类风湿性关节炎的中医药治疗

Treatment of rheumatoid arthritis with Traditional Chinese Medicine

关键词:  类风湿性关节炎  中医辨证  治疗

Key words:  rheumatoid arthritis  treatment with TCM  arthromyodynia

摘要:

类风湿性关节炎 (RA)是一种慢性全身性自身免疫性疾病,属于中医“痹证”范畴。痹证的发生,风、寒、湿、热只是发病的外部条件或因素,而正气不足才是发病的根本因素。因此治疗上注重内因,强调扶正,调阴阳与寒热并举,局部、整体相结合用药。并提倡早用补肾药,顾护胃气。RA病机复杂,变化多端,并非一种方法即达疗效,应该把握复法和复方的应用,临证随时调整,应多途径、多层次联合用药。

Abstract:

Rheumatoid arthritis(RA)is a chronic systemic autoimmune disease.It pertains to arthromyodynia.TCM considered that exogenous pathologic factors such as wind,cold,dampness and heat is its external cause,and the deficiency of qi and blood is the causative factor.Thus it is advisable to emphasize the endogenous factors and support healthy qi as well;regulate both yin and yang according to different features of cold and heat;give attention to both the local and whole;use drugs to tonify the kidney and stomach-qi as soon as early.Rheumatoid arthritis is complicated in pathological changes and not one method can achieve curative effect as we expect.So we should use compound therapeutic methods and prescriptions,giving drugs in different roads and levels.