邓中甲基于“三焦-卫气”理论治疗类风湿性关节炎

Treatment of Rheumatoid Arthritis Based on Theory of“Three-Jiao-Defendive Qi”

本文介绍了邓中甲教授基于“三焦-卫气”理论治疗类风湿性关节炎(rheumatoid arthritis,RA)经验。在中医整体观的指导下,邓中甲教授独辟蹊径基于“三焦-卫气”理论辨治类风湿关节炎,重视卫气在RA发病中的重要作用,提出三焦为RA发生和演进的结构基础,认为RA发病之根为卫气失衡,三焦气机不通,元气亏虚,浊阴不降,卫气不升,经络痹阻日久,逐渐累及全身。治疗应谨守病机,调卫气,复卫气升降之职;调三焦,复三焦气化之功,并结合具体情况辨证论治。本文还举典型案例一则和常用方药加以论证。

This article introduces Professor Deng Zhongjia’s experience in treating rheumatoid arthritis(RA)based on the theory of“Three-Jiao-Defendive Qi”.Under the guidance of the holistic view of traditional Chinese medicine,Professor Deng Zhongjia made a unique approach to treat rheumatoid arthritis based on the relationship between Three-Jiao and defendive Qi,and paid attention to the important role of defendive Qi in the pathogenesis of RA,Three-Jiao is the structural basis for the occurrence and evolution of RA.According to the law of evolution of the disease,it is considered that the root of RA is the defensive Qi unbalanced,the ascending and descending of the Three-Jiao Qi unsmooth,the Yuan-Qi deficient,the turbid-Yin non-descending and the defendive Qi non-ascending,meridian obstruction for a long time,gradually involving the whole body.Combined with specific conditions to differentiate treatment,treating RA should adjust defendive Qi and restore its ascending and descending functions;adjust the Three-Jiao and restore its gasification function based on the pathogenesis.This article also cites a typical case and commonly used prescriptions to illustrate this.