陈湘君辨治类风湿关节炎合并间质性肺炎经验介绍
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R563.1+3

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浙江省中医药科技计划项目(2020ZA062)


Experience Introduction of CHEN Xiangjun Treating Rheumatoid Arthritis Complicated with Interstitial Pneumonia Based on Syndrome Differentiation
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    摘要:

    介绍陈湘君辨治类风湿关节炎合并间质性肺炎的经验。对类风湿关节炎合并间质性肺炎的病因病机进行分析,认为虚、痰、瘀是类风湿关节炎合并间质性肺炎发生的病理关键,三者相互关联,互为因果。辨证分型有虚实之别。虚证主要有:肺脾气虚,宜补肺健脾;气阴两虚,宜益气养阴;肺肾亏虚,宜补肺益肾。实证主要有:痰湿阻肺,宜祛湿化痰;痰热蕴肺,宜清热化痰;痰瘀互结,宜化痰散瘀通络。而用药上常虚、痰、瘀同治,且善用清热解毒、消痈散结药物。

    Abstract:

    Abstract: This paper introduces the experience of CHEN Xiangjun treating rheumatoid arthritis complicated with interstitial pneumonia based on syndrome differentiation. The pathogenesis of rheumatoid arthritis complicated with interstitial pneumonia is analyzed. It is believed that deficiency, phlegm and blood stasis are the key factors in the pathogenesis of rheumatoid arthritis complicated with interstitial pneumonia,and the three factors are interrelated and interact as both cause and effect. Syndromes can be differentiated into the deficiency and the excess. The deficiency syndromes mainly include lung- spleen qi deficiency, which should be given the treatment of supplementing the lung and fortifying the spleen; deficiency of both qi and yin,boosting qi and nourishing yin;and lung-kidney deficiency,replenishing lung and kidney. The excess syndromes are phlegm- damp obstructing the lung, which is advisable to dispel dampness and dissolve phlegm; phlegm-heat accumulated in the lung,to clear heat and dissolve phlegm;binding of phlegm and stasis,to dissolve phlegm and stasis and unblock the collaterals. On medication,deficiency,phlegm and blood stasis are always treated together,and heat-clearing and toxin-resolving drug and carbuncle-resolving and boil-expulsing drugs are well used.

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岳跃兵,沈杰.陈湘君辨治类风湿关节炎合并间质性肺炎经验介绍[J].新中医,2021,53(14):197-201

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  • 在线发布日期: 2021-07-24
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