基于“正邪理论”探讨风湿免疫病的特点与论治

Discussion on rheumatic immune diseases based on theory of healthy qi and pathogenic factors

将中医“正邪理论”与西医的免疫学理论结合研究风湿免疫病,认识到其核心病机是邪盛正衰。“正”代表维持机体正常生理功能、促进人体生命最佳状态的影响因素;“邪”代表导致免疫异常的病理因素,或因免疫异常产生的损害机体脏腑组织的病理产物。结合西医免疫学理论,分析风、寒、湿等致病因素的生物学内涵,使风湿免疫病中医病因认识客观化、现代化。风湿免疫病的中医药论治当先明确病情,抓住主要矛盾,明确先后次第,兼取中西医所长,以祛邪安正作为风湿免疫病的基本治则。

We combine the theory of healthy qi and pathogenic factors in traditional Chinese medicine(TCM)with the theory of immunology in western medicine,and we realized that rheumatic immune disease is predominantly caused by excessive pathogenic factors and declined healthy qi.“Healthy qi”refers to the influencing factors that maintain the normal physiological function of the human body and the optimal state of life,and“pathogenic factors”refers to all pathological factors that cause immune abnormalities,or pathological products that damage the body tissues and viscera due to immune abnormalities.We clarified the biological connotation of pathogenic factors such as wind,cold,and dampness,so as to objectify and modernize the etiology of TCM.In TCM treatment of rheumatic immune disease,the disease condition should first be clarified,and the focus should then be placed on the main contradictions,clearing the order of priority,making use of the respective advantages of both TCM and western medicine.Eliminating pathogenic factors and reinforcing healthy qi is considered as the basic treatment principle of rheumatic immune diseases.