학술논문
基于"初病湿热在经,久则瘀热入络"探讨风湿性多肌痛的证治 / Exploring the pattern differentiation and treatment of polymyalgia rheumatica based on"dampness-heat invading the channels at early stage,static-heat invading the collaterals at later stage"
Document Type
Academic Journal
Source
北京中医药大学学报 / Journal of Beijing University of Traditional Chinese Medicine. 46(11):1505-1509
Subject
Language
Chinese
ISSN
1006-2157
Abstract
风湿性多肌痛以颈部、肩部及髋部肌肉疼痛和僵硬为主要临床表现,随着疾病进展常可合并血管病变,继而出现动脉炎性表现.风湿性多肌痛可归属于中医学"肌痹"范畴,若辨证准确,于早期干预疗效较好.根据本病的发病特点可从"初病湿热在经,久则瘀热入络"认识其病机的演变规律.风湿性多肌痛的发病责之于内外合邪,外感邪气为标、湿热内蕴为本,总因卫分之邪郁闭肌表,郁热不解渐传营血而成瘀热入络之证.针对本病及其变证,可进行分期论治,急性期外透内清,以祛邪为主;缓解期和解表里,以缓图收功;变证期以象之谓,凉血化瘀为务;此外,因其具有迁延性、反复性和难治性的特点,贵在效不更方,有方有守,持之以恒.