从太阴论治系统性硬化症的探讨*
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作者单位:

(1. 云南中医药大学第一临床医学院,云南 昆明 650500;2. 云南中医药大学第一附属医院,云南 昆明 650021)

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R259

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收稿日期: 2022 - 03- 20
基金项目: 国家中医药管理局国家中医临床研究基地建设项目(国中医药科技函[2018]131号);国家自然科学基金项目(82160901);云南省教育厅科学研究基金项目(2022Y349)
第一作者简介: 晏蔚田(1995-),女,在读博士研究生,研究方向:中医药防治风湿病。
通信作者: 彭江云,E-mail: pengjiangyun@126.com


Discussion on the Treatment of Systemic Sclerosis from Taiyin
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Affiliation:

(1. The First Clinical Medical College of Yunnan University of Chinese Medicine, Kunming 650500, China;2. The First Affiliated Hospital of Yunnan University of Chinese Medicine, Kunming 650021, China)

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    摘要:

    系统性硬化症是一种难治性结缔组织病,可归属于中医“皮痹”“肺痹”等范畴。本文基于太阴相关论述,结合系统性硬化症现代医学研究及患者临床表现,系统分析太阴与系统性硬化症的相关性,认为太阴之脏不足引发正虚邪凑,继而影响津液代谢,致使痰浊瘀血内生为该病发生发展的基本病机;治疗遣方用药从太阴入手,增健脾补肺、调和营卫、益气养血之剂多有效验。通过阐述从太阴论治系统性硬化症的理论依据及重要性,为临床提供思路借鉴。

    Abstract:

    Systemic sclerosis is a refractory connective tissue disease, which can be classified into categories such as "skin arthralgia" and "lung arthralgia" in traditional Chinese medicine. Based on the related discussion of Taiyin, combined with the modern medical research of systemic sclerosis and the clinical manifestations of patients, this paper systematically analyzes the correlation between Taiyin and systemic sclerosis, and holds that the basic pathogenesis of the occurrence and development of the disease is that the deficiency of viscera affiliated to Taiyin causes vital Qi deficiency and pathogenic Qi violating, which then affects the metabolism of body fluid, resulting in phlegm turbidity and blood stasis. The therapeutic prescriptions starting from the Taiyin, which can strengthen the spleen and lungs, harmonize Ying and Wei, supplement Qi and nourish blood, have a significant efficacy on systemic sclerosis. This paper expounds the theoretical basis and importance of treating systemic sclerosis from Taiyin so as to provide methods and reference for clinical practice.

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