王庆国基于荣卫之气论治风寒湿痹经验

Clinical Experience of WANG Qingguo in Treating Wind-Cold-Dampness Arthralgia Based on Nutrient Qi and Defense Qi

总结王庆国教授基于“荣卫之气不与风寒湿气合,故不为痹”辨治风寒湿痹的经验。通过探析荣卫之气与风寒湿痹的关系,认为风寒湿痹发生与否与荣卫之气的运行息息相关,而本病治疗的关键在于调理荣卫、解除荣卫之气与风寒湿气的相合之势。风寒湿痹初期的核心病机为荣卫之气与风寒湿气初合,治宜调和荣卫、达邪解痹,以柴胡桂枝汤为主方;中期的核心病机为荣卫之气与风寒湿气胶结,治宜调补荣卫、分邪蠲痹,以自拟穿藤通痹汤为主方;后期的核心病机为荣卫之气虚滞、风寒湿气仍存,治宜补通荣卫、祛邪除痹,以自拟穿青海甲汤合独活寄生汤为主方。

To summarize the experience of Professor WANG Qingguo in diagnosing and treating wind-colddampness arthralgia based on the principle that"the nutrient-defense qi does not merge with wind-cold-dampness qi,so it did not result to arthralgia".By analyzing the relationship between nutrient-defense qi and wind-cold-dampness arthralgia,it is believed that the occurrence of wind-cold-dampness arthralgia is closely related to the movement of nutrient qi and defense qi,and the key to the treatment of this disease is to regulate nutrient qi and defense qi and remove the combination of nutrient-defense qi and wind-cold-dampness qi.The core pathogenesis of wind-cold-dampness arthralgia in the early stage is the initial combination of nutrient-defense qi and wind-cold-dampness qi,and the treatment should harmonize nutrient-defense qi and eliminate the pathogen and release pathogenesis,with Chaihu Guizhi Decoction(柴胡桂枝汤)as the main prescription;the core pathogenesis of the middle stage is nutrient-defense qi and wind-cold-dampness qi cemented together,and the treatment should harmonize and tonify nutrient qi and defense qi and separate the pathogen to alleviate disease,with self-prescribed Chuanteng Tongbi Decoction(穿藤通痹汤)as the main prescription;the core pathogenesis of the late stage is deficiency and stagnation of nutrient-defense qi,windcold-dampness qi still exist,and the treatment should tonify and free nutrient qi and defense qi to eliminate pathogen and arthralgia,with self-prescribed Chuanqing Haijia Decoction(穿青海甲汤)plus Duhuo Jisheng Decoction(独活寄生汤)as the main prescription.