A case of lower limb ulcers secondary to rheumatoid arthritis treated with integrated traditional Chinese and Western medicine

YAN Jialin; QU Huanru

doi:10.16305/j.1007-1334.2023.2304031

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A case of lower limb ulcers secondary to rheumatoid arthritis treated with integrated traditional Chinese and Western medicine

更新时间：2023-09-19

- A case of lower limb ulcers secondary to rheumatoid arthritis treated with integrated traditional Chinese and Western medicine
- Shanghai Journal of Traditional Chinese Medicine Vol. 57, Issue 10, Pages: 44-47(2023)
- 作者机构：
  
  1.上海中医药大学附属龙华医院风湿科（上海 200032）
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2023.2304031
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严嘉琳,曲环汝.中西医结合治疗类风湿关节炎继发下肢溃疡验案1则[J].上海中医药杂志,2023,57(10):44-47.

YAN Jialin,QU Huanru.A case of lower limb ulcers secondary to rheumatoid arthritis treated with integrated traditional Chinese and Western medicine[J].Shanghai Journal of Traditional Chinese Medicine,2023,57(10):44-47.
严嘉琳,曲环汝.中西医结合治疗类风湿关节炎继发下肢溃疡验案1则[J].上海中医药杂志,2023,57(10):44-47. DOI： 10.16305/j.1007-1334.2023.2304031.

YAN Jialin,QU Huanru.A case of lower limb ulcers secondary to rheumatoid arthritis treated with integrated traditional Chinese and Western medicine[J].Shanghai Journal of Traditional Chinese Medicine,2023,57(10):44-47. DOI： 10.16305/j.1007-1334.2023.2304031.

摘要

类风湿关节炎（RA）继发下肢溃疡预后不良、致残率高，早期识别与诊断原发病有益于疾病的治疗。本病病性为本虚标实，以“虚、瘀”为基本病机，治疗时应根据病情缓急治以清热解毒利湿或益气扶正脱毒，同时将活血化瘀贯穿其中；除口服中药汤剂外，治疗本病还可应用中医外治法。中西医结合、内外并举治疗RA继发下肢溃疡，可达祛腐、祛瘀、补虚、生肌之效，能够较大程度改善患者的临床症状。并举验案1则。

Abstract

Lower limb ulcers secondary to rheumatoid arthritis （RA） have a poor prognosis and high disability rate. Early identification and diagnosis of the primary disease is beneficial to the treatment. The disease has deficient root and excess manifestations with “deficiency， stasis and necrosis” as the basic pathogenesis. In terms of treatment， we should consider the urgency of the disease and choose to treat it either by clearing heat， removing toxicity and promoting diuresis or benefiting qi， strengthening vital qi and eliminating toxicity. In the whole treatment course， activating blood circulation and eliminating blood stasis should not be neglected. In addition to oral traditional Chinese medicine decoctions， external treatment can also be applied to treat the disease. The integration of traditional Chinese and Western medicine as well as the combination of internal and external treatment can be used to treat lower limb ulcers secondary to RA， which can eliminate necrosis， remove stasis， nourish deficiency and generate fresh， and can improve the clinical symptoms of patients to a large extent. One proven case is provided.

关键词

类风湿关节炎下肢溃疡中医外治法中西医结合疗法

Keywords

rheumatoid arthritislower limb ulcerstraditional Chinese medicine external treatmentintegrated traditional Chinese and Western medicine

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