茅建春运用膏方治疗强直性脊柱炎经验

MAO Jianchun's experience in the treatment of ankylosing spondylitis with plasters

强直性脊柱炎(AS)是一种慢性进行性、全身性炎性疾病,是免疫相关的常见病和难治性疾病。茅建春诊疗AS多年,经验丰富,善用膏方治疗AS。基于多年临床实践经验,认为AS(大偻)的基本病机是先天督肾亏虚,风寒湿之邪痹阻督脉。冬应肾而养藏,冬令膏方收膏所用血肉有情之品,大都入督肾,具有填精益髓、壮督荣络之效,契合大偻病机,因此冬令膏方尤其适合AS患者。据此提出了基本治则:补肾强脊温督以培元固本,活血通络以祛诸邪,全程顾护脾胃,先后天互滋。本文总结茅建春运用膏方治疗AS的经验,并附医案两则,以期为AS的中医药治疗提供思路和方法。

Ankylosing spondylitis(AS)is a chronic progressive,systemic inflammatory disease,and a common and refractory immune-related disease.Having been treating the disease for many years,Mao Jianchun is experienced in its treatment with plasters.Based on many years of clinical practice,she believes that the basic pathogenesis of AS(or kyphosis in Chinese medicine)lies in the congenital deficiency of kidney and the paralysis of governor vessel by wind,cold and dampness.Winter is the time for nourishing and maintaining the kidney,and the tonic contents in plasters may mostly enter the kidney meridian when they are applied in winter,achieving the effect of invigorating the essence and strengthening the kidney meridian.Accordingly,she proposes the basic treatment principle for AS:tonifying the kidney,strengthening the spine and warming the governor vessel to cultivate original essence,invigorating blood circulation and clearing collaterals to dispel all the pathogens,caring for the spleen and stomach throughout the whole process.This article summarizes Mao Jianchun's experience in the treatment of AS with plasters and shares two medical cases in order to provide some ideas and methods for the TCM treatment of ankylosing spondylitis.