摘要
缓解性血清阴性对称性滑膜炎伴凹陷性水肿是一种较为罕见的风湿性疾病,无严格、统一的诊断标准,其特征是突然出现对称性四肢末端水肿。目前现代医家大多为经验性用药,认为病机为湿热阻痹,但仍存在部分患者从清热利湿角度治疗效果不佳。现李大可教授分析痰饮水气病的致病特点,用痰饮水气病理论试述该病病机,其认为本病病机为肺气失宣,风水相搏;脾失健运,水湿不化;肾阳不足,气化不利;三焦失司,水气不布。治疗上宣肺利水布津液,健脾祛湿利运化,温补肾阳助气化,调理三焦畅水道。充分发挥中医药防治缓解性血清阴性对称性滑膜炎伴凹陷性水肿综合征的作用,开辟临床诊疗新思路和病例特异性的诊疗策略。
As a rare rheumatic disease with no strict and unified diagnostic criteria,remitting seronegative symmetrical synovitis with pitting edema is characterized by sudden appearance of symmetrical edema at the end of the extremities.Currently,most modern physicians use drugs empirically,and think that the pathogenesis is arthralgia caused by damp-heat pathogen,but there are still some patients who have poor efficacy from the perspective of clearing heat and promoting diuresis.At present,Professor Li Dake analyzes the pathogenic characteristics of phlegm,fluid retention,water and qi disease,and tries to describe the pathogenesis of this disease with the theory of phlegm,fluid retention,water and qi disease.She maintaines that the pathogenesis of this disease results from the lung qi failing in dispersing and the fighting of wind with water;dysfunction of spleen in transportation and fluid-dampness stagnancy;deficiency of kidney yang and dysfunction of qi in transformation;dysfunction of sanjiao and imbalance of water qi.It can be treated by ventilating lung qi for diuresis to generate body fluid,invigorating spleen and eliminating dampness,to promote transportation,warming kidney yang to assist qi in transformation,and regulating sanjiao and smoothing waterway,so as to give full play to the role of traditional Chinese medicine in preventing and treating remitting seronegative symmetrical synovitis with pitting edema syndrome,and open up new ideas for clinical diagnosis and treatment and case specific diagnosis and treatment strategies.
作者
孙梓睿
李大可
王诗源
SUN Zirui;LI Dake;WANG Shiyuan(The First School of Clinical Medicine,Shandong University of Traditional Chinese Medicine,Shandong Province,Jinan 250014,China;Department of Rheumatology and Immunology,Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Shandong Province,Jinan 250014,China;School of Traditional Chinese Medicine,Shandong University of Traditional Chinese Medicine,Shandong Province,Jinan 250014,China)
出处
《中国医药导报》
CAS
2022年第22期114-117,122,共5页
China Medical Herald
基金
山东省自然科学基金面上项目(ZR2020MH352)。
关键词
缓解性血清阴性对称性滑膜炎伴凹陷性水肿
痰饮水气病
辨证论治
思路方法
Remitting seronegative symmetrical synovitis with pitting edema
Phlegm,fluid retention,water and qi disease
Treatment based on syndrome differentiation
Thinking method
