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5、381999,(50):18-19(收稿日期:2006年11月1日)临证经验回纹型风湿症与周痹刍议阎小萍(中日友好医院,北京100029)摘要:文章对于回纹型风湿症的涵义、临床表现、诊断治疗及研究进展进行总结。根据其临床特点,认为回纹型风湿症酷似!黄帝内经∀之#周痹∃,并进一步探讨周痹的病因病机、理论渊源和临床诊治;且提出周痹的辨证论治应分为发作期和缓解期。对于前者应重在清热祛风、除湿通络;对于后者则应根据证候不同分别予以双调脾肺、化湿祛痰,或补益肝肾、滋阴清热,或温补脾肾等治法。希冀能促使周痹及周痹与
6、回纹型风湿症的关系等问题得到更深入的探讨与研究。关键词:风湿病;回纹型风湿症;周痹;中医药疗法;诊断StudyofPanlindromicRheumatismandPanodyniaYanXiaoping(China-JapanFriendshipHospital,Beijing100029)Abstract:Thisarticlesummarizedthedefinition,clinicalmanifestation,diagnosisandthedevelopmentinresearchofPanlin
7、dromicRheumatism(PR).AccordingtotheclinicalcharacteristicsofPR,weconsiderdthatitwasverymuchlike#panodynia∃intraditionalChinesemedicine(TCM)asdescribedinInnerCanonofHuangdi.Itdiscussedthepathogenesis,thetheoricalsource,thediagnosisandtreatmentofpanodyniafurthe
8、r.Anditsuggestedthatthetreatmentofpanodyniabasedonsyndromedifferentiationshouldbedifferentintheacuteandthechronicphase.Intheacutephase,principleofremovingheat,expellingwind,elimina