摘要
肌少症是类风湿关节炎的常见并发症,是骨破坏的前驱危险因素,可加速患者身体残疾,增加死亡风险。肌少症属于“痿证”范畴,临床常“痹痿”并见。《黄帝内经》指出“营卫失和”为痹证、痿证的重要病机,姜萍教授临床以“调和营卫”为纲治疗类风湿关节炎并发肌少症疗效显著。文章试从营卫失和的角度,提出“营卫失和,肌痹渐痿”“营卫行涩,脾痹肌绝”“营卫俱损,肌痿骨枯”的病机发展阶段,论述类风湿关节炎并发肌少症的病机发展及治疗,以期为该病的临床诊疗提供思路及方法。
Sarcopenia is a common complication of rheumatoid arthritis and a prodromal risk factor for bone destruction,which accelerates physical disability and increases the risk of death.Sarcopenia belongs to the category of‘flaccidity syndrome’,and‘arthralgia flaccidity’is often seen in clinic.Huangdi Neijing points out that the imbalance between ying and wei is an important pathogenesis of arthralgia syndrome and flaccidity syndrome.Professor JIANG Ping has a significant effect in treating rheumatoid arthritis with sarcopenia by taking the‘disharmony between ying and wei’as the guideline.This paper attempts to put forward the pathogenesis development stage of‘ying-wei disharmony,muscle paralysis gradually impotence’,‘ying wei line astringent,spleen paralysis muscle disharmony’and‘ying-wei damage,muscle impotence bone dry’from the perspective of yingwei disharmony,and discusses the pathogenesis development and treatment of rheumatoid arthritis complicated with sarcopenia,in order to provide ideas and methods for the clinical diagnosis and treatment of the disease.
作者
李慧
姜萍
王鹏飞
渠源
陈宗锐
张丽丽
LI Hui;JIANG Ping;WANG Pengfei;QU Yuan;CHEN Zongrui;ZHANG Lili(Shandong University of Traditional Chinese Medicine,Jinan 250014,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China;Weihai Central Hospital,Weihai 264400,China;People’s Hospital of Qingdao West Coast New Area,Qingdao 266000,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2024年第4期1777-1780,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
国家自然科学基金面上项目(No.82274481,No.81874449)
齐鲁医派中医学术流派传承项目(No.鲁卫函〔2022〕93号)。
关键词
类风湿关节炎
肌少症
营卫失和
调和营卫
病机
Rheumatoid arthritis
Sarcopenia
Ying-wei disharmony
Harmonizing ying-wei
Pathogenesis
