张怀亮教授六法辨治重症肌无力临床经验

Professor Zhang Huailiang's Clinical Experience in Treatment of Myasthenia Gravis with Six Methods

张怀亮教授认为重症肌无力具有多病因、多病机、病势缠绵、胶着难愈的特点。病因方面,多由先天禀赋异常,后天不知养慎,或七情太过,或劳逸不节,或感触外邪,失治误治,导致元气匮乏,脏腑气机紊乱而形成。病机方面,本病的形成与演变和脾肾虚衰有着密切的关系。张教授治疗重症肌无力以调补脾肾为主,兼顾疏利肝胆气机,根据不同病因病机,创制六种治法,分别为甘温益气法、化湿健脾法、培土疏肝法、泻南补北法、益火燠土法、转运枢机法,临床疗效显著。

Professor Zhang Huailiang believes that Myasthenia Gravis has many causes, pathogenesis and it is difficult for patients to be recovered. The etiology of the disease includes patients＇ congenital constitution and daily-life health-maintain conditions. The latter includes emotional conditions, work load, Evil invasions or untimely treatment, etc. All of the above factors would lead to the deficiency of human Yuan Qi and the disorder of Zang and Fu Qi. In term of its pathogenesis, the development of the disease is closely related to the deficiency of Spleen and Kidney. Therefore, in treatment of Myasthenia Gravis, Professor Zhang Huailiang pays most attention to the strengthening of patients＇ Spleen and Kidney functions, with regulating Liver and Gallbladder Qi as auxiliary method. In specific, he created six treating methods in doing so. These are Tonifying Qi with sweat and warm medicinal method, Strengthening Spleen by dispelling Dampness method, Tonifying Spleen to regulate Liver function method, Tonifying Kidney by clearing Heart Firemethod, Strengthening Heart Fire to help Spleen method and Middle-burner Qi regulating method. All these methods are used according to the specific syndrome of patients and have significant clinical efficacy.