类风湿关节炎与牙周炎的相关性

The Correlation Between Rheumatoid Arthritis and Periodontitis

肾精亏虚为类风湿关节炎发病关键内因,充足的肾精对牙周炎的预防和治疗也很重要。脾胃亏虚,气血化生无源,不荣则痛,发为类风湿关节炎,牙周炎也可由脾胃功能紊乱导致。肾在体合骨,肝在体合筋,肝肾阴虚,筋骨不得荣养,则发为类风湿关节炎,牙周炎发病也责之于肾,其一为乙癸同源,精充则齿固,其二为木郁化火犯胃,可循经上炎熏灼齿龈。六淫中湿、热与病原微生物是两病共同的外因,肝肾不足,脾胃亏虚,胃有蕴热,肝失疏泄为两病共同内在因素。当不同个体存在同一个内外环境时,产生疾病的具体表现虽异,但均能反映深层次的机体状态。方随法出,法随证立,证同则治法必有交叉,故两病患者在接受一种治疗方法时,症状皆有好转。

Deficiency of kidney essence is the key internal cause of rheumatoid arthritis.Sufficient kidney essence is important for the prevention and treatment of periodontitis.Deficiency of the spleen and stomach makes qi-blood have no resources of generation leading to pain and rheumatoid arthritis,while periodontitis can also be caused by dysfunction of the spleen and stomach.The kidney corresponds to the bones,while the liver governs the sinews.If liver-kidney yin is deficient,the muscles and bones will not able to be nourished,then rheumatoid arthritis will occur.The kidney is also responsible for the onset of periodontitis.The first reason is that liver and kidney share the same origin;sufficient essence makes strong teeth.The second one is that the stagnation of wood transforms into fire attacking the stomach,which can burn the gums along the meridians.Among six pathogens,dampness and heat and pathogenic microorganism are the common external causes of the two diseases.Deficiency of liver and kidney,insufficiency of spleen and stomach,accumulation of heat in the stomach and failure of dispersing in the liver are the common internal factors.When different individuals have the same internal and external environments,the specific manifestations of diseases are different,but they can reflect the deep level of the body state.The choice of formula results from therapy which is on the basis of syndrome.Since the two diseases have the same syndrome,the related therapies must have something in common,so when the patients with rheumatoid arthritis and periodontitis are treated with the same method,the symptoms of both diseases are improved.