成都中医药大学附属医院,四川省成都市金牛区十二桥路39号,610072
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收稿:2023-08-19,
修回:2023-11-21,
纸质出版:2024-02-02
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宋玮,杨天琳,张钟艺等.艾儒棣分期辨治系统性红斑狼疮经验[J].中医杂志,2024,65(03):239-244.
SONG Wei,YANG Tianlin,ZHANG Zhongyi,et al.The Experience of AI Rudi in Staged Differentiation and Treatment of Systemic Lupus Erythematosus[J].Journal of Traditional Chinese Medicine,2024,65(03):239-244.
宋玮,杨天琳,张钟艺等.艾儒棣分期辨治系统性红斑狼疮经验[J].中医杂志,2024,65(03):239-244. DOI: 10.13288/j.11-2166/r.2024.03.003.
SONG Wei,YANG Tianlin,ZHANG Zhongyi,et al.The Experience of AI Rudi in Staged Differentiation and Treatment of Systemic Lupus Erythematosus[J].Journal of Traditional Chinese Medicine,2024,65(03):239-244. DOI: 10.13288/j.11-2166/r.2024.03.003.
总结艾儒棣教授分期辨治系统性红斑狼疮(SLE)的临证经验。认为SLE以肾阴亏虚、热毒瘀阻为核心病机,主张以养阴清热、活血解毒为治疗原则进行分期论治。初期热毒瘀结,重在治标,及早固肾,方以自拟凉血消风散加减;中期阴虚内热,宜培补肾阴,兼以驱邪,方以自拟首乌地黄汤加减;后期阴损及阳,需缓则固本,同调阴阳,方以真武汤合滋肾通关散加减。同时治疗全程注重衷中参西,中西互补;初瘥后巧用自拟二参地黄丸,缓图收功,瘥后防复;重视外治,针对SLE皮损以红油膏外搽,消肿止痛。
This article summarized the clinical experience of Professor AI Rudi in staged treatment according to pattern differentiation of systemic lupus erythematosus (SLE). It is believed that SLE is characterized by kidney
yin
deficiency and heat toxin obstruction as the core disease mechanism. The staged treatment principle is to nourish
yin
and clear heat, invigorate blood and resolve toxins. In the early stage of heat toxins accumulation, the focus is on treating the branch and strengthen the kidneys as early as possible, recommending self-designed
Liangxue Xiaofeng Powder
(凉血消风散) with modifications. In the middle stage, there is
yin
deficiency with internal heat, which requires nourishing kidney
yin
and eliminating pathogenic factors. The prescription suggested is self-designed
Shouwu Dihuang Decoction
(首乌地黄汤). In the late stage, there is yin impairment affecting
yang
, which requires a gradual consolidation of the foundation and harmonization of
yin
and
yang
, usually with
Zhenwu Decoction
(真武汤) and
Zishen Tongguan Powder
(滋肾通关散) with modifications. At the same time, the treatment emphasizes the integration of Chinese and Western medicine, and use of self-designed
Ershen Dihuang Pill
(二参地黄丸)
after initial remission to consolidate the effect and prevent relapse. External treatment should also be given importance to, and
Hongyou Ointment
(红油膏) can be used to treat SLE skin lesions, reduce swelling, and relieve pain.
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