[1]李 吉,李引刚,刘艳平,等.名中医李彦民辨治强直性脊柱炎经验探微[J].陕西中医,2024,(7):967-970.[doi:DOI:10.3969/j.issn.1000-7369.2024.07.024]
　LI Ji,LI Yingang,LIU Yanping,et al.Exploration of famous traditional Chinese medicine LI Yanmin's clinical experience in treating ankylosing spondylitis[J].,2024,(7):967-970.[doi:DOI:10.3969/j.issn.1000-7369.2024.07.024]
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名中医李彦民辨治强直性脊柱炎经验探微

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2024年7期
页码:
967-970
栏目:
名中医经验
出版日期:
2024-07-05

文章信息/Info

Title:
Exploration of famous traditional Chinese medicine LI Yanmin's clinical experience in treating ankylosing spondylitis
作者:
李 吉1; 李引刚2 ; 刘艳平2; 杨 锋1; 杨 进2 ; 白小军1
(1.陕西中医药大学,陕西 咸阳 712046; 2.陕西中医药大学附属医院,陕西 咸阳 712099)
Author(s):
LI Ji; LI Yingang; LIU Yanping; YANG Feng; YANG Jin; BAI Xiaojun
(Shaanxi University of Traditional Chinese Medicine,Xianyang 712046,China)
关键词:
强直性脊柱炎;  痛强兼顾;  肝肾同治;  通络除痹;  养血柔肝;  补肾通督;  舒筋活络
Keywords:
Ankylosing spondylitis;  Balancing pain and stiffness;  Ganshen Tongzhi;  Tongluo Chubi;  Yangxue Rougan;  Bushen Tongdu;  Shujin Huoluo
分类号:
R 681.5
DOI:
DOI:10.3969/j.issn.1000-7369.2024.07.024
文献标志码:
A
摘要:
强直性脊柱炎是一种免疫介导的慢性、进行性炎症疾病,其累及器官广泛,多累及脊柱、骶髂关节、骨突、周围软组织和外周关节,严重者可引起脊柱畸形,各年龄均可发病。随着社会经济发展,生活方式的改变,现代人精神压力增大,强直性脊柱炎的发病也逐渐增多。李彦民主任医师从医近50年,对强直性脊柱炎诊治有独特见解。李彦民认为,强直性脊柱炎的致病因素以寒湿为患,具体发病部位在筋、骨,临床辨证时应“脏腑重肝肾,外邪重寒湿”,诊断要坚持“痛强兼顾、肝肾同治”原则,采用通络除痹法、养血柔肝法、补肾通督法、舒筋活络法治疗本病,四种治法单独或联合使用,从而达到内外兼治、通络除痹的目的。总结李彦民临床辨证治疗强直性脊柱炎经验,为本病治疗提供具体用药思路,改善患者生活质量。
Abstract:
Ankylosing spondylitis is an immune-mediated chronic,progressive inflammatory disease that affects wide range of organs,including spine,sacroiliac joints,bone processes,surrounding soft tissues and peripheral joints.It can cause spinal deformities and occur at all ages.With development of social economy and changes in lifestyles,modern people's mental pressure has increased,and incidence of ankylosing spondylitis gradually increased.LI Yanmin chief physician has been practicing medicine for nearly 50 years and his own unique insights into diagnosis and treatment of ankylosing spondylitis during many years of clinical practice.LI Yanmin believes that pathogenic factor of ankylosing spondylitis was caused by cold and dampness,and specific location of the disease in the tendons and bones.LI Yanmin believes that diagnosis of ankylosing spondylitis should be based on the principle of “organ heavy liver and kidney,external evil heavy cold and dampness”.Diagnosis should adhere to principle of “Balancing pain and stiffness,and Ganshen Tongzhi”.The treatment of the disease should adopt methods of Tongluo Chubi,Yangxue Rougan, Bushen Tongdu and Shujin Huoluo.The four methods can be used alone or combination to achieve goal of both internal and external treatment,unblocking meridians and removing obstruction.Summarize LI Yanmin's clinical experience in dialectical treatment of ankylosing spondylitis,provide specific dialectical medication ideas for treatment of the disease,and improve quality of life.

参考文献/References:

[1] 刘志燕,柳芳,李朋梅,等.白芍总苷胶囊联合柳氮磺吡啶片比较柳氮磺吡啶片治疗强直性脊柱炎的疗效和安全性的Meta分析[J].中国药房,2018,29(17):118-122.
[2] 郭乃亮.补肾强督治屈汤加减治疗肾虚督寒型强直性脊柱炎疗效及对患者炎症因子的影响[J].陕西中医,2019,40(10):1394-1396,1414.
[3] 陈嘉杰,李玉颖,王一凡,等.焦树德辨证论治类风湿关节炎经验总结[J].陕西中医,2020,41(12):1796-1799.
[4] 王北.王为兰教授治疗强直性脊柱炎的临床经验[J].北京中医药大学学报(中医临床版),2008,15(5):34-24.
[5] 娄高峰,娄玉玲.娄多峰论治痹病精华[M].天津:天津科技翻译出版社公司,1994:278-279.
[6] 胡资兵.强直性脊柱炎的骨代谢变化及其调控机制研究[D].广州:南方医科大学,2023.
[7] 章何陋,吴奕江,高炀,等.强直性脊柱炎的诊治进展[J].中医正骨,2021,33(11):64-73.
[8] 张硕,陈鹏,杜红莲,等.清热益肾定脊汤联合阿达木单抗对早期强直性脊柱炎肾虚湿热证患者的效果及对炎性因子、腰椎功能的影响[J].中医药学报,2023,51(10):72-76.
[9] 李吉,杨进,白小军,等.李彦民治疗类风湿关节炎经验[J].陕西中医,2023,44(6):769-772.
[10] 李吉,杨进,白小军,等.名中医李彦民治疗腰椎间盘突出症经验[J].陕西中医,2023,44(8):1129-1132.
[11] RAMIRO S,STOLWIJK C,VAN T A,et al.Evolution of radiographic damage in ankylosing spondylitis:A 12 year prospective follow-up of the OASIS study[J].Ann Rheum Dis,2015,74(1):52-56.
[12] EXARCHOU S,LIE E,LINDSTROM U,et al.Mortalityin ankylosing spondylitis:Results from a nationwide population-based study[J].Ann Rheum Dis,2016,75(8):1466-1470.
[13] 姚传辉,姜泉,夏聪敏,等.类风湿关节炎临床缓解期患者复发相关因素的真实世界研究[J].中医杂志,2023,64(13):1343-1350.
[14] 赵静,蒋文慧.艾灸配合推拿治疗腰椎间盘突出症120例[J].陕西中医,2013,34(10):1397-1398.
[15] 杨进,王晓锋,李彦民.仙龙颗粒治疗类风湿性关节炎120例[J].陕西中医,2015,36(9):1204-1205.
[16] 郝晓娟,杜娟丽,张强,等.以急性葡萄膜炎为首发症状的强直性脊柱炎43例临床分析[J].陕西医学杂志,2017,46(1):77-78.
[17] 王蔼平,张俊莉,刘 茜,等.强直性脊柱炎髋关节病变的相关因素分析[J].陕西中医,2012,33(6):697-699.
[18] 孙鹏,李建,沙明波,等.独活寄生汤加减对强直性脊柱炎肾虚督寒证骨代谢和炎症因子的影响[J].中国实验方剂学杂志,2017,58(24):202-207.
[19] 戴璐.柳氮磺胺吡啶联合益赛普治疗不同年龄强直性脊柱炎临床效果及对患者生活质量的影响研究[J].陕西医学杂志,2019,48(2):262-265.
[20] 况凡.强直性脊椎炎患者HLA-B27与血清补体C3、C4及超敏C反应蛋白水平分析[J].陕西医学杂志,2018,47(12):1655-1656.
[21] 黄闰月.“强直”控制还应关注4件事[J].江苏卫生保健,2020,22(8):10-11.
[22] 张璐,刘云,马东红,等.中西医结合治疗强直性脊柱炎临床疗效[J].陕西中医,2017,38(4):475-477.
[23] 郭金明,张国权,阿里木江.体质指数和腰臀比对中老年妇女腰椎前凸和骶骨倾斜度的影响[J].中国骨伤,2008,21(1):30-31.
[24] 廖泽涛.强直性脊柱炎和脊柱关节病诊疗指南的应用[J].新医学,2011,42(3):190-192.
[25] 冯兴华,姜泉,刘宏潇,等.中医辨证治疗强直性脊柱炎的临床疗效评价[J].中国中西医结合杂志,2013,33(10):1309-1314.

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　YANG Huijun,YANG Jing,LEI Haitao,et al.Experience of renowned traditional Chinese medicine practitioner WANG Haidong in treating ankylosing spondylitis based on relief technique for knots in the lower part of the xiphoid process of the Ren Meridian[J].,2026,(7):672.[doi:DOI:10.3969/j.issn.1000-7369.2026.05.017]

备注/Memo

备注/Memo:
基金项目:陕西省科技厅社会发展领域一般项目(2023-YBSF-210); 陕西省教育厅重点科研计划项目(22JZ034); 全国名老中医药专家李彦民传承工作室建设项目[国中医药人教发(2013)47号]; 陕西省名中医工作室建设项目[陕中医药发(2011)47号]
更新日期/Last Update: 2024-07-09