类风湿性关节炎脏腑辨证浅析

通过对类风湿性关节炎(RA)的中西医临床文献的回顾和分析,并结合临床实践观察发现,RA的发病与五脏密切相关,肝脾肾三脏尤为重要。主要是肝血不足,筋脉失养;肝失疏泄,气滞血瘀。脾失运化,湿、痰、饮阻滞筋脉。而RA发病有一定遗传倾向,常与先天发育、禀赋不足有关,肾虚精亏,不能充髓养骨。

Analysis of Rheumatoid Arthritis Based on Zang-fu Symptom Differentiation

Through review and analysis of chinese and western clinical literatures on rheumatoid armntis （RA） ,and combining with observations in clinical practice, we discovered that RA pathogenesis is closely related to five zang, and liver, spleen and kidney are particularly important. It is mainly due to deficiency of liver-blood, dystrophy of muscle and vessel, dispersing failing of the stagnated liver-q/, blood stasis due to qi stagnation. Due to dysfunction of spleen, dampness, phlegm and fluid-retention obstructed meridians. The pathogenesis of RA have a certain genetic predisposition, often associated with congenital growth, innate deficiency. Essence damage due to kidney deficiency can not replenish the marrow and nourish the bone.