng's experience in treating puerperal arthralgia by tonic

产后痹,发生于产褥期或产后百日内,正气虚弱之时外感风寒湿邪,所致四肢关节疼痛、筋脉拘挛的一种病症。由于失治或误治常可数年不愈。它具备痹证"风寒湿三气杂至,合而为痹"的证候特点,同时,由于其发病于"产后"这一"气血大亏"的特殊生理时机,与内科痹证有所不同。国医大师路志正教授提出"产后痹"这一病名,作为一种独立的疾病对待。结合产后痹发病病机,治疗产后痹从虚论治。灵活变通《金匮要略》黄芪桂枝五物汤、防己黄芪汤、桂枝芍药知母汤等方剂,临床疗效显著。

Puerperal arthralgia is a disease with symptoms of joint pain and muscular stiffness. It often happens during puerperium or within 100 days after production because of exogenous cold wind or dampness when vital qi is deficient. It is hard to be cured due to loss of therapy or mistreatment. Puerperal arthralgia has syndrome characteristics of arthralgia syndrome which combines with wind, cold and dampness. But it is different from arthralgia syndrome in internal medicine with the reason of the special pathogenesis of deficiency of qi and blood in puerperium. TCM master LU Zhi-zheng has proposed the name of ‘puerperal arthralgia', which is treated as an independent disease. Combined with its etiology and pathogenesis, master LU proposes treating puerperal arthralgia based on deficiency. In clinical practice, applying some prescriptions in Synopsis of the Golden Chamber such as Huangqi Guizhi Wuwu Decoction, Fangji Huangqi Decoction, Guizhi Shaoyao Zhimu Decoction and so on with fusion and variation has made significant efficacy.