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| National medical master MEI Guoqiang's experience in treating recurrent polychondritis from shaoyang discrimination |
| Hits 262 Download times 48 Received:November 20, 2025 |
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| DOI
10.11656/j.issn.1672-1519.2026.02.02 |
| Key Words
recurrent polychondritis;shaoyang;shaoyang governs the bones;dampness-heat accumulation and toxin formation;rare disease |
| Author Name | Affiliation | E-mail | | LIU Fuli | School of Traditional Chinese Medicine, Hubei University of Chinese Medicine, Wuhan 430061, China
Affiliated Hospital of Hubei University of Chinese Medicine, Hubei Provincial Hospital of Traditional Chinese Medicine, Hubei Provincial Research Institute of Chinese Medicine, Wuhan 430060, China | | | MEI Guoqiang | School of Traditional Chinese Medicine, Hubei University of Chinese Medicine, Wuhan 430061, China | | | WU Jialuan | College of Acupuncture and Orthopedics, Hubei University of Chinese Medicine, Wuhan 430061, China | | | HUANG Lian | College of Acupuncture and Orthopedics, Hubei University of Chinese Medicine, Wuhan 430061, China | | | BA Yuanming | Affiliated Hospital of Hubei University of Chinese Medicine, Hubei Provincial Hospital of Traditional Chinese Medicine, Hubei Provincial Research Institute of Chinese Medicine, Wuhan 430060, China | 1723426138@qq.com |
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| Abstract
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| Relapsing polychondritis(RP)is a rare autoimmune inflammatory disease, mainly affecting the cartilage of the auricle, nose, larynx, and joints, often presenting with local redness, swelling, tenderness and pain at the affected sites, and characterized by recurrent attacks and progressive destruction. Professor MEI Guoqiang, a master of traditional Chinese medicine, based on the theory of "shaoyang governing the bones"and considering that both shaoyang and the orifices(ears, nose, and throat)belong to the half-exterior-half-interior disease location, as well as the pathways of the hand and foot shaoyang meridians and the fire nature of shaoyang qi, proposed that the main pathogenesis of relapsing polychondritis involves shaoyang dysfunction, with upsurge of jiamu and stagnation- heat scorching the ears, as well as shaoyang disharmony leading to dampness-heat accumulation and toxin formation, which erodes the bones and collaterals. The fundamental treatment principles are harmonizing and resolving shaoyang, clearing heat and draining dampness, and detoxifying and unblocking collaterals, with the self- prescribed Chaihu Situ Decoction as the main formula. On this basis, wind-dispelling herbs are flexibly used to expel wind, overcome dampness, and disperse pathogens to penetrate the collaterals; insect drugs are employed to attack pathogens through their mobile nature, detoxify, and scour the collaterals; and moistening herbs are applied to nourish yin, restrain wood, tonify deficiency, and calm the collaterals. This approach may provide certain insights for exploring the pathological connotation and treatment of relapsing polychondritis. |
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