基于“一体两翼,疏调气机”理论探讨类风湿关节炎的治疗

Discussion on the treatment of rheumatoid arthritis based on the theory of “One body with two wings and regulating qi”

类风湿关节炎是病理机制较为复杂的自身免疫性疾病之一,相较于现代医学的免疫抑制剂药物治疗,中医对此有独特优势。学习领悟仝小林院士的脏腑风湿理论思想,笔者认为诸病蜂起的内在基础乃脏腑亏虚,经气不利所致,类风湿关节炎之形成发展转化亦离不开气乱之理,且其脏腑尤以肝、脾、肾为著,因此从“一体两翼,疏调气机”理论出发调理五脏气机,以肝为主体,脾肾为侧翼共奏疏调气机之效以扭转逆乱之势乃治疗类风湿关节炎关键所在。

Rheumatoid arthritis(RA)is one of the autoimmune diseases with complex pathological mechanism. Compared with the immunosuppressive drugs of modern medicine,TCM has a unique ad vantage in this field. By learning and comprehending TONG Xiao-lin’s theory of viscera rheumatism,the author believes that the internal basis of all diseases is the deficiency of zang-fu organs and the adverse meridian qi,the formation,development and transformation of RA can not be separated from qi disorder,and its internal organs are especially liver,spleen and kidney;therefore,the key to the treatment of RA lies in the theory of“One body with two wings and regulating qi”,regulating the five zang organs,taking the liver as the main body and the spleen and kidney as the flanks to play the effect of regulating the organs and reversing the chaos.