名中医李彦民辨治强直性脊柱炎经验探微

Exploration of famous traditional Chinese medicine LI Yanmin’s clinical experience in treating ankylosing spondylitis

强直性脊柱炎是一种免疫介导的慢性、进行性炎症疾病,其累及器官广泛,多累及脊柱、骶髂关节、骨突、周围软组织和外周关节,严重者可引起脊柱畸形,各年龄均可发病。随着社会经济发展,生活方式的改变,现代人精神压力增大,强直性脊柱炎的发病也逐渐增多。李彦民主任医师从医近50年,对强直性脊柱炎诊治有独特见解。李彦民认为,强直性脊柱炎的致病因素以寒湿为患,具体发病部位在筋、骨,临床辨证时应“脏腑重肝肾,外邪重寒湿”,诊断要坚持“痛强兼顾、肝肾同治”原则,采用通络除痹法、养血柔肝法、补肾通督法、舒筋活络法治疗本病,四种治法单独或联合使用,从而达到内外兼治、通络除痹的目的。总结李彦民临床辨证治疗强直性脊柱炎经验,为本病治疗提供具体用药思路,改善患者生活质量。

Ankylosing spondylitis is an immune-mediated chronic,progressive inflammatory disease that affects wide range of organs,including spine,sacroiliac joints,bone processes,surrounding soft tissues and peripheral joints.It can cause spinal deformities and occur at all ages.With development of social economy and changes in lifestyles,modern people’s mental pressure has increased,and incidence of ankylosing spondylitis gradually increased.LI Yanmin chief physician has been practicing medicine for nearly 50 years and his own unique insights into diagnosis and treatment of ankylosing spondylitis during many years of clinical practice.LI Yanmin believes that pathogenic factor of ankylosing spondylitis was caused by cold and dampness,and specific location of the disease in the tendons and bones.LI Yanmin believes that diagnosis of ankylosing spondylitis should be based on the principle of“organ heavy liver and kidney,external evil heavy cold and dampness”.Diagnosis should adhere to principle of“Balancing pain and stiffness,and Ganshen Tongzhi”.The treatment of the disease should adopt methods of Tongluo Chubi,Yangxue Rougan,Bushen Tongdu and Shujin Huoluo.The four methods can be used alone or combination to achieve goal of both internal and external treatment,unblocking meridians and removing obstruction.Summarize LI Yanmin’s clinical experience in dialectical treatment of ankylosing spondylitis,provide specific dialectical medication ideas for treatment of the disease,and improve quality of life.