现代中医临床2024，Vol.31Issue(5)：46-49,4.DOI:10.3969/j.issn.2095-6606.2024.05.010
基于"扶阳通痹"理论探讨乌梅丸治疗围绝经期类风湿关节炎经验
Exploring the treatment experience of Wumei Pills for perimenopausal rheumatoid arthritis based on the theory of "reinforcing yang to relieve impediment"
摘要
Abstract
Perimenopausal rheumatoid arthritis(RA) is a refractory disease with complex pathogenesis and prolonged recovery. It can be classified within the scope of bi syndrome(impediment syndrome) in traditional Chinese medicine(TCM). Historically,medical experts have mainly focused on treating liver and kidney yin deficiency and regulating qi and blood,while overlooking the important role of yang qi. This article elaborates on the close relationship between yang qi and bi syndrome. It proposes that the depletion of tiangui(the essence of the kidney) and yang deficiency leading to water-cold syndrome are important pathological bases for the onset of perimenopausal RA patients. This condition can evolve into a complex pathogenesis involving the loss of wei qi's ability to protect the body,the loss of warmth around Zhongwan(CV12),liver yang deficiency,transformation of stagnant liver qi into heat,and the complicated interaction of phlegm and stasis generating cold and heat. Therefore,treatment should focus on warming and tonifying kidney yang,promoting liver yang circulation,and clearing stagnant heat to achieve the effect of "reinforcing yang to relieve impediment". Clinically,modified Wumei Pills(Mume Pill) can be effective by warming the kidneys,restoring the free action of the liver,dispelling stasis,and opening collaterals,with the aim of achieving satisfactory clinical result.关键词
扶阳通痹/乌梅丸/围绝经期类风湿关节炎/温肾阳/达肝阳Key words
reinforcing yang to relieve impediment/Wumei Pill/perimenopausal rheumatoid arthritis/warming kidney yang/promoting the free action of liver yang分类
医药卫生引用本文复制引用
朱丽,隋歌川..基于"扶阳通痹"理论探讨乌梅丸治疗围绝经期类风湿关节炎经验[J].现代中医临床,2024,31(5):46-49,4.基金项目
国家重点研发计划项目(No.2019YFC1708404) （No.2019YFC1708404）
