中医杂志2026,Vol.67Issue(1):16-20,5.DOI:10.13288/j.11-2166/r.2026.01.003
卢芳从热毒瘀络辨治系统性红斑狼疮经验
LU Fang's Clinical Experience in Differentiation and Treatment of Systemic Lupus Erythematosus from the Perspective of Heat-Toxin and Blood-Stasis in the Collaterals
摘要
Abstract
This paper summarizes Professor LU Fang's clinical experience in treating systemic lupus erythematosus(SLE)based on the differentiation and treatment of heat-toxin and blood-stasis in the collaterals.SLE is generally characterized by deficiency in origin with excess in manifestation.The core pathogenesis is heat-toxin obstructing the collaterals.During the acute active stage,the predominant pattern is blazing heat-toxin causing blood stasis,while in the chronic remitting stage,the main pattern is toxic stasis blocking the collaterals with qi and yin deficiency.Clinical treatment follows the basic principle that treat with salty-cold herbs,when heat invades internally and that assist with acrid-dispersing herbs when stasis obstructs the collaterals.The self-formulated Yimian Decoction(抑免汤)serves as the base formula and is applied in stages.During the acute active stage,it is often combined with herbs for clearing heat and detoxifying,cooling blood and resolving stasis,and unblocking the collaterals.In the chronic remitting stage,it is often combined with herbs for activating blood circulation and unblocking the collaterals,as well as tonify-ing qi and nourishing yin.关键词
系统性红斑狼疮/热毒瘀络/名医经验/卢芳Key words
systemic lupus erythematosus/heat-toxin and blood-stasis in the collaterals/experience of famous doctors/LU Fang引用本文复制引用
钮营超,朴勇洙,耿响,高志慧,张岩,吴慧斌,王智隆,葛双双,卢芳..卢芳从热毒瘀络辨治系统性红斑狼疮经验[J].中医杂志,2026,67(1):16-20,5.基金项目
国家中医药管理局第三届国医大师传承工作室建设项目(中国医药办人教函[2018]119号) (中国医药办人教函[2018]119号)