贵州中医药大学学报2026，Vol.48Issue(3)：1-7,7.DOI:10.16588/j.cnki.issn2096-8426.2026.03.001
基于"二十四节气圆运动"理论探讨类风湿关节炎的辨证论治
A Study on Syndrome Differentiation and Treatment of Rheumatoid Arthritis Based on the Theory of"Circular Movement of the Twenty-Four Solar Terms"
摘要
Abstract
Rheumatoid arthritis,as a chronic and systemic immune disease that invades joints,is character-ized by a high disability rate and is prone to recurrence in clinical practice.PENG Ziyi's theory of"circular movement of the twenty-four solar terms"centers on the ascending,descending,floating and sinking of yang-qi.It holds that the pathogenesis of rheumatoid arthritis is closely related to the disordered circular circulation of yang-qi.It manifests as follows:during autumn(from Start of Autumn to Frost's Descent),the dysfunction of yang-qi to convergence causes phlegm-stasis to obstruct the joints;in winter(from Start of Winter to Major Cold),the failure of yang-qi to store and consolidate induces cold bi-syndrome to yang deficiency;in spring(from Start of Spring to Grain Rain),the abnormal ascent and dispersion of yang-qi,along with wind pathogen triggers latent pathogen,causing wind bi-syndrome;and in summer(from Start of Summer to Major Heat),the disorder floating and exuberance of yang-qi brings about heat-toxin obstruction bi-syndrome.In terms of treat-ment,the emphasis is placed on conforming to the seasonal changes of yang-qi in accordance with the solar terms and restoring the order of circular movement.Specifically,in autumn,the treatment should focus on diffu-sing and descending lung-qi,nourishing yin and moistening dryness;in winter,tonifying the kidney and war-ming yang,dispelling cold and dredging collaterals;in spring,soothing and nourishing the liver,expelling wind and eliminating pathogens;in summer,warmly tonifying spleen yang,clearing heat and removing dampness.Based on the theory of the"Circular Movement of the Twenty-Four Solar Terms",this paper profoundly discus-ses the essential pathogenesis of rheumatoid arthritis and the corresponding treatment strategies based on solar term differentiation,and establishes an individualized syndrome differentiation and treatment system for rheuma-toid arthritis.It can provide a novel theoretical basis and practical therapeutic approach for the clinical manage-ment of rheumatoid arthritis.关键词
二十四节气/一气周流/圆运动理论/类风湿关节炎/节气辨治/阳气圆运动Key words
Twenty-Four Solar Terms/circular flow of primordial Qi/Theory of Circular Movement/rheu-matoid arthritis/Syndrome Differentiation and Treatment Based on Solar Terms/Circular Movement of Yang-qi分类
医药卫生引用本文复制引用
高元元,张一迪,马武开,宋梓源,凌益,任妮娜,姚晓玲,袁雪梅,郑佳思,王振,梅婷..基于"二十四节气圆运动"理论探讨类风湿关节炎的辨证论治[J].贵州中医药大学学报,2026,48(3):1-7,7.基金项目
1.国家自然科学基金项目(82274678,82405366,82505810) （82274678,82405366,82505810）
2.贵州省科技计划项目(黔科合基础-ZK[2024]一般416) （黔科合基础-ZK[2024]一般416）
3.贵州中医药大学研究生创新项目(YCXKYB2023010) （YCXKYB2023010）
4.青年科技人才成长项目(黔教技[2024]118). （黔教技[2024]118）
