中医药治疗类风湿关节炎研究进展
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R259

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Research Progress of Chinese Medicine in Treating Rheumatoid Arthritis
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    摘要:

    类风湿关节炎(RA) 是一种病因未明的慢性、以炎性滑膜炎为主的系统性疾病,属于中医痹证的范畴。西医以非甾体抗炎药、糖皮质激素、生物制剂治疗为主,但仅能控制症状且停药易复发。对近几年相关文献进行概述发现,中医治疗RA 可根据患者病情,辨证论治,灵活选用治疗方式,从而降低不良反应。中药汤剂治疗有独活寄生汤、桂枝芍药知母汤、黄芪桂枝五物汤、大秦艽汤、桂枝附子汤、加味升阳汤等;针灸疗法有火针、刺血、艾灸、浮针疗法、电针疗法、自血疗法、穴位注射疗法等;中药外治法有离子导入、外敷等,以期为RA 的临床治疗提供参考。

    Abstract:

    Abstract: Rheumatoid arthritis(RA) is a chronic, inflammatory synovitis- dominated systemic disease with unknown etiology,which belongs to the category of impediment syndrome in Chinese medicine. In western medicine,RA is mainly treated with non-steroidal anti-inflammatory medicine,glucocorticoids,and biological agents,but only its symptoms can be controlled and it is prone to recurrence after medication withdrawal. After summarizing the relevant literature in recent years,the treatment of RA by Chinese medicine can be based on the patient's condition,besides,syndrome differentiation and treatment,and flexible choices of treatment methods should be applied to reduce the incidence of adverse reactions. As for the treatment of RA by Chinese herbal decoction,there are Duhuo Jisheng tang,Guizhi Shaoyao Zhimu tang,Huangqi Guizhi Wuwu tang,Da Qinjiao tang,Guizhi Fuzi tang,modified Shengyang tang and so on. Acupuncture and moxibustion therapy includes fire needling, bloodletting, moxibustion, superficial needling therapy, electroacupuncture therapy, autohemotherapy, point injection therapy, etc. The external treatment of Chinese medicine includes iontophoresis, and external application. The purpose of summarizing Chinese medicine treatments of RA is to provide a reference for its clinical treatment.

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麻信信,朱延涛.中医药治疗类风湿关节炎研究进展[J].新中医,2020,52(19):21-23

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  • 在线发布日期: 2020-10-12
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