陈宝贵教授治疗大动脉炎经验采撷

Professor CHEN Baogui's experience in the treatment of takayasu arteritis

关键词:  大动脉炎  血痹病  名老中医经验  陈宝贵

Key words:  takayasu arteritis  blood arthralgia  old famous Chinese medicine doctor's experience  CHEN Baogui

摘要:

大动脉炎是一种累及主动脉及其主要分支的慢性进行性非特异性炎症疾病。陈宝贵教授认为，大动脉炎归属于中医的"血痹病"范畴，病机多属本虚标实，气血阴阳不足为本，痰瘀互结为标，又复感风、寒、湿、热等邪气，渐致脉络闭阻不通。临床以风寒客络、气虚络瘀、阴虚阳亢、湿热毒盛证为多见，常多种病邪兼夹为病，治疗中应当灵活用药。

Abstract:

Takayasu arteritis is a chronic progressive non-specific inflammatory disease involving the aorta and its main branches. Professor CHEN Baogui indicates that Takayasu arteritis belongs to the category of "blood arthralgia" in traditional Chinese medicine. The pathogenesis is mostly deficiency of origin and excess of superficiality,deficiency of qi,blood,yin and yang,phlegm and blood stasis are mutually combined,and pathogenic factors such as wind,cold,dampness and heat are re-sensed,which gradually leads to obstruction of venation. Clinically,wind-cold blocking collaterals,qi deficiency blood stasis,yin deficiency and yang hyperactivity,and damp-heat and toxic excess syndrome are common,which are often accompanied by multiple pathogenic factors,and should be treated flexibly in clinic.