柴芍舒筋汤加减治疗纤维肌痛综合征的临床经验

Clinical Experience of Chaishao Shujin Decoction in the Treatment of Fibromyalgia Syndrome

纤维肌痛综合征是临床常见的一种疾病,以全身弥漫性非炎性肌肉骨骼疼痛为主要特征,伴有不同程度的疲劳、睡眠、情绪障碍以及认知、身体功能受损。中医认为纤维肌痛综合征主要病因分内因及外因,内因多为肝郁脾虚、阳气不足,郁阻气机、筋脉失养、阳气不足、失于温煦,不荣则痛;其外因多为风寒湿热邪气痹阻经脉,气血运行不畅,不通则痛。纤维肌痛综合征病机为枢机不利,气滞湿蕴,筋脉痹阻,肌肉失养,其治则主以祛除外邪,疏肝健脾、疏利气机,标本兼治。笔者临床以柴芍舒筋汤加减(柴胡,白芍,白术,茯苓,当归,川芎,黄芪,香附,木瓜,伸筋草,烫狗脊,地龙,茯神,夜交藤,炙甘草)治疗纤维肌痛综合征,颇有心得,为临床治疗纤维肌痛综合征提供参考。

Fibromyalgia syndrome is a common clinical disease mainly characterized by diffuse non-in- flam-matory musculoskeletal pain, accompanied by varying degrees of fatigue, sleep, emotional disor-ders and cognitive and physical impairment. According to Chinese medicine, the main causes of fi-bromyalgia syndrome are internal and external causes. The internal causes are mainly liver de-pression and spleen deficiency, lack of Yang Qi, blockage of qi, loss of muscles and veins, lack of Yang Qi, loss of warmth, and pain. Its external causes are mostly wind-cold dampness-heat evil qi block-age meridians, Qi and blood running smoothly, and pain. The pathogenesis of fibromyalgia syn-drome is unfavorable, Qi stagnation and wet accumulation, muscle blockage and muscle loss, and its treatment is mainly to remove external evil, soothing the liver and strengthening the spleen, Shuli Qi, and treating both symptoms and root causes. The author used Chaishao Shujin Decoction (Bu-pleurum, Paeoniae, Baizhu, Tuckahoe, Dang GUI, Chuanxixiong, Astragalus, Xiangfu, papaya, Xinjin-cao, hot dog’s spine, Dilong, Fu Shen, night Jiaoteng, and licorice) to treat fibromyalgia syndrome, and had some experience in the treatment of fibromyalgia syndrome.