从中医玄府理论探讨系统性硬化症的诊治

Diagnosis and Treatment of Systemic Sclerosis based on Theory of Xuanfu ( 玄府) in Chinese Medicine

系统性硬化症可归属于中医学"皮痹"范畴,但往往累及肺脏,演变为"肺痹""肺痿"等病。以玄府理论为指导,系统阐述玄府与系统性硬化症的相关性,认为玄府致病主要病机可归纳为气失宣通、津失布散、血行瘀阻、神失所用四类。从开玄府角度论治系统性硬化症可分为用药以辛为主的直接开通玄府法,用药以通为主的间接开通玄府法,以此分析玄府及开通玄府法在治疗中的重要性并指导临床。

Systemic sclerosis （SSc） can be attributed to skin Bi （痹） syndrome in Chinese medicine, but it is often involving the lungs, and evolves into lung Bi syndrome, lung Wei （atrophy, 痿） syndrome and other diseases. With Xuanfu （玄府） theory as a guide, this article systematically elaborates the relationship between Xuanfu and SSc, and raises that the main pathogenesis of the diseases caused by Xuanfu disorder can be summed up as 1 ） Qi diffusion and flow disorder, 2） impairment of fluid distribution, 3 ） blood stasis obstruction and 4） disfunction of the spirit. From the perspective of opening Xuanfu, the treatment for SSc can be divided into 2 types, including 1 ） di- rectly opening Xuanfu method mainly by acrid Chinese herbs and 2） indirectly opening Xuanfu method mainly by un- blocking Chinese herbs, thus analyzing the importance of Xuanfu and the method of opening Xuanfu in the treatment as the guidance of clinical practice.