阎小萍老师治疗强直性脊柱炎“治未病”学术思想的临床应用

Clinical Application of YAN Xiaoping′s Academic Thought of Preventive Treatment of Ankylosing Spondylitis

阎小萍老师认为,强直性脊柱炎(AS)的核心病机为肾督阳气不足,风寒湿热诸邪深侵肾督;在防治方面重视“治未病”思想的应用,主要体现在:1)未病先防,倡导扶助正气、精神恬淡,重视健康宣教;2)既病防变、防残,中药治疗以补肾强骨通络为主,根据脏腑辨证、循经辨证,随证加减用药,防止AS患者发生目疾改变、骨量减少、骨质疏松以及髋关节病变,防止关节畸形、致残,同时重视体育锻炼及非药物治疗;3)瘥后防复,恢复期患者注意调畅情志,饮食宜清淡,禁烟酒,定期门诊复诊,遵医嘱坚持服药,防止复发。

Professor YAN Xiaoping believes that the core pathogenesis of ankylosing spondylitis is kidney deficiency and yang deficiency,the evils of wind,cold,dampness and heat deeply invade the kidney.In the prevention and treatment of AS,Yan Xiaoping attaches great importance to the application of the“treat disease”principle,which is mainly reflected in:1)AS prevention before disease,mainly advocates helping righteousness,calm spirit,and attaches great importance to health education;2)AS is both disease prevention and prevention disability.Traditional Chinese medicine treatment is based on tonifying the kidney and strengthening the bones and collaterals.According to the syndromes of the internal organs and syndrome differentiation,the addition and subtraction of the drugs can prevent the occurrence of eye disease changes,bone loss,osteoporosis,and hip joint disease in patients with AS,prevent joint deformity and disability.At the same time,we should pay attention to physical exercise and non-drug treatment;3)prevent relapse after resuscitation.Patients in the recovery period should pay attention to clear mood,light diet,non-smoking alcohol,regular outpatient follow-up,and follow the doctor′s advice to adhere to medication to prevent AS recurrence.