摘要
皮肌炎是临床较难治愈的一类自身免疫性疾病,具有高发病率、高病死率、预后差等特点。皮肌炎归属于“痿证”“肌痹”“肉痹”“阳毒”或“阳毒发斑”等范畴,辨证论治有较大优势。临床一般认为本病初期以实证为主,病理因素主要为寒、湿、热、毒,后期多虚实夹杂,气血耗伤、损及脏腑,而其中又以脾肾两虚为主。文章通过介绍王庆国教授运用麻黄升麻汤治疗皮肌炎的一则验案,深入探究皮肌炎病证特点,系统分析该病临证处方思路,以开拓其临证辨证思维。王教授认为寒闭阳郁,肺热脾寒是本案的关键病机,选用麻黄升麻汤发越郁阳,清肺温脾,效如桴鼓。最后总结其临证心得,以飨同道,以期对中医临床后学者有所裨益。
Dermatomyositis is a type of autoimmune disease that is clinically difficult to cure,it has the characteristics of high morbidity,high mortality,and poor prognosis.Dermatomyositis belongs to the categories of“flaccidity syndrome”,“muscle Bi-disease”,“flesh impediment”,“Yang(阳)poison”or“Yang poison spots”.Syndrome differentiation has great advantages in treatina the disease.Clinically,it is generally believed that the disease is mainly caused by pathogenic factors in the early stage,and the pathological factors mainly include cold,dampness,heat,and poison.In the later stage,the disease is mainly caused by deficiency and substance,and the Qi and blood consumption damage the viscera,which is mainly caused by deficiency of spleen and kidney.This paper introduces a case of Professor WANG Qingguo in treating dermatomyositis with the Mahuang Shengma decoction(麻黄升麻汤),deeply explores the characteristics of dermatomyositis syndrome,systematically analyzes the prescription ideas of clinical syndrome,and broadens the thinking of clinical syndrome differentiation.Professor WANG believed that lung heat and spleen cold were the key pathogenesis,and the Mahuang Shengma decoction was selected to clear lung and warm spleen.Finally,the clinical experience is summarized for the benefit of the post-clinical scholars of traditional Chinese medicine.
作者
任北大
高颖
谭令
杜欣
连雅君
张双
王雪茜
程发峰
GAO Ying;TAN Ling;DU Xin;LIAN Yajun;ZHANG Shuang;WANG Xueqian;CHENG Fafeng
出处
《中医临床研究》
2022年第9期4-6,共3页
Clinical Journal Of Chinese Medicine
关键词
麻黄升麻汤
皮肌炎
验案
The Mahuang Shengma decoction
Dermatomyositis
Empirical case
作者简介
任北大(1989-),博士研究生,研究方向为经方作用机制及配伍规律,经方防治常见病、疑难病。
