类风湿关节炎合并冠心病的中医病因病机理论框架研究

Theoretical Framework of TCM Etiology and Pathogenesis of RA Complicated with CHD

类风湿关节炎与冠心病均为临床上的常见病、多发病,伴随着现代生活节奏的加快,类风湿关节炎合并冠心病的发病率逐渐增高,并且两者常相互影响。本文通过研究古代中医文献有关于类风湿关节炎和冠心病的病因病机,整理出类风湿关节炎合并冠心病的病因病机,其中类风湿关节炎合并冠心病的病因包括外邪侵袭、情志失调、饮食劳倦、久病体虚4个方面,而病机从肝肾亏虚、气血两虚、脾胃虚弱、痰瘀痹阻4个方面进行阐述,为研究者提供新的诊疗思路,使治疗更加合理、有效。

Rheumatoid arthritis(RA)and coronary heart disease(CHD)are both common and frequently-occurring diseases in clinic.With the acceleration of modern life rhythm,the incidence of RA complicated with CHD is gradually increasing,and they often influence each other.By studying the etiology and pathogenesis of RA and CHD in ancient Chinese medicine literature,this study sorted out the etiology and pathogenesis of RA combined with CHD;among which the etiology of RA combined with CHD included invasion of external evil,emotional disorder,physical fatigue and diet disorder,as well as deficiency of chronic illness;the pathogenesis is expounded from four aspects,including deficiency of Liver and Kidney,deficiency of both Qi and blood,weakness of Spleen and Stomach,and obstruction of phlegm and blood stasis.This study took the TCM etiology and pathogenesis of RA combined with CHD as breakthrough point,and provided new diagnosis and treatment ideas for researchers to make the treatment more effective.