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《黄帝内经》“毒”邪思想对类风湿关节炎防治的启示
梅曼1, 何匀曦2, 马玉草1, 吕柳1,2
1.北京中医药大学东直门医院, 北京 100700;2.北京中医药大学厦门医院, 厦门 361015
摘要:
“毒”邪思想源于《黄帝内经》,其奠定了“毒”邪致病的理论基础。类风湿关节炎是临床常见的、难治性风湿病,通过梳理《黄帝内经》及相关古籍中的“毒”邪理论,结合现代医学观念,从“双毒学说”角度阐述对类风湿关节炎防治。“双毒学说”包含外感邪毒及内生伏毒,外感邪毒指从外向内进入机体导致疾病的毒邪,包括六淫邪毒和环境中的有害物质;内生伏毒指从内产生或伏于体内而后发病的毒邪。外感邪毒与内生伏毒相互滋生,互为因果,互助为虐,共同导致疾病的发生,希冀从“双毒学说”角度为类风湿关节炎的诊治提供新思路。
关键词:  类风湿关节炎  《黄帝内经》    双毒学说  理论探究
DOI:10.11656/j.issn.1672-1519.2023.12.05
分类号:R593.22
基金项目:国家自然科学基金项目(82104652,82174336); 国家重点研发计划(2022YFC3501202,2022YFC3501203); 首都卫生发展科研专项(CFH 2022-2-7087); 北京市通州区科技计划(KJ2022CX045)。
The enlightenment of “poison” evil thoughts in Huangdi Neijing to the prevention and treatment of rheumatoid arthritis
MEI Man1, HE Yunxi2, MA Yucao1, LYU Liu1,2
1.Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China;2.Xiamen Hospital, Beijing University of Chinese Medicine, Xiamen 361015, China
Abstract:
The evil thought of “poison” originated from Huangdi Neijing,which laid the theoretical basis of “poison” pathogenic.Rheumatoid arthritis(RA) is a common and refractory rheumatic disease in clinical practice. By combing the theory of “poison” in Huangdi Neijing and related ancient books,combined with modern medical concepts,the prevention and treatment of RA from the perspective of “Double-toxin theory” is expoused. The “Double-toxin theory” includes exogenous toxin and endogenous toxin. Exogenous toxin refers to the toxin that enters the body from outside to inside and causes diseases,including the six evils and harmful substances in the environment. Endogenous virulence refers to the virulence produced from within or latent in the body and then onset. Exogenous pathogens and endogenous pathogens breed each other,cause and effect each other,and help each other to abuse each other,leading to the occurrence of diseases together. Hoping from the aspect of “Double-toxin theory” provides new way for the diagnosis and treatment of RA.
Key words:  rheumatoid arthritis  Huangdi Neijing  poison  double-toxin theory  theoretical inquiry
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