摘要
类风湿关节炎是以多关节滑膜炎为特征的慢性、进行性自身免疫性疾病。玄络是中医藏象、经络学说中精细微观的单位,以通为顺,以闭为逆,维持人体气血津液有序流转。范永升教授基于玄府、络脉理论,阐释了玄络理论在类风湿关节炎中应用的基本原理,其中玄络病变是类风湿关节炎发病的病理基础,玄络闭塞是其发病的关键微观病机。临床以开玄通络为主要治则,具体运用辛散达表、益气通阳、活血祛瘀、补虚通络等治法,临证重视祛风除湿,开玄通络,使玄府得开,络脉得通,则风湿得除。
Rheumatoid arthritis(RA)is a chronic,progressive autoimmune disease characterized by multiarticular inflammatory synovitis.In traditional Chinese medicine(TCM),Xuanluo represents a refined microscopic unit within the theories of visceral manifestation and meridians,where smooth circulation ensures physiological function,while obstruction leads to pathology,thus preserving the proper circulation of qi,blood and bodily fluid.Professor FAN Yongsheng,drawing on the theories of Xuanfu and collaterals,has elucidated the application of Xuanluo theory in RA,proposing that Xuanluo lesions constitute the pathological foundation of RA,with Xuanluo obstruction as its key microscopic pathomechanism.Clinically,the treatment principle revolves around“opening Xuanfu and unblocking collaterals,”employing strategies such as eliminating pathogens with pungent medicinals,tonifying qi and activating yang,promoting blood circulation and removing stasis,as well as nourishing deficiency and unblocking collaterals.In practice,emphasis is placed on dispelling wind and eliminating dampness,alongside opening Xuanfu and unblocking collaterals,thereby restoring Xuanluo patency and alleviating rheumatism.
作者
白怡婧
沈炎彬
李正富
范永升
BAI Yijing;SHEN Yanbin;LI Zhengfu;FAN Yongsheng(Second Clinical Medical College of Zhejiang Chinese Medical University,Hangzhou 310053,China;Second Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310005,China)
出处
《时珍国医国药》
北大核心
2025年第15期2943-2947,共5页
JOURNAL OF LI-SHIZHEN TRADITIONAL CHINESE MEDICINE
基金
科技部国家重点研发计划项目子课题(2018YFC1704102)
浙江省中青年临床名中医培养项目[浙中医药(2022)7号]。
关键词
类风湿关节炎
玄络
开玄通络法
名医经验
范永升
Rheumatoid arthritis
Xuanluo
Opening Xuanfu and unblocking collateras method
Celebrated physician’s experience
FAN Yongsheng
