周仲瑛从瘀热辨治系统性红斑狼疮的临证思路与经验

瘀热是系统性红斑狼疮病变过程中产生的病理因素。因先天禀赋不足,复加外感六淫、内伤七情,进而化生火毒,酿生瘀热。致病特点主要表现为缠绵难愈、多脏同病、易致出血、耗气伤津。系统性红斑狼疮的基本病机是肝肾阴虚为本,瘀热、风毒痹阻为标,而瘀热痹阻是病理机制中的重要环节,故治疗采用凉血化瘀、祛风解毒法,主方选《千金要方》犀角地黄汤,并常与解毒法、蠲痹通络法、补肝益肾法、益气养阴法配伍应用。

Experience and Thinking Way of Professor Zhou Zhong-ying in Treatment to Systemic Lupus Erythematosus with Heat-stasis Theory

Heat-stasis is an important pathological factor generated in the course of systemic lupus erythematosus (SLE).Because of congenital insufficiencies,plus effects of six exogenous pathogenic factors and internal injuries caused by seven emotions,fire toxin is generated and heat-stasis is induced as a result.The pathogenic character appears as slow recovery,co-injury of several viscera,bleeding trend,qi consumption and jin impairment.The pathogenesis of SLE is that deficiency of liver-and- kidney-yin is the ba...