何世东治疗强直性脊柱炎临床经验

He Shidong’s Clinical Experience in Treating Ankylosing Spondylitis

强直性脊柱炎是脊柱关节炎常见的临床类型,好发于青年男性,以中轴关节受累为主,可伴发关节外表现,严重者可发生脊柱畸形和关节强直,是一种慢性炎症性疾病。何老临证潜心研究,注重强直性脊柱炎病变的核心,从临床常见的证型着手,攻克难治之疾,何老认为该病根源在于肾虚,肾虚累及肝脾,脾胃不足则后天之气血精微无以生化,筋脉骨骼失去滋养。肝不足则血虚,继而筋脉失养,发生该病。

Ankylosing spondylitis is a common clinical type of spondyloarthritis.It occurs mostly in adolescent males,with involvement of the medial axis joints.It can be accompanied by extraarticular manifestations.In severe cases,spinal deformity and ankylosis can occur.It is a chronic inflammatory disease.He Shidong observed the symptoms of the di sease,studied it attentively,and paid attention to the core of ankylosing spondylitis.He tackled the refractory diseases from the common clinical syndromes.He believed that the root of the disease was Kidney deficiency,Kidney deficiency involved the Spleen and Liver,and the deficiency of Spleen and Stomach made the acquired vital energy and Blood weak,and the muscles and bones lost nourishment.Insufficiency of the liver leads to deficiency of blood and then loss of muscles and tendons.His own prescription of invigorating Spleen and Kidney and prescription of invigorating Liver and Kidney have good feedback from patients.This article introduces His clinical experience in treating ankylosing spondylitis.