肺主治节与类风湿关节炎

Lung Governing Management and Regulation and Rheumatoid Arthritis

类风湿关节炎(RA)是自身免疫病中发病率高、晚期致残率高的系统性疾病,但目前该病的早期诊疗在国内外依旧是难题。肺主治节源于《黄帝内经》,主要指肺的生理功能,历代医家对此有所阐述。本文回顾古今文献对肺主治节的内涵论述,运用肺主治节理论结合国内外研究和临床实践探讨RA的病因病机、临床特点和传变规律,并探讨了从肺主治节理论出发分期治疗RA的新思路。

Among the autoimmune diseases,rheumatoid arthritis(RA) is a systemic disease with high morbidity and high mutilation rate in advanced stage,whose early diagnosis and treatment is still a difficult problem at home and abroad. Lung governing management and regulation, originated from Huangdi Neijing, mainly refers to the physiological function of the lung,which has been elaborated by physicians of successive ages. This paper reviews the connotations about lung governing management and regulation in ancient and modern literature, explores the etiology, pathogenesis, clinical characteristics and transmission rules of RA by the theory of lung governing management and regulation combined with domestic and foreign research and clinical practices, and discusses a new idea of treating RA by stages based on the theory of lung governing management and regulation.