痢后风与肠道型反应性关节炎关系探讨

Discussion on Relationship Between Secondary Arthritis of Dysentery and Intestinal Reactive Arthritis

以《中华医典》为数据库,检索梳理中医古籍对痢后风的记载,发现痢后风与肠道型反应性关节炎在流行病学、临床表现等方面具有相似性,故认为肠道型反应性关节炎属中医痢后风范畴。古代医家治疗痢后风善用益气养血活血药,而当代中医多用清热利湿药治疗反应性关节炎,二者治法并不一致,其原因可能与现代社会细菌性痢疾已较为少见、泌尿系统感染高发、主要致病因素发生变化有关。

Based on the database of Chinese Medical Classics ,the records of secondary arthritis of dysentery in ancient books of traditional Chinese medicine（TCM） were sorted out and analyzed. The result showed that the secondary arthritis of dysentery was similar to intestinal reactive arthritis in epidemiological features and clinical manifestations,therefore,the intestinal reactive arthritis belongs to the secondary arthritis of dysentery in TCM. Ancient TCM doctors used medicines with the function of tomifying qi,nourishing blood and pro- moting blood circulation to treat the secondary arthritis of dysentery ,which is inconsistent with the medicines with the function of clearing heat and promoting diuresis used by the contemporary TCM doctors for treating intestinal reactive arthritis. The reason may be related to the changes of the main pathogenic factors of ancient and modem reactive arthritis. In our modem society,bacillary dysenery is seldomly seen,while the infection of urinary occurred frequently.