从“阳化气,阴成形”理论探讨强直性脊柱炎的中医诊治

Exploring the TCM Diagnosis and Treatment of Ankylosing Spondylitis from the Theory of"Yang Transforming into Qi,While Yin Constituting Form"

受《黄帝内经》“阳化气,阴成形”启发,认为“阳化气”不足是强直性脊柱炎发病的本质,“阴成形”太过是外在表现。结合临证特点和经验,初步提出“助肾阳、温脾阳、通心阳”三法作为强直性脊柱炎治疗的核心,补肾火以散阴寒,温脾阳以祛湿邪,通心阳以行气血,强调在强直性脊柱炎治疗全过程中需要扶阳以消阴。以“阳化气,阴成形”理论为指导,有助于拓宽中医药治疗强直性脊柱炎的临床诊疗思路,取得更好疗效。