浙江中医药大学学报2026，Vol.50Issue(3)：325-329,5.DOI:10.16466/j.issn1005-5509.2026.03.008
李兆福教授基于"络病理论"应用藤类药辨治类风湿关节炎经验拾萃
Professor LI Zhaofu's Experience in Treating Rheumatoid Arthritis with Vine-Derived Herbal Medicines Based on"Collateral Disease Theory"
摘要
Abstract
[Objective]To summarize Professor LI Zhaofu's experience in treating rheumatoid arthritis with vine-derived herbal medicines based on"collateral disease theory".[Methods]Through clinical observation under mentorship and analysis of representative medical case studies,this paper summarizes Professor LI's clinical experience in treating rheumatoid arthritis from overview on the collateral disease theory,the core pathogenesis of rheumatoid arthritis,and the diagnostic and therapeutic approach guided by this theory,and a medical record is attached for verification.[Results]Professor LI points out that the fundamental pathogenesis of rheumatoid arthritis is"obstruction of collateral leading to arthralgia",proposing the therapeutic principle that"collateral requires dredging".In clinical application of vine-derived herbal medicines,Professor LI follows the principles of selecting herbs based on syndrome differentiation related to cold,heat,deficiency and excess;grounded in the collateral disease theory,using herbs throughout the entire treatment process;being cautious with the use of toxic vine-derived herbal medicines,emphasizing warming Yang to dredge the collateral.In the initial consultation,Professor LI diagnosed the patient as wind-cold-damp arthralgia syndrome,based on the onset of symptoms after fatigue and sweating,treated with Wenyang Tongluo Formula according to principles of warming Yang and dispelling cold,expelling wind and eliminating dampness,and promoting circulation to relieve pain.During the course of treatment,vine-derived herbal medicines were selected to facilitate pathways,with cautious use of Polygoni Multiflori Caulis,adjusting the dosage according to the patient's condition,and achieving good therapeutic effects.[Conclusion]Professor LI treats rheumatoid arthritis based on the collateral disease theory,adhering to the treatment principle of"collateral requires dredging",taking Wenyang Tongluo Formula as the basic prescription,adjusting herbs according to the patient's different conditions.Professor LI's experience enriches the system of syndrome differentiation and treatment for rheumatoid arthritis,and is worthy of further promotion and research.关键词
类风湿关节炎/络病理论/温阳通络方/藤类中药/络病致痹/络以通为用/名医经验/李兆福Key words
rheumatoid arthritis/collateral disease theory/Wenyang Tongluo Formula/vine-derived herbal medicines/obstruction of collateral leading to arthralgia causing obstruction/collateral requires dredging/experience of famous doctors/LI Zhaofu分类
医药卫生引用本文复制引用
晏和国,肖妮沁,陈冰冰,曾三金,解静,谢招虎,杨博,李兆福..李兆福教授基于"络病理论"应用藤类药辨治类风湿关节炎经验拾萃[J].浙江中医药大学学报,2026,50(3):325-329,5.基金项目
国家自然科学基金项目(82260928) （82260928）
云南省基础研究专项重点项目(202301AS070076) （202301AS070076）
云南省高层次科技人才及创新团队选拔专项(202305AS350007) （202305AS350007）
云南省中医药高层次人才中医药学科后备人才培养项目(云财社[2024]103号) National Natural Science Foundation Project(82260928) （云财社[2024]103号）
Yunnan Province Basic Research Special Key Project(202301AS070076) （202301AS070076）
Yunnan Province High-level Scientific and Technological Talents and Innovative Teams Selection Special Project(202305AS350007) （202305AS350007）
Yunnan Province High-level Talents in Traditional Chinese Medicine TCM Discipline Reserve Talent Training Project(Y.C.S.[2024]103) （Y.C.S.[2024]103）
