况时祥教授诊疗重症肌无力经验辑要

重症肌无力是一种顽固性的难治性疾病，多数医家认为本病的发生与“脾肾”密切相关，而基本病机是肺胃肝肾等脏腑精气受损，导致肢体筋脉失养。因此本病多从虚论治，治疗以补益为主。况时祥教授治疗重症肌无力重视其病因病机，以及诱发加重的外部因素，尤其强调近远期目标的树立和不同的调治方法，他认为本病虽然以脾肾亏虚为主。但湿浊毒邪的化调应该贯穿其中，久虚不甚补益，久病必而入络，在病情的演化过程中重视实邪的调治是不可或缺的。另外，对于药物的特殊用法和特色药对的甄选也显示了他遣方用药的特点。纵观本病，为内在脏腑病变和失调的结果，治疗上应该三因制宜。他以脾肾双补、化浊解毒为法辨证施治，取得了较好疗效。

Experience summary of Professor KUANG Shi-xiang in treating MG

Myasthenia gravis pseudoparalytica （MG） is a refractory disease. Its occurrence is thought to be connected with spleen and kidney. Its pathogenesis is the damage of pneuma in entrails leading to malnutrition of muscle and vessel. Therefore, the disease is always treated from deficiency for tonification. Professor KUANG Shi-xiang has many experience for treating the disease based on differentiation of symptoms and signs. Reasonable efficacy was achieved by tonifying both spleen and kidney and disosolving muddy and neutralizing poison.