摘要
目的：探讨从脾肾入手论治慢性炎性脱髓鞘性多发性神经根神经病（chronic inflammatory demyelinating polyradiculoneuropathy,CIDP）的病因病机及中医治法。方法：以历代医家理论观点、经验总结及当代医学临床研究为指导,归纳CIDP的病因病机并提出治疗方法。结果：从脾肾入手论治CIDP具有充足的理论支持,邪毒入侵是诱因,而脾失健运,肾元受损则是CIDP发病的根本,治疗当以＂驱邪补虚＂为主,健脾利湿,益肾培元,脾肾同调。结论：CIDP多因脾胃失健-骨肉乏源-肾精不足和邪毒侵髓-伤筋削骨而发病,其产生的湿、热、痰、瘀等病理产物常又可互为致病因素,加重病情,故治疗CIDP应以脾肾为主,结合临床病情侧重点的不同,给予补脾益气法、健脾利湿法、益肾填髓法、补脾强肾法、益气活血法等对症治疗,对延缓该病进展、减轻患者家庭经济负担具有重要的临床意义。
Objective： To investigate the treatment from the spleen and kidney for chronic inflammatory demyelinating polyradiculoneuropathy（chronic inflammatory demyelinating polyradiculoneuropathy,CIDP） and the pathogenesis. Methods： The clinical study of ancient physicians theory and experience and modern medicine as a guide,we induced the etiology and pathogenesis of CIDP and pus forward the treatment method. Results： The treatment from the spleen and kidney for CIDP has sufficient theoretical support. The toxin invasion is the cause and failure of the spleen and kidney damage is the fundamental pathogenesis of CIDP. The treatment should be eliminating pathogens and restoring deficiency,invigorating spleen,tonifying kidney foundation,and treating spleen and kidney at the same time. Conclusion： CIDP is due to spleen and stomach failure-lack of source of flesh and bone-deficiency of kidney essence and toxin invading marrow-cutting bone tissue. The production such as damp,heat,phlegm,blood stasis and other pathological products often can be a causal factor for each other,aggravating the disease. Therefore,the treatment of CIDP should be mainly based on spleen and kidney,combined with the clinical condition of the different focuses,giving the methods of strengthening spleen qi,eliminating spleen dampness,tonifying kidney and spleen and marrow,invigorating qi and promoting blood circulation and other symptomatic treatment,which have important clinical significance in delaying the progress of disease and reducing the economic burden of the patients.
作者
赵凰宏
韩冠先
关东升
贾丽阳
毛亚瑞
王通
张静云
ZHAO Huanghong;HAN Guanxian;GUAN Dongsheng;JIA Liyang;MAO Yarui;WANG Tong;ZHANG Jingyun(Postgraduates in Henan University of Traditional Chinese Medicine, Zhengzhou 450000, Henan, China;Department of Encephalopathy, Second Hospital of Ttraditional Chinese Medicine in Henan Province, Luoyang 471003, Henan, China;Department of Encephalopathy, Henan Hospital of Traditional Chinese Medicine, Zhengzhou 450002, Henan, China)
出处
《辽宁中医杂志》
CAS
2018年第2期275-277,共3页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学基金面上项目(81673943)
关键词
脾肾
CIDP
驱邪补虚
spleen and kidney
CIDP
eliminate pathogens and restore deficiency
