回纹型风湿症与周痹刍议VIP专享VIP免费

中医杂志,2004,45(6):405-407XuYingchun,WangHualiang,DingJing.DiscussiononthetherapyofartherosclerosisinDuXie.JournalofTra�ditionalChineseMedicine,2004,45(6):405-407[2]�詹志刚,郭学刚.Wilson病的病理生理学及临床特征.国外医学�医学地理分册,2001,22(6):78-80ZhanZhigang,GuoXuegang.Pathophysiologicandclini�calfeatureofWD.ForeignMedicalSciences:MedicalGeography.2001,22(6):78-80[3]�王倩,李星,杨云,等.肝豆状核变性合并血尿、IgA肾小球内沉积.JnephrolDialyTransplant,1999,(50):18-19WangQian,LiXing,YangYu,etal.WilsonsdiseasepresentingassecondaryIgA-mephrophathyChineseJournalofNephrology,Dialysis&Transplantation,1999,(50):18-19[4]�刘亢丁,朱宇,张淑琴.肝豆状核变性的临床、病理及超微结构观察.中风与神经疾病杂志,1995,12(6):353-354LiuKangding,ZhuYu,ZhangShuqin.Observationonclinic、pathologyandultrastructureofJournalofApoplexyandNervousDiseases,1995,12(6):353-354[5]�汤其强,杨任民,韩咏竹,等.对肝豆状核变性皮肤成纤维细胞模型铜代谢的影响.中国中西医结合杂志,2000,20(1):37-38TangQiqiang,YangRenmin,HanYongzhu,etal.EffectofGandoudecoctiononcoppermetabolismofskinfibroblastofhepatolenticulardegenerationmodel.ChineseJournalofIntegratedTraditionalandWesternMedicine,2000,20(1):37-38(收稿日期:2006年11月1日)�临证经验�回纹型风湿症与周痹刍议阎�小�萍(中日友好医院,北京100029)��摘要:文章对于回纹型风湿症的涵义、临床表现、诊断治疗及研究进展进行总结。根据其临床特点,认为回纹型风湿症酷似!黄帝内经∀之#周痹∃,并进一步探讨周痹的病因病机、理论渊源和临床诊治;且提出周痹的辨证论治应分为发作期和缓解期。对于前者应重在清热祛风、除湿通络;对于后者则应根据证候不同分别予以双调脾肺、化湿祛痰,或补益肝肾、滋阴清热,或温补脾肾等治法。希冀能促使周痹及周痹与回纹型风湿症的关系等问题得到更深入的探讨与研究。关键词:风湿病;回纹型风湿症;周痹;中医药疗法;诊断通讯作者:阎小萍,北京市朝阳区樱花东街中日友好医院风湿病科,邮编:100029,电话:010-84205338,E-mail:yanxiaoping1688@126�comStudyofPanlindromicRheumatismandPanodyniaYanXiaoping(China-JapanFriendshipHospital,Beijing100029)��Abstract:Thisarticlesummarizedthedefinition,clinicalmanifestation,diagnosisandthedevelopmentinre�searchofPanlindromicRheumatism(PR).AccordingtotheclinicalcharacteristicsofPR,weconsiderdthatitwasverymuchlike#panodynia∃intraditionalChinesemedicine(TCM)asdescribedinInnerCanonofHuangdi.Itdis�cussedthepathogenesis,thetheoricalsource,thediagnosisandtreatmentofpanodyniafurther.Anditsuggestedthatthetreatmentofpanodyniabasedonsyndromedifferentiationshouldbedifferentintheacuteandthechronicphase.Intheacutephase,principleofremovingheat,expellingwind,eliminatingdampnessandfreeingthecon�nectingchannelsshouldbeappliedwhileinthechronicphaseprincipleofsupplementingthespleenandboostingthe�373�2007年第22卷第6期中华中医药杂志(原中国医药学报)lung,eliminatingdampnessandclearingawaythephlegmrheum,supplementingtheliverandboostingthekidney,supplementingyinandclearingawayheat,warmingthespleenandrecuperatingthekidneyshouldbeappliedrespec�tivelyaccordingtodifferentclinicalmanifestation.Thetheoryof#Totreattheonegoingtobesicknottheoneal�readysick∃intheInnerCanonofHuangdiisimpliedinthepaper.Wehopethispapermayarouseintensivediscus�sionandmoreresearchforpanodyniaandtherelationbetweenpanodyniaandPR.Keywords:panlindromicrheumatism;panodynia;rheumatism;TCMtherapy;diagnosis��回纹型风湿症概念#回纹型风湿症∃病名首见于1944年Hench与Rosenberg[1]描述的一组病例中,将其涵义定为复发性的关节及关节周围组织...