系统性红斑狼疮中西医结合临床诊疗新思路初探

系统性红斑狼疮（SLE）病变累及多器官、多系统，临床表现复杂多变，原有的病证结合临床思路在反应该病证治规律方面存在不足之处。为建立易于操作并反映SLE临床实际的辨证论治新思路，本研究结合笔者临床体会，提出不以SLE作为笼统的病证结合点，改为以各器官、各系统常见的临床表现作为病证结合依据，如SLE发热、SLE神经系统损伤、狼疮肾、SLE血小板减少性紫癜等的证治。新的临床诊疗思路有助于对SLE进行深入系统而规范地研究，其所反映的中医辨证论治规律更贴近SLE的临床实际。

Initial Exploration on the New Thought for Diagnosis and Treatment of Systemic Lupus Erythematosus by Integrative Chinese and Western Medicine

The pathological changes of systemic lupus erythematosus (SLE) could involve multiple organs and systems, showing a complicated and multivariate clinical features. Since the authors held that the previous clinical disease-syndrome integrative thought can not embody the regularity in the diagnosis and treatment of SLE, in order to establish a novel operable thought of syndrome differentiation which could reflect the clinical practice of SLE, they suggested, in accordance with their clinical experience, that the basis for integration of the disease and its syndromes should not be SLE itself but the clinical manifestations of the organs and systems, such as fever, nervous system injury, lupus kidney, thrombocytopenic purpura of SLE, etc. They claimed that the new clinical thought of diagnosis and treatment will contribute to conduct systematic and standard research on SLE, and the regulation of TCM therapy based on syndrome differentiation would be more closer to the clinical practice of SLE.