ZHANG Haoyu,CHEN Zimin,TANG Jinyang,et al.Professor Fang Dingya's experience in treating juvenile dermatomyositis by stages[J].Shanghai Journal of Traditional Chinese Medicine,2024,58(12):105-108.
ZHANG Haoyu,CHEN Zimin,TANG Jinyang,et al.Professor Fang Dingya's experience in treating juvenile dermatomyositis by stages[J].Shanghai Journal of Traditional Chinese Medicine,2024,58(12):105-108. DOI: 10.16305/j.1007-1334.2024.z20240611003.
Professor Fang Dingya's experience in treating juvenile dermatomyositis by stages
Juvenile dermatomyositis (JDM) is a rheumatic immune disease with multi-system involvement. The current Western medical treatment of JDM is mainly by glucocorticosteroids and immunosuppressants, which have many adverse effects. Professor Fang Dingya has proposed a staging treatment of the disease based on different stages. In the acute stage, the disease manifests itself as heat and toxicity embedded in the blood, and the principal objective of treatment is to clear heat and remove toxins, cool the blood and unblock the collatenals. Modified Xijiao Dihuang Decoction combined with Simiao Yong'an Decoction are used as prescriptions. In the remission stage, the treatment is classified based on the clinical manifestations. For those with a persistent rash, modified Sishen Decoction is used to benefit the qi and nourish the yin, detoxify the toxins and unblock the collatenals. For those with heavy muscle weakness, modified Dihuang Yinzi is used to nourish the spleen and kidney. Professor Fang's integration of traditional Chinese medicine and Western medicine has yielded promising results. One proven case is attached.
关键词
幼年皮肌炎风湿病自身免疫性疾病名医经验中医药疗法
Keywords
juvenile dermatomyositisrheumatismautoimmune diseaseexperience of famous doctortraditional Chinese medicine therapy
DALAKAS M C, HOHLFELD R. Polymyositis and dermatomyositis[J]. Lancet, 2003, 362(9388): 971-982.
AOUIZERATE J, DE ANTONIO M, BADER-MEUNIER B, et al. Muscle ischaemia associated with NXP2 autoantibodies: a severe subtype of juvenile dermatomyositis[J]. Rheumatology (Oxford), 2018, 57(5): 873-879.
PREUBE C, ALLENBACH Y, HOFFMANN O, et al. Differential roles of hypoxia and innate immunity in juvenile and adult dermatomyositis[J]. Acta Neuropathol Commun, 2016, 4(1):45.
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