[1]李萌 周昕欣.从“玄府郁闭”辨治系统性硬化症的理论探讨[J].陕西中医药大学学报,2022,(03):029-32.[doi:10.13424/j.cnki.jsctcm.2022.03.008]
 LI Meng ZHOU Xinxin.Theoretical Discussion on Syndrome Differentiation and Treatment of Systemic Sclerosis from “Xuanfu Depression Blocking”[J].Journal of Shaanxi University of Traditional Chinese Medicine,2022,(03):029-32.[doi:10.13424/j.cnki.jsctcm.2022.03.008]
点击复制

从“玄府郁闭”辨治系统性硬化症的理论探讨
分享到:

《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:
期数:
2022年03期
页码:
029-32
栏目:
论著
出版日期:
2022-05-26

文章信息/Info

Title:
Theoretical Discussion on Syndrome Differentiation and Treatment of Systemic Sclerosis from “Xuanfu Depression Blocking”
文章编号:
2096-1340(2022)03-0029-04
作者:
李萌1 周昕欣2
1.辽宁中医药大学,辽宁 沈阳 110032;
2.辽宁中医药大学附属第二医院,辽宁 沈阳 110034
Author(s):
LI Meng1 ZHOU Xinxin2
1.Liaoning University of Traditional Chinese Medicine,Shenyang 110032,China;
2.The Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110034,China
关键词:
关键词:系统性硬化症玄府风药病机
Keywords:
Key words: Systemic sclerosisXuanfuWind medicinePathogenesis
分类号:
R275
DOI:
10.13424/j.cnki.jsctcm.2022.03.008
文献标志码:
A
摘要:
摘 要:系统性硬化症(systemic sclerosis,SSc)属于中医“皮痹”“肌痹”“脏腑痹”等痹症范畴,根据SSc发病的致病因素、病变部位、临床表现,可以认为“玄府郁闭”是本病的主要病机,故以辛通走窜之风药,通过发汗解表,通达阳气;宣通气液,行津化痰;升阳胜湿,助脾运化;活血行痹,通络散瘀;通窍启闭,开阖神机,可发挥宣通畅达玄府通道作用。基于“玄府郁闭”的病机特点,以风药宣通玄府,对于有效延缓SSc病程进展,防止或减轻多系统内脏损伤,具有一定的方法学指导价值。
Abstract:
Abstract: Systemic sclerosis (SSc) belongs to the category of “skin arthralgia” “muscle arthralgia” and “visceral arthralgia” in traditional Chinese medicine.According to the pathogenic factors,disease location and clinical manifestations of SSc,it can be considered that “Xuanfu depression blocking” is the main pathogenesis of the disease.Therefore,it uses wind medicine to relieve the surface through sweating and reach Yang Qi;Xuantong Qi and fluid,promoting fluid circulation and removing phlegm;Ascending Yang to resolving dampness and helps the spleen transport and transform;Promoting blood circulation,promoting arthralgia,dredging collaterals and dispersing blood stasis;The opening and closing of the orifices and the opening and closing of the Shen activity can play the role of a channel for publicizing and reaching the Xuanfu.Based on the pathogenesis characteristics of “Xuanfu depression blocking”,Xuanfu is publicized with wind medicine,which has a certain methodological guiding value for effectively delaying the progression of SSc and preventing or reducing multisystem visceral injury.

参考文献/References:

[1]孙焕霞,苏厚恒,石颜军.系统性硬化病发病机制探讨及展望[J].中华风湿病学杂志,2020,24(7):491-495.
[2]常富业,王永炎,高颖,等.玄府概念诠释(三)——玄府的历史演变轨迹与述评[J].北京中医药大学学报,2005,28(2):5-6.
[3]Herrick AL.Evidence-based management of Raynaud's phenomenon[J].Therapeutic Advances in Musculoskeletal Disease,2017,9(12):317-329.
[4]樊均明,孟立锋.汗法防治慢性肾衰竭的理论与实践探讨[J].中国中西医结合肾病杂志,2017,18(8):659-661.
[5]陈晓.“通玄府”是汗法治疗内伤杂病的重要机制[J]内蒙古中医药,2010,36(2):114-115.
[6]陈震萍,吕萍,牟重临.“玄府”学说阐发与临床发挥[J].中华中医药杂志,2017,32(2):446-448.
[7]李燕村,张宗学,张伟.从“营卫不从”探讨系统性硬化症合并肺间质改变的中医病机演变[J].中医杂志,2017,58(9):745-747,751.
[8]夏淑洁,王义军.胡荫奇运用桂枝加葛根汤辨治风湿病经验[J].时珍国医国药,2017,28(5):1233-1234.
[9]肖尧,付西,李蒙丽,等.基于“淋巴玄府”探讨风药论治恶性淋巴瘤[J].吉林中医药,2019,39(9):1121-1123.
[10]朱勤,陈洪宇.浅议肾玄府理论及辛味风药在肾病中的运用[J].中医杂志,2018,59(4):281-284.
[11]胥魏,张缪佳.硬皮病消化系统受累临床表现及诊治进展[J].中国临床医学,2016,23(4):519-523.
[12]常富业,李云,张允岭.玄府与津液代谢[J].中华中医药学刊,2009,27(10):2077-2078.
[13]付西,郑川,祝捷,等.逆流挽舟法以风药干预结肠癌前病变探析[J].光明中医,2019,34(4):534-536.
[14]杜桐,刘维.系统性硬化症中医文献分析概述[J].风湿病与关节炎,2017,6(11):78-80.
[15]郑国庆,黄培新.玄府与微循环和离子通道[J].中国中医基础医学杂志,2003,9(4):13-14,31.
[16]张如意,游秋云.解表药的教学思路与实践[J].中国当代医药,2017,24(3):158-160.
[17]孙妍,贾会欣.通络化瘀方对系统性硬化症患者甲襞微循环及外周血Th17/Treg细胞平衡的影响[J].齐齐哈尔医学院学报,2016,37(28):3542-3543.
[18]关周静,陈宗林,杨栋,等.活血祛瘀汤熏洗联合西药治疗弥漫性系统性硬化症[J].中国实验方剂学杂志,2016,22(20):158-162.
[19]苏敏慧,陈剑梅,钱先.从中医玄府理论探讨系统性硬化症的诊治[J].中医杂志,2018,59(4):299-302.
[20]李雯雯,李小玲,赵荫环.系统性硬化症中西医发病机制及治疗进展[J].现代中西医结合杂志,2020,29(19):2158-2163.

相似文献/References:

[1]何伟 胡勇 佟雅婧.玄府虚闭与晚期恶性肿瘤多器官功能衰竭[J].陕西中医药大学学报,2022,(03):038.[doi:10.13424/j.cnki.jsctcm.2022.03.010]
 HE Wei HU Yong TONG Yajing.Late Stage of Malignant Organ Failure and Xuanfu Deficiency Blocking[J].Journal of Shaanxi University of Traditional Chinese Medicine,2022,(03):038.[doi:10.13424/j.cnki.jsctcm.2022.03.010]
[2]谢晓林蒙琴张展源邹家祥史红.寻常型银屑病的中医诊治进展[J].陕西中医药大学学报,2023,(06):124.[doi:10.13424/j.cnki.jsctcm.2023.06.023]

备注/Memo

备注/Memo:
基金项目:辽宁中医药大学中医脏象理论及应用教育部重点实验室开放基金资助(zyzx1517)
更新日期/Last Update: 2022-05-30