1.上海中医药大学附属市中医医院风湿科(上海 200071)
2.上海中医药大学基础医学院(上海 201203)
黄慧萍,女,博士,主治医师,主要从事风湿免疫病临床研究工作
陈晓,教授,博士研究生导师;E-mail:chenxiao2121@126.com
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黄慧萍,陈晓.《太平圣惠方》肢体痹辨治特色探析[J].上海中医药杂志,2023,57(6):75-79.
HUANG Huiping,CHEN Xiao.Analysis of the differentiation and treatment characteristics of limb arthralgia in Taiping Holy Prescriptions for Universal Relief[J].Shanghai Journal of Traditional Chinese Medicine,2023,57(6):75-79.
黄慧萍,陈晓.《太平圣惠方》肢体痹辨治特色探析[J].上海中医药杂志,2023,57(6):75-79. DOI: 10.16305/j.1007-1334.2023.2210076.
HUANG Huiping,CHEN Xiao.Analysis of the differentiation and treatment characteristics of limb arthralgia in Taiping Holy Prescriptions for Universal Relief[J].Shanghai Journal of Traditional Chinese Medicine,2023,57(6):75-79. DOI: 10.16305/j.1007-1334.2023.2210076.
整理《太平圣惠方》肢体痹病证及治法方药,总结、归纳其病因病机、临床表现及治法特点,探究《太平圣惠方》中肢体痹的辨治特色。《太平圣惠方》有方药分析的肢体痹共6种,病因病机方面强调内虚外感并重,多邪合侵,兼夹湿邪,同时发展脏腑虚损理论;辨病证详论各痹病机特点及临床特征,审证求因,繁杂有序;用药逐渐从解表散寒过渡至温里散寒,活血、健脾、补肾等诸法并进,重视虫类药的应用。《太平圣惠方》中肢体痹合邪致痹的病名实质、丰富的审证求因临床辨治实践、平补肝肾的治痹之识,对现代风湿病临床有着非常重要的启示意义。
This article synthesized the syndrome and treatment methods of limb arthralgia in ,Taiping Holy Prescriptions for Universal Relief,, summarized its etiology, pathogenesis, clinical manifestations and treatment characteristics, and further explored the differentiation and treatment characteristics of limb arthralgia in ,Taiping Holy Prescriptions for Universal Relief. ,The book,provided 6 kinds of limb arthralgia with prescription analysis. The etiology and pathogenesis emphasized both internal deficiency and external infection. Multiple evils invaded together, which were frequently accompanied by dampness evil, and then the theory of visceral weakness was developed. The pathogenesis and clinical characteristics of each limb arthralgia were discussed in detail. Through the examination of the causes, the complicated disease evidence became orderly. The drugs gradually transferred from relieving superficies and dispelling cold to warming inside and dispelling cold, activating blood, invigorating the spleen, tonifying the kidney. As other methods were used together, the application of insect drugs was emphasized. In ,Taiping Holy Prescriptions for Universal Relief, , the essence of name of limb arthralgia caused by multiple evils, the rich clinical practice of examination of the causes, and the knowledge of treating bi by replenishing the liver and the kidney had very important enlightenment significance for modern rheumatology clinic.
《太平圣惠方》肢体痹风湿病中医药疗法文献研究
Taiping Holy Prescriptions for Universal Relieflimb arthralgiarheumatismtraditional Chinese medicine therapyliterature research
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