1.北京中医药大学,北京市朝阳区北三环东路11号,100029
2.北京中医药大学第三临床医学院
3.北京中医药大学第三附属医院
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收稿:2024-05-15,
修回:2024-06-25,
纸质出版:2024-09-17
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赵京博,周珍,邵威等.王庆国基于荣卫之气论治风寒湿痹经验[J].中医杂志,2024,65(18):1860-1864.
ZHAO Jingbo,ZHOU Zhen,SHAO Wei,et al.Clinical Experience of WANG Qingguo in Treating Wind-Cold-Dampness Arthralgia Based on Nutrient Qi and Defense Qi[J].Journal of Traditional Chinese Medicine,2024,65(18):1860-1864.
赵京博,周珍,邵威等.王庆国基于荣卫之气论治风寒湿痹经验[J].中医杂志,2024,65(18):1860-1864. DOI: 10.13288/j.11-2166/r.2024.18.003.
ZHAO Jingbo,ZHOU Zhen,SHAO Wei,et al.Clinical Experience of WANG Qingguo in Treating Wind-Cold-Dampness Arthralgia Based on Nutrient Qi and Defense Qi[J].Journal of Traditional Chinese Medicine,2024,65(18):1860-1864. DOI: 10.13288/j.11-2166/r.2024.18.003.
总结王庆国教授基于“荣卫之气不与风寒湿气合,故不为痹”辨治风寒湿痹的经验。通过探析荣卫之气与风寒湿痹的关系,认为风寒湿痹发生与否与荣卫之气的运行息息相关,而本病治疗的关键在于调理荣卫、解除荣卫之气与风寒湿气的相合之势。风寒湿痹初期的核心病机为荣卫之气与风寒湿气初合,治宜调和荣卫、达邪解痹,以柴胡桂枝汤为主方;中期的核心病机为荣卫之气与风寒湿气胶结,治宜调补荣卫、分邪蠲痹,以自拟穿藤通痹汤为主方;后期的核心病机为荣卫之气虚滞、风寒湿气仍存,治宜补通荣卫、祛邪除痹,以自拟穿青海甲汤合独活寄生汤为主方。
To summarize the experience of Professor WANG Qingguo in diagnosing and treating wind-cold-dampness arthralgia based on the principle that "the nutrient-defense
qi
does not merge with wind-cold-dampness
qi
, so it did not result to arthralgia". By analyzing the relationship between nutrient-defense
qi
and wind-cold-dampness arthralgia, it is believed that the occurrence of wind-cold-dampness arthralgia is closely related to the movement of nutrient
qi
and defense
qi
, and the key to the treatment of this disease is to regulate nutrient
qi
and defense
qi
and remove the combination of nutrient-defense
qi
and wind-cold-dampness
qi
. The core pathogenesis of wind-cold-dampness arthralgia in the early stage is the initial combination of nutrient-defense
qi
and wind-cold-dampness
qi
, and the treatment should harmonize nutrient-defense
qi
and eliminate the pathogen and release pathogenesis, with
Chaihu Guizhi Decoction
(柴胡桂枝汤) as the main prescription; the core pathogenesis of the middle stage is nutrient-defense
qi
and wind-cold-dampness
qi
cemented together, and the treatment should harmonize and tonify nutrient
qi
and defense
qi
and separate the pathogen to alleviate disease, with self-prescribed
Chuanteng Tongbi Decoction
(穿藤通痹汤) as the main prescription; the core pathogenesis of the late stage is deficiency and stagnation of nutrient-defense
qi
, wind-cold-dampness
qi
still exist, and the
treatment should tonify and free nutrient
qi
and defense
qi
to eliminate pathogen and arthralgia, with self-prescribed
Chuanqing Haijia Decoction
(穿青海甲汤) plus
Duhuo Jisheng Decoction
(独活寄生汤) as the main prescription.
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