从少阴论治类风湿关节炎探析

目前,中医界鲜有从《伤寒论》六经辨证角度分析论治类风湿关节炎.结合相关经典原文及现有临床研究,可知阳气亏虚是类风湿关节炎发病的重要原因,以少阴心、肾为基础论治类风湿关节炎具有充分证据.临床治疗类风湿关节炎的常用经方有麻黄附子细辛汤、当归四逆汤等.     

从太阳病论治类风湿关节炎探析

从太阳病角度对类风湿关节炎的辨证治疗进行理论剖析,为类风湿关节炎的经方治疗提供新思路。结合《伤寒杂病论》部分经典条文,从太阳病层面探讨类风湿关节炎的临床表现、病因病机及证治方药,挖掘太阳病本证经方治疗类风湿关节炎的作用机制。相关研究表明,在类风湿关节炎病程中与太阳病病证有诸多相同或相似的病机,从太阳病论治类风湿关节炎立论可靠,其能有效改善类风湿关节炎患者临床症状,提高临床疗效。     

荣卫之气，亦令人痹

类风湿关节炎主要临床表现是关节疼痛,这一特点与中医学“痹病”相似,常因感受风寒湿热之邪发病,痹病不仅是外感风寒湿邪,更与荣卫失衡密切相连。邪气常攻正气虚处,人体肌表虚不能驱邪外出,猝然逢风寒湿热邪而客其形体;营血不行,卫气瘀滞,营卫运行失衡,外邪入经脉,阻滞经络气血运行,最终发为痹病。治疗上应顾护肌表、补足气血、健脾益胃以调节营卫,扶正与祛邪并行,治病求本。     

成纤维样滑膜细胞在类风湿关节炎发病机制中的作用

类风湿关节炎的发病过程非常复杂,与遗传、免疫、环境等因素密切相关,其发病机制尚未被阐明.成纤维样滑膜细胞是血管翳交界处最常见的细胞类型,在类风湿关节炎的发生、发展中发挥重要作用.从成纤维样滑膜细胞的角度入手,探讨当前类风湿关节炎的相关作用机制.研究认为成纤维样滑膜细胞介导的炎症反应、血管翳生成、骨破坏,是类风湿关节炎形...     

中医药治疗类风湿关节炎研究进展

通过对近年中医学领域有关类风湿关节炎临床及基础研究文献进行统计总结,综述中医药治疗类风湿关节炎的研究成果。从病因病机角度出发探讨辨证治疗,为中医药治疗本病提供更多的参考;了解目前中医药针对类风湿关节炎的治疗及研究现状。     

王钢教授运用独活寄生汤治疗老年类风湿关节炎经验

王钢教授认为,老年类风湿关节炎多属本虚标实之证,以肝肾亏虚、气血不足为主,复感风寒湿等外邪侵袭而发病.治以补益肝肾、益气活血为主,辅以祛风湿、止痹痛之法.独活寄生汤既益肝肾、补气血,又强筋骨、除痹痛,临床随证加减运用,效力极佳.     

桂枝汤类方治疗类风湿关节炎的理论探讨

通过分析中医古籍和相关文献,结合类风湿关节的病机与临床特点,认为桂枝汤外可解肌发表,调和营卫于表里内外,内可调阴阳、和脾胃,适用于类风湿关节炎的各期,充分发挥预防与治疗的重要作用,是中医未病先防、既病防变、病后防复治未病思想的具体体现。临证处方时,谨守类风湿关节炎的病机,根据邪正虚实,以桂枝汤加减治之,疗效显著。     

类风湿关节炎的时间治疗学研究进展

临床治疗类风湿关节炎的药物多种多样,但尚无根治方法.从新的角度探索类风湿关节炎治疗方案,为临床应用提供理论依据.时间治疗学是时间生物学在治疗学中的应用,优化给药时间可能会最大限度地提高疗效和减少不良反应.通过梳理国内外时间治疗类风湿关节炎的文献认为,类风湿关节炎的临床表现具有昼夜节律性,其时间治疗学药物研究涉及糖皮质激...     

基于阳气养筋理论探讨实脾理肝法辨治类风湿关节炎

《黄帝内经》中载阳气柔者可养筋,筋养即利关节。若阳气虚衰或失调,则不养筋脉,痹病丛生。实脾理肝法切中病机,通过培土、疏木,既滋养阳气又使阳气柔和,还可安五脏、调体质。再结合地域、人群体质特征为佐据,说明采用实脾理肝法治疗类风湿关节炎临床确有疗效。     

类风湿关节炎分期物理治疗临床策略

类风湿关节炎病因未明,致残率较高,严重降低患者的生活质量。目前针对本病的治疗以药物为主,而物理治疗是除药物治疗之外不可忽略的辅助干预措施。综合类风湿关节炎的康复评估和物理治疗方法的临床研究,探讨针对其不同时期的靶向物理治疗方法,以期能为类风湿关节炎患者带来更有效的康复策略,提高生活质量。     

Rheoencephalography and the study of the pulsation of the cervical vascular network in the diagnosis of goiter and neck and mediastinal tumors

The authors have applied rheography of the brain and sphygmography of the vessels of the neck and mediastinum for the diagnosis of compression of the neck vessels and organs in goiter and tumors of retrosternal and deep cervical localization. The methods allow to recognize stenosing of the vessels in early stages and facilitate the diagnosis of these conditions.     

Ocular immunopathological characteristics and the involvement of the platelet-aggregation factor and the anti-PAF at the level of the eye

This lecture tries to systematize the data about PAF (platelet activating factor) complex implications in the different ocular immune responses, and about the therapeutical results of PAF antagonists ?n experimental and clinical inflammatory conditions.     

Relation between the structure of the annulus fibrosus and the function and failure of the intervertebral disc

A simple model is presented that explains the observed function and failure of the intervertebral disc in compression, torsion, and bending; this model is based upon the observed arrangement of collagenous fibers in the annulus fibrosus. The fibers are considered to have the same mechanical properties as tendon; thus the stresses required to produce a given deformation and which irreversibly damage the fibers can be predicted. Predictions of the mechanical behavior of the disc are in good agreement with published results for compression and torsion; no comparable experiments have been performed for bending. It is further predicted that torsion and bending are likely to cause annular failure and protrusion. Failure is likely to occur posteriorly because of the effect of forward bending and because in the flattened and reentrant discs of the lumbar spine, torsional stress is concentrated at the points of maximum curvature. The structure of the disc tends to protect the collagenous fibers in forward bending and torsion. Compression is predicted to cause end-plate fracture rather than annular failure.