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类风湿性关节炎的临床治疗研究

Clinic Treating Discussion of Rheumatoid Arthrieis

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【作者】 李瑞孟庆刚

【Author】 LI Rui,MENG Qing-gang(Beijing University of TCM,Beijing 100029,China)

【机构】 北京中医药大学北京中医药大学 北京100029北京100029

【摘要】 类风湿性关节炎(rheumatoid arthritis,RA)简称类风关,是以关节滑膜炎和关节外病变为主要临床表现的一种自身免疫性疾病。该病在中医属“痹证”范畴,认为其发病机制是因正虚感邪,风寒湿邪乘虚而入搏结于肌肉、筋骨,阻闭经络气血,留着关节筋骨,从而致关节肌肉酸楚疼痛、皮下结节、关节肿痛变形而成痹证。从现代医学与传统医学对RA的临床治疗入手,发现目前以中西医结合治疗效果最好;从传统医学的辨证分型入手,希望找到与现代医学的切合点。研究证明,早期发现、早期治疗、早期联合用药对治疗RA很关键;传统医学在辨证分型方面仍需要做大量工作。

【Abstract】 The rheumatoid Arthritis (called RA for short),is a kind of autoimmune disease which chief clinical manifestation are arthrosynovitis and ex-arthrosis disese. When comes to traditional Chinese medicine,it belongs to the category of "arthromyodynia",and the pathogenesis is considered that the asthenia of healthy energy induce infecting evil,then,catching your opponent off-guard,the wind-cold-wetness evils are combined in muscles and bones,stop the meridian and the QI-blood and stay the arthrosis,bones and muscles,accordingly,it result that the arthrosis and muscles sour and pain,subcutaneous nodule,and arthrosis swelling and pain,deformation,eventually,it result in the arthromyodynia. Considering about the clinic treat of the RA from the modern medicine and the TCM,we think the therapeutic efficacy of the combined treatment of traditional Chinese medicine and Western medicine is the best. From the dialectical typing of the traditional Chinese medicine,we hope to find the combining site to the modern medicine. The study demonstrated that,the early discovery,early treatment and early drug combination are very important to RA therapy; it still have a lot work to do in the dialectical typing of the traditional Chinese medicine.

【关键词】 类风湿性关节炎; 治疗; 辨证分型;

【Key words】 rheumatoid arthritis; therapy; dialectical typing;

【分类号】R593.22;R241;R-06;

【基金】 科技部基础性工作专项课题(2001DEA2001O);教育部博士点基金项目(20050026011)

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