运用张锡纯宗气理论治疗重症肌无力经验
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摘要
重症肌无力是一种由神经-肌肉接头处传递功能障碍所引起的自身免疫性疾病,属中医痿证范畴。笔者认为重症肌无力病位在肌肉及血脉,病因与宗气相关,患者或素体脾虚、肾虚或感受热毒耗伤肺气致宗气亏虚,或感受湿热,或饮食所伤内生湿热、痰湿等致宗气瘀滞,总属宗气亏虚或宗气瘀滞不能撑持全身,神气不达,不能主司动作所致,病性多虚实夹杂,治当以调补宗气。宗气得补,邪气得除,故能撑持全身;气血周流,神气达于肌肉,故能主司动作,重症肌无力症状可以得到根本缓解。
Myasthenia gravis(MG) is an autoimmune disease caused by neuro-muscular junction transmission dysfunction, and it belongs to the category of flaccidity syndrome in TCM. The author believes that disease location of MG is located in muscles and blood vessels, and the pathogenesis is associated with pectoral qi. Or the patients are pectoral qi deficiency, who are born with spleen deficiency or kidney deficiency or infection external heat-toxicity damaged lung qi. Or the patients are pectoral qi stagnation, caused by infection external damp-heat, and damp-heat and phlegm-damp caused by internal injury diet. In a word, pectoral qi deficiency or stagnation cannot support the whole body, and vital essence cannot spread the whole body and cannot govern movement. The nature of the disease is excess and deficiency, and adjusting and benefiting pectoral qi should be a therapeutic principle. The adjustment means excluding the obstacles of the movement of pectoral qi, such as blood stasis, phlegm and retained fluid, and other exogenous evil in the internal organs or channels and collaterals. Benefiting pectoral qi concludes in benefiting lung qi, spleen qi and vitality. The pectoral qi is benefited, pathogenic qi is got rid of, and then the man's whole body is supported. Qi and blood circulating in the bodies, vital essence nourishing muscles and governing the movement, then the symptoms of myasthenia gravis can be fundamentally relieved.
Myasthenia gravis(MG) is an autoimmune disease caused by neuro-muscular junction transmission dysfunction, and it belongs to the category of flaccidity syndrome in TCM. The author believes that disease location of MG is located in muscles and blood vessels, and the pathogenesis is associated with pectoral qi. Or the patients are pectoral qi deficiency, who are born with spleen deficiency or kidney deficiency or infection external heat-toxicity damaged lung qi. Or the patients are pectoral qi stagnation, caused by infection external damp-heat, and damp-heat and phlegm-damp caused by internal injury diet. In a word, pectoral qi deficiency or stagnation cannot support the whole body, and vital essence cannot spread the whole body and cannot govern movement. The nature of the disease is excess and deficiency, and adjusting and benefiting pectoral qi should be a therapeutic principle. The adjustment means excluding the obstacles of the movement of pectoral qi, such as blood stasis, phlegm and retained fluid, and other exogenous evil in the internal organs or channels and collaterals. Benefiting pectoral qi concludes in benefiting lung qi, spleen qi and vitality. The pectoral qi is benefited, pathogenic qi is got rid of, and then the man's whole body is supported. Qi and blood circulating in the bodies, vital essence nourishing muscles and governing the movement, then the symptoms of myasthenia gravis can be fundamentally relieved.
引文
[1]陈吉全,于庆卫.张锡纯大气理论探讨.光明中医,2013,28(8):1546
[2]王丽华.洪广祥运用宗气理论治疗慢性阻塞性肺疾病稳定期的经验继承与临床研究.南京:南京中医药大学,2012
[3]姜婕,申德昂.升补宗气汤治疗老年慢性充血性心力衰竭46例.河南中医,2006,26(5):42-43
[4]张锡纯.医学衷中参西录.太原:山西科学技术出版社,2009
[5]刘少云.尚尔寿教授诊治症肌无力经验摭拾.中医药学刊,2001,19(4):306
[6]李春杰,余柏林.曹洪欣教授治疗重症肌无力的经验.中国中医药信息杂志,1999,6(11):27
[7]裘涛.裘昌林教授辨治重症肌无力危象经验撷萃.中华中医药杂志,2014,29(12):3847
[8]邓铁涛,周欣欣,刘小斌.邓铁涛教授函诊治疗重症肌无力用药特本病点浅析.新屮医,2011,43(4):134-135
[9]崔俊,乔文军.调补宗气法治疗重症肌无力相关痿证的机制.长春中医药大学学报,2016,32(2):315-316
[2]王丽华.洪广祥运用宗气理论治疗慢性阻塞性肺疾病稳定期的经验继承与临床研究.南京:南京中医药大学,2012
[3]姜婕,申德昂.升补宗气汤治疗老年慢性充血性心力衰竭46例.河南中医,2006,26(5):42-43
[4]张锡纯.医学衷中参西录.太原:山西科学技术出版社,2009
[5]刘少云.尚尔寿教授诊治症肌无力经验摭拾.中医药学刊,2001,19(4):306
[6]李春杰,余柏林.曹洪欣教授治疗重症肌无力的经验.中国中医药信息杂志,1999,6(11):27
[7]裘涛.裘昌林教授辨治重症肌无力危象经验撷萃.中华中医药杂志,2014,29(12):3847
[8]邓铁涛,周欣欣,刘小斌.邓铁涛教授函诊治疗重症肌无力用药特本病点浅析.新屮医,2011,43(4):134-135
[9]崔俊,乔文军.调补宗气法治疗重症肌无力相关痿证的机制.长春中医药大学学报,2016,32(2):315-316