天津中医药2026，Vol.43Issue(2)：141-146,6.DOI:10.11656/j.issn.1672-1519.2026.02.02
国医大师梅国强从少阳辨治复发性多软骨炎的经验
National medical master MEI Guoqiang's experience in treating recurrent polychondritis from shaoyang discrimination
摘要
Abstract
Relapsing polychondritis(RP)is a rare autoimmune inflammatory disease,mainly affecting the cartilage of the auricle,nose,larynx,and joints,often presenting with local redness,swelling,tenderness and pain at the affected sites,and characterized by recurrent attacks and progressive destruction.Professor MEI Guoqiang,a master of traditional Chinese medicine,based on the theory of"shaoyang governing the bones"and considering that both shaoyang and the orifices(ears,nose,and throat)belong to the half-exterior-half-interior disease location,as well as the pathways of the hand and foot shaoyang meridians and the fire nature of shaoyang qi,proposed that the main pathogenesis of relapsing polychondritis involves shaoyang dysfunction,with upsurge of jiamu and stagnation-heat scorching the ears,as well as shaoyang disharmony leading to dampness-heat accumulation and toxin formation,which erodes the bones and collaterals.The fundamental treatment principles are harmonizing and resolving shaoyang,clearing heat and draining dampness,and detoxifying and unblocking collaterals,with the self-prescribed Chaihu Situ Decoction as the main formula.On this basis,wind-dispelling herbs are flexibly used to expel wind,overcome dampness,and disperse pathogens to penetrate the collaterals;insect drugs are employed to attack pathogens through their mobile nature,detoxify,and scour the collaterals;and moistening herbs are applied to nourish yin,restrain wood,tonify deficiency,and calm the collaterals.This approach may provide certain insights for exploring the pathological connotation and treatment of relapsing polychondritis.关键词
复发性多软骨炎/少阳/少阳主骨/湿热蕴毒/罕见病Key words
recurrent polychondritis/shaoyang/shaoyang governs the bones/dampness-heat accumulation and toxin formation/rare disease分类
医药卫生引用本文复制引用
刘馥溧,梅国强,吴佳鸾,黄连,巴元明..国医大师梅国强从少阳辨治复发性多软骨炎的经验[J].天津中医药,2026,43(2):141-146,6.基金项目
2022年全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号) （国中医药人教函[2022]75号）
湖北省科技厅2022年省科技重大项目课题(2022ACA003-03). （2022ACA003-03）
