对张鸣鹤教授治强直性脊柱炎遣方用药的初浅认识.pdfVIP

The Preliminary Understanding of Professor Zhang Minghe in Treating Ankylosing Spondylitis Speciality: Internal Medicine of TCM Rheumatic Disease Author: Zhang Yanjie Tutor: Prof. Zhang Liting Abstract Objective: Professor Zhang Minghe who formed his own original views and consideration has been engaged in research of rheumatic disease for many years and quite proficient in diagnosis and treatment of rheumatic disease, especially in ankylosing spondylitis (AS) . The study probes into the pathogenesis, mechanism and therapy of AS disease of Prof. Zhang Minghe. Methods: Reorganize formerly clinical observation material and collecte literature. Conclusion: Professor Zhang think that the lack of congenital diathesis is immanet causation, stagnation of virulent heat-evil、blood stasis in the interior in the body is the basic pathogenesis of AS.So for treatment of AS,he takes “cleaning away heat and toxic materials” as the main method，strengthening kidney and Du Mai,assisting promoting blood circulation to dissolve the blood stasis and eliminating pathogenic wetness to dredge meridian. It has got satisfactory effect in clinic treatment . Key words Prof. Zhang Minghe ;Ankylosing spondylitis ；Clearing heat and relieving toxin 目 录 引 言 1 第一部分 文献综述 2 一、现代医学对强直性脊柱炎的认识 2 （一）AS 的发病原因 2 （二）病理改变 3 （三）诊断 3 （四）治疗 3 二、祖国医学对强直性脊柱炎的认识 7 第二部分 张老经验研究 9 一、病因病机 9 （一）先天禀赋不足，肾虚督空是强直性脊柱炎发病的内在基础 9 （二）热毒致痹 10 （三）瘀血贯穿疾病始终 11 二、治则治法 12 （一）治疗原则 12 （二）自拟基础方及方药分析 12 （三）临证加减 14 （四）作用机理探讨 15 三、临症体会 17 （一）重视清热解毒药的应用 17 （二）寒热并用，药性平和，注意顾护脾胃 18 （三）祛湿药的应用 18 （四）活血药的应用 19 （五）善用虫类药 1