摘要
[目的]总结鲁贤昌教授中西结合治疗类风湿性关节炎的经验。[方法]跟随老师临诊学习,搜集鲁贤昌教授的临床医案,从对类风湿性关节炎病因病机的理解及诊治特点和用药规律等角度,总结其学术思想与临证经验,并附验案一则。[结果]鲁贤昌教授认为类风湿性关节炎属中医"痹证"范畴,其病因病机为正气虚衰,筋骨肌腠空虚,外加风寒湿邪侵犯机体,阻滞经络,气机运行不畅,久之形成痹证。治疗时衷中参西,证病结合,主要从温阳通痹、护脾胃等角度遣方用药,处方善用精当药对,同时重视西药及外治联合,临床效果明显。所举医案,充分应证了其上述学术经验。[结论]鲁贤昌教授中西结合、内外兼治类风湿性关节炎,用药特色鲜明,疗效确定,有较高临床参考价值,值得深入学习和推广运用。
[Objective] To summarize the experiences of Professor LU Xianchang in treating rheumatoid arthritis. [Methods] Professor LU＇s experience and the treatment principles were summarized by attending the process of his diagnosis and treatment for patients and his medical records. [Results] Professor LU＇ s treatment of rheumatoid arthritis, clinical addition and subtraction, herbal prescription had better clinical efficacy, and attached with the ease of a post- mortem.[Conclusions]Medicine of precise curative effect is determined by Professor LU and the mechanism of medication has higher clinical value,it is worth in-depth study and application.
作者
郑栩良
张郜晨茜
张烁
ZHENG Xulaing;ZHANGGAO Chenxi;ZHANG Shuo(The First Clinical Medical College of Zhejiang Chinese Medicine University, Hangzhou, China（310053;The First Affiliated Hospital of Zhejiang Chinese Medical University)
出处
《浙江中医药大学学报》
CAS
2018年第5期370-373,共4页
Journal of Zhejiang Chinese Medical University
关键词
类风湿性关节炎
痹证
药对
用药规律
鲁贤昌
医案
名医经验
学术传承
rheumatoid arthritis
Bi Zheng
couplet medicines
drug regulation
LU Xianchang
medical cases
famous doctor＇s experience
academic inheritance
