金明秀教授基于“虚邪瘀”论治雷诺氏病经验

Professor JIN Mingxiu’s experience in treating Raynaud’s disease based on deficiency,evil and stasis

雷诺氏病是由于血管神经功能紊乱引起间歇性肢端小动脉痉挛的一种周围血管疾病。此病经常发病于秋、冬季。患者疾病发作时手指皮肤颜色由苍白、青紫转为潮红,可伴随发作部位发凉、麻木、有刺痛感,甚至出现溃疡、坏疽等症状。西医治疗此病易产生不良反应。辽宁中医药大学附属医院主任医师金明秀教授认为,本病主要病因病机可概括为“虚、邪(寒、湿)、瘀”三个方面:虚指正气亏虚,邪指外感寒湿之邪,瘀指痰浊瘀血阻滞。治疗时应分清主次,攻补兼施,以补虚、散寒、除湿、祛瘀为主。经此法辨证论治后,临床效果良好。文章通过案例介绍金明秀教授治疗雷诺氏病的成功经验,以期为临床提供参考。

Raynaud’s disease is a peripheral vascular disease that causes intermittent acral arteriolar spasm due to vascular nerve dysfunction.The disease often occurs in autumn and winter.When the disease attacks,the finger skin color changes from pale,purple,and then to flush,which can be accompanied by cold,numbness,tingling,and even symptoms such as ulcers and gangrene.Western medicine is easy to produce side effects.Professor JIN Mingxiu,a chief physician of the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,believes that the main etiology and pathogenesis of this disease can be summarized into three aspects:deficiency,evil(cold,damp),and stasis.Deficiency refers to the deficiency of vital energy,evil refers to the evil of external cold and dampness,and stasis refers to phlegm turbidity and blood stasis.In the treatment,we should distinguish the primary and secondary,attack and supplement at the same time,and the treatment mainly focuses on tonifying,dispersing cold,dehumidification and removing blood stasis.After this treatment,the clinical effect is good.This paper introduces the successful experience of Professor JIN Mingxiu in the treatment of Raynaud’s disease through cases,in order to provide a reference for clinical practice.