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李发枝教授基于脾胃为五脏之本理论治疗艾滋病经验

Professor Li Fazhi’s treatment experience of acquired immunodeficiency syndrome based on the spleen and stomach is the foundation of the five viscera
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摘要 艾滋病一直是威胁人类生命安全的重大传染病之一,其防治问题更是临床想要攻克的重点、难点。李发枝教授通过多年的临床实践,认为艾滋病的疾病表现与中医“虚劳病”有相似之处。李发枝教授注重脾胃为五脏之本这一理论思想,强调脾胃对五脏的培护作用,并指出艾毒袭人,首先损伤脾胃,渐而导致心、肺、肾、肝亏损,最终导致五脏气血阴阳皆虚,及瘀血、痰饮等病理产物的淤积,从而引发各种伴随疾病。病机关键是艾毒伤元,脾胃亏虚伴有内湿,五脏失养,气血阴阳亏损,这种病机的改变贯穿了艾滋病的整个过程。李发枝教授强调治疗中应重视健脾益胃、顾护中土以纠正人类免疫缺陷病毒导致的五脏亏损及各种并发症,且要分清虚实偏重,以达祛毒培元之效。附验案佐证。 Acquired immunodeficiency syndrome has always been one of the major infectious diseases threatening the safety of human life,and its prevention and treatment is the key and difficult problem to be solved clinically.Through many years of clinical practice,Professor Li Fazhi believes that the disease manifestation of acquired immunodeficiency syndrome is similar to the“consumption disease”of traditional Chinese medicine.Professor Li Fazhi pays attention to the theoretical idea that the spleen and stomach is the foundation of the five viscera,and emphasizes the nursing effect of the spleen and stomach on the five viscera.He points out that acquired immunodeficiency syndrome attacks people.First of all,acquired immunodeficiency syndrome damages the spleen and stomach.Gradually,acquired immunodeficiency syndrome leads to the loss of the heart,lung,kidney,and liver.Finally,acquired immunodeficiency syndrome causes the weakness of qi and blood,yin and yang of the five viscera.And it also causes the accumulation of pathological products such as blood stasis and phlegm,thus leading to a variety of concomitant diseases.The key to the pathogenesis is that the human immunodeficiency virus damages the primordial qi,spleen and stomach deficiency accompanied by internal dampness,loss of nourishment of the five viscera,weakness of qi and blood,and yin and yang loss.The change of the pathogenesis throughout the whole process of acquired immunodeficiency syndrome.Professor Li Fazhi emphasizes the importance of strengthening the spleen and stomach and caring for the middle soil in the treatment to correct the deficiency of the five viscera and various complications caused by human immunodeficiency virus.At the same time,he attaches great importance to distinguishing between deficiency and excess to achieve the effect of dispelling the evils of acquired immunodeficiency syndrome and nourishing primordial qi.The case is attached here to support the theory.
作者 杨瑞涵 马秀霞 孟鹏飞 李亮平 丁雪 宋夕元 崔伟锋 徐立然 YANG Ruihan;MA Xiuxia;MENG Pengfei;LI Liangping;DING Xue;SONG Xiyuan;CUI Weifeng;XU Liran(Graduate School,Henan University of Chinese Medicine,Henan Province,Zhengzhou450046,China;Acquired Immunodeficiency Syndrome Research Center,the First Affiliated Hospital of Henan University of Chinese Medicine,Henan Province,Zhengzhou450000,China;Department of Hypertension,Affiliated Hospital of Henan Academy of Chinese Medicine,Henan Province,Zhengzhou450004,China)
出处 《中国医药导报》 CAS 2022年第30期124-127,共4页 China Medical Herald
基金 国家科技重大专项课题(2017ZX10205502)。
关键词 脾胃为五脏之本 艾滋病 病因病机 中医药 The spleen and stomach is the foundation of the five viscera Acquired immunodeficiency syndrome Etiology and pathogenesis Traditional Chinese medicine
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