基于“不温则痛”桂枝汤加减治疗顽固性痛痹理论探讨

Based on the theory of “pain without warm” Guizhi Soup plus reduction in the treatment of obstinate dythralgia

痹证病程缠绵,经久不愈,给患者的工作和日常生活带来了极大的影响,反复治疗阳气亏虚,加之风寒湿邪从外侵犯,太阳经气受累,营卫失调。导师孙西庆教授根据临床经验,提出"不温则痛",机体阳气不振,脾肾阳虚,肢体失却温煦。临证以桂枝汤加温肾阳药物取得较好效果,减轻了患者痛苦。

The arthralgia syndrome is affected by the long course of disease,which has brought great influence to the work and daily life of patients. Repeated treatment of yang deficiency,combined with wind,cold,dampness and evil invaded from outside,the sun and qi were involved,and ying wei was out of tune. According to clinical experience,Professor SUN Xiqing,a tutor,put forward that 'pain without warm',the body is not yang qi,spleen and kidney yang deficiency,limb loss warm. The clinical effect of Guizhi Soup warming kidney yang has achieved good results and relieved the sufferings of patients.