蔡慎初从郁论治雷诺综合征经验

正雷诺综合征是指由血管神经功能紊乱所引起,遇冷或情绪紧张后出现阵发性肢端小动脉强烈收缩,从而导致肢端缺血改变的临床综合征。发病时,肢端皮肤出现阵发性、对称性的苍白-紫绀-潮红性改变,并伴有手脚冰凉、麻木或疼痛。女性发病率可达3%,病情缠绵难愈~(1])。蔡慎初教授为国家级名老中医药专家,从事中医相关临床、科研工作50余载,对雷诺综合征的诊治有丰富和独到的经验。笔者有幸侍诊于侧,现将蔡老师治疗雷诺综合征经验介绍如下,与同道共飨。

A introduction of clinical experience of Cai Shenchu: treating Raynaud

This paper introduces Professor Cai Shenchu''s clinical experience in the treatment of Raynaud''s syndrome. Taking into consideration of the role of depression in Raynaud''s syndrome, Professor Cai believes that Yang Depression is the key of pathogenesis and relieving Yang Depression by warming Yang and activating Yang is the key of treatment. Besides, taking into account of the influence of depression caused by various kinds of excessive pathogens in Raynaud''s syndrome, Professor Cai applys the methods of promoting the flow of Qi, promoting blood circulation and draining dampness according to different syndrome differentiation, which has been practiced and proved to be effective. Keyword: Raynaud''s syndrome; Yang being obstructed by depression; Cai Shenchu; clinical experience