现代中医临床
現代中醫臨床
현대중의림상
Journal of Beijing University of Traditional Chinese Medicine (Clinical Medicine)
2015年
3期
38-40
,共3页
大动脉炎%益气活血散结%经验
大動脈炎%益氣活血散結%經驗
대동맥염%익기활혈산결%경험
takayasu arteritis%benefiting qi for activating blood circulation%experience
郭维琴教授将大动脉炎诊断为“无脉证”,认为病因为外感寒邪。初期邪客于脉,日久阴阳不足,阳虚则寒凝血瘀,阴虚则脉络空虚,终末期阴阳亡脱而死。郭维琴教授在临床上将大动脉炎分为邪气入侵、阳虚寒凝、阴虚血阻、气虚血瘀4型进行辨证施治,4型之间可以互相兼夹,临床中可以灵活用药。
郭維琴教授將大動脈炎診斷為“無脈證”,認為病因為外感寒邪。初期邪客于脈,日久陰暘不足,暘虛則寒凝血瘀,陰虛則脈絡空虛,終末期陰暘亡脫而死。郭維琴教授在臨床上將大動脈炎分為邪氣入侵、暘虛寒凝、陰虛血阻、氣虛血瘀4型進行辨證施治,4型之間可以互相兼夾,臨床中可以靈活用藥。
곽유금교수장대동맥염진단위“무맥증”,인위병인위외감한사。초기사객우맥,일구음양불족,양허칙한응혈어,음허칙맥락공허,종말기음양망탈이사。곽유금교수재림상상장대동맥염분위사기입침、양허한응、음허혈조、기허혈어4형진행변증시치,4형지간가이호상겸협,림상중가이령활용약。
Takayasu arteritis refers to chronic nonspecific inflammatory disease on aorta and its main branch, as well as pulmonary artery.Professor GUO Weiqin diagnositics it as“non-pulse disease”, and she thinks the etiological factor is exposure to exogenous cold.The pathogenesis is pathogens existing in blood in initial stage, and both deficiency of yin and yang, coagulated cold-blood stasis induced by yang deficiency, empty venation induced by yin deficiency with the passing of time, and in terminal stage, yin and yang are exhausted.Professor GUO Weiqin divides takayasu arteritis into four syndromes: pathogen invasion, yang deficiency-coagulated cold, yin deficiency caused stagnated blood and blood stasis due to qi deficiency, treatment are conducted based on syndrome differentiation.The syndromes are complex, each syndrome could be accompanied with the other three, so herbs used flexibility can guarantee the effect.