ZHANG Lei's Experience in the Treatment of Sjögren Syndrome from the Perspective of "Same Form and Disease of Dryness and Dampness"

LI Yanan; XU Erping; ZHANG Rui

doi:10.13288/j.11-2166/r.2025.01.003

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ZHANG Lei's Experience in the Treatment of Sjögren Syndrome from the Perspective of "Same Form and Disease of Dryness and Dampness"

更新时间：2024-12-31

- ZHANG Lei's Experience in the Treatment of Sjögren Syndrome from the Perspective of "Same Form and Disease of Dryness and Dampness"
- Journal of Traditional Chinese Medicine Vol. 66, Issue 1, Pages: 12-16(2025)
- 作者机构：
  
  河南中医药大学，河南省郑州市金水区金水东路156号，450046
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2025.01.003
  CLC：
- Received：21 February 2024，
  
  Revised：2024-04-28，
  
  Published：02 January 2025
- 稿件说明：
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李亚南,许二平.张磊从“燥湿同形同病”论治干燥综合征经验[J].中医杂志,2025,66(01):12-16.

LI Yanan,XU Erping.ZHANG Lei's Experience in the Treatment of Sjögren Syndrome from the Perspective of "Same Form and Disease of Dryness and Dampness"[J].Journal of Traditional Chinese Medicine,2025,66(01):12-16.
李亚南,许二平.张磊从“燥湿同形同病”论治干燥综合征经验[J].中医杂志,2025,66(01):12-16. DOI： 10.13288/j.11-2166/r.2025.01.003.

LI Yanan,XU Erping.ZHANG Lei's Experience in the Treatment of Sjögren Syndrome from the Perspective of "Same Form and Disease of Dryness and Dampness"[J].Journal of Traditional Chinese Medicine,2025,66(01):12-16. DOI： 10.13288/j.11-2166/r.2025.01.003.

摘要

总结张磊教授从“燥湿同形同病”论治干燥综合征的临证经验。认为干燥综合征的病理因素涉及燥、湿两个方面，重要病机为燥湿同形同病，即燥与湿同形互化或同病相兼。燥湿同形包括因湿致燥证和因燥致湿证，分别予以五苓散加减、阿胶鸡子黄汤加减；燥湿同病临床常见证型为肺燥脾湿证、胃燥脾湿证、肝燥脾湿证、肾燥脾湿证，分别予以甘露饮合苇茎汤加减、自拟健脾养阴方加减、自拟谷青汤合橘皮枳术丸加减、肾气丸合苓桂术甘汤加减。

Abstract

This paper summarized professor ZHANG Lei's experience in the treatment of sjögren syndrome （SS） from the perspective of "same form and disease of dryness and dampness". It is believed that both dryness and dampness are involved as the pathological factors of SS. The important pathogenesis is that dryness and dampness are of the same form and coexist in the disease， that is， dryness and dampness can transform into each other with the same form or be concurrent in the disease. The same form of dryness and dampness includes the dryness syndrome caused by dampness and the dampness syndrome caused by dryness， which can be treated with modified

Wuling Powder

（五苓散） and modified

Ejiao Jizihuang Decoction

（阿胶鸡子黄汤）， respectively. The disease of both dryness and dampness includes lung dryness with spleen dampness， stomach dryness with spleen dampness， liver dryness with spleen dampness， and kidney dryness with spleen dampness syndrome， which can be treated with modified

Ganlu Beverage and Weijing Decoction

（甘露饮合苇茎汤）， self-made

Jianpi Yangyin Formula

（健脾养阴方） with modifications， self-made

Guqing Decoction and Jupi Zhishu Pill

（谷青汤合橘皮枳术丸） with modifications， and

Shenqi Pill and Linggui Zhugan Decoction （

肾气丸合苓桂术甘汤）

with modifications， respectively.

关键词

Keywords

references

中华中医药学会风湿病分会 . 干燥综合征病证结合诊疗指南［J］. 中医杂志， 2024 ， 65 （ 4 ）： 434 - 444 .

谭震，厉小梅 . 干燥综合征治疗的现状与未来［J］. 中国新药杂志， 2023 ， 32 （ 22 ）： 2234 - 2239 .

NOCTURNE G ， MARIETTE X . Sjögren syndrome-associated lymphomas：an update on pathogenesis and management ［J］. Br J Haematol ， 2015 ， 168 （ 3 ）： 317 - 327 .

BAER AN ， GOTTENBERG JE ， CLAIR EWST ， et al . Efficacy and safety of abatacept in active primary sjögren's syndrome：results of a phase Ⅲ，randomised，placebo-controlled trial ［J］. Ann Rheum Dis ， 2021 ， 80 （ 3 ）： 339 - 348 .

WANG SQ ， ZHANG LW ， WEI P ， et al . Is hydroxychloroquine effective in treating primary sjögren's syndrome：a systematic review and meta-analysis ［J］. BMC Musculoskelet Disord ， 2017 ， 18 （ 1 ）： 186 .

刘筱棠，张杰 . 中医药治疗干燥综合征研究进展［J］. 实用中医内科杂志， 2024 ， 38 （ 8 ）： 47 - 49 .

周新尧，姜泉，唐晓颇，等 . 干燥综合征中医证候专家共识［J］. 北京中医药大学学报， 2023 ， 46 （ 3 ）： 310 - 314 .

罗静，吴子华，陶庆文 . 从燥湿同病探析原发性干燥综合征的病因病机［J］. 中华中医药杂志， 2023 ， 38 （ 7 ）： 3154 - 3157 .

田合禄 . 《黄帝内经》标本中气理论通析［J］. 中华中医药杂志， 2022 ， 37 （ 11 ）： 6238 - 6245 .

程宜福 . 论燥湿同形同病［J］. 中国中医基础医学杂志， 1995 ， 1 （ 4 ）： 24 ， 49 .

王鸿谟 . 关于强化充实八纲辨证纲领作用的研究［J］. 北京中医， 2003 ， 22 （ 4 ）： 19 - 21 .

郑齐 . 缪希雍养脾阴思想对燥湿相兼证治的启示［J］. 南京中医药大学学报， 2015 ， 31 （ 4 ）： 305 - 306，352 .

宋玮，张钟艺，凌桂华，等 . 基于“燥湿同形同病”论治鱼鳞病［J］. 北京中医药大学学报， 2023 ， 46 （ 1 ）： 110 - 114 .

韩曼，姜泉，唐晓颇，等 . 基于国医大师路志正“燥湿互济”学术思想论干燥综合征中医辨治［J］. 中华中医药杂志， 2024 ， 39 （ 2 ）： 770 - 774 .

张燕，杨建英，王钦，等 . 原发性干燥综合征合并血细胞减少中医诊治研究进展［J］. 世界中医药， 2024 ， 19 （ 2 ）： 250 - 255 .

何时希 . 杂病汇讲（续）：程门雪遗稿之八［J］. 中医杂志， 1987 （ 5 ）： 8 - 10 .

孙玉信，张登锋 . 张磊应用谷青汤的经验［J］. 辽宁中医杂志， 2001 ， 28 （ 3 ）： 138 - 139 .

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