中医治疗重症肌无力研究进展

Research Progress on Traditional Chinese Medicine in the Treatment of Myasthenia Gravis

根据中医整体观念和辨证论治的理论,中医治疗重症肌无力(Myasthenia gravis,MG)有多种分型,并辨证求因、因证立法、随法选方、据方施治,且针对性强,疗效显著,为治本之道。此文从病因病机、辨证分型、临床治疗等不同方面,归纳和总结了近年来MG的研究进展及临床诊治现状。发现目前在MG的诊疗中,多据患者个人的年龄、性别、体质等因素辨证施治,很少与季节气候、地域环境联系起来。建议在未来的研究中,季节气候、地域环境与MG之间的关联可作为一个切入点,筛选出切实可行的治疗方案,确立更加统一的诊治标准,制定更加科学及实用的中医临床实践指南,形成一个更加全面而规范的理论体系,从而开启更加有效的治疗MG的新篇章。

According to the overall concept of traditional Chinese medicine and the theory of syndrome differentiation and treatment,there are many types of myasthenia gravis(MG)treated by traditional Chinese medicine,and the treatment is based on syndrome differentiation,syndrome legislation,prescription selection and treatment according to the law.This paper summarized the research progress and clinical diagnosis and treatment of MG in recent years from different aspects such as etiology and pathogenesis,syndrome differentiation and clinical treatment.It is found that at present,in the diagnosis and treatment of MG,most patients were treated according to the age,gender,physique and other factors,rarely related to the seasonal climate and regional environment.It is suggested that in the future research,the relationship between seasonal climate,regional environment and MG can be used as a starting point to screen out feasible treatment schemes and prescriptions,establish more unified diagnosis and treatment standards,formulate more scientific and practical traditional Chinese medicine clinical practice guidelines,and form a more comprehensive and standardized theoretical system,so as to open a new chapter in more effective treatment of MG.