| 引用本文: |
柳雪影, 刘韩彬, 刘如歌, 王家慧, 卫佳豪, 张杰, 杨俊红.基于益肾通督升阳法探讨重症肌无力的因机证治[J].湖南中医药大学学报,2025,45(9):1723-1728[点击复制] |
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| 基于益肾通督升阳法探讨重症肌无力的因机证治 |
| 柳雪影,刘韩彬,刘如歌,王家慧,卫佳豪,张杰,杨俊红 |
| (河南中医药大学第一附属医院脑病科, 河南 郑州 450000;河南中医药大学第一临床医学院, 河南 郑州 450046) |
| 摘要: |
| 重症肌无力（MG）属于中医学“痿证”范畴，以肢体筋脉弛缓，肌肉痿废不用为特征。本文提出“益肾通督升阳”治疗方法，以“肾-督脉-阳气”轴为理论基础，构建“精盛髓-髓充督-督通阳-阳柔筋”的功能转化体系。该治法针对MG“本虚标实”的本质，即肾督阳虚精亏之本、督脉瘀阻之标，填精固本以补先天之损；通调督枢以畅阳气之道；升阳举陷以复清阳之布，在改善患者的疲劳无力感、畏寒肢冷、睑废、头倾等阳气不振、清阳不升相关症状方面具有独特治疗优势。益肾通督升阳法通过重建“精充-督畅-阳布”生理循环，恢复机体阴阳互济、气机周流之稳态。附验案1则，佐证内外协同增效作用。 |
| 关键词: 重症肌无力 痿证 督脉 益肾通督升阳 中医病因病机 证治规律 |
| DOI：10.3969/j.issn.1674-070X.2025.09.019 |
| 投稿时间：2025-06-05 |
| 基金项目:国家重大疑难疾病中西医临床协作项目(国中医药综结合函[2023]250号); 河南省重点研发与推广专项(232102311196); 河南中医药大学“双一流”创建工程中医学学科项目(HSRP-DFCTCM-2023-1-27)。 |
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| Etiology, pathogenesis, pattern differentiation, and treatment of myasthenia gravis based on the method of tonifying the kidney, unblocking the Du meridian, and elevating yang |
| LIU Xueying, LIU Hanbin, LIU Ruge, WANG Jiahui, WEI Jiahao, ZHANG Jie, YANG Junhong |
| (Department of Encephalopathy, The First Hospital of Henan University of Chinese Medicine, Zhengzhou, Henan 450000, China;The First Clinical Medical College, Henan University of Chinese Medicine, Zhengzhou, Henan 450046, China) |
| Abstract: |
| Myasthenia gravis（MG） falls within the scope of "wei-flaccidity disorders" in Chinese Medicine, characterized by flaccid limbs and sinews as well as muscular atrophy and weakness with loss or impairment of functions. This paper introduces the therapeutic method of "tonifying the kidney, unblocking the Du meridian, and elevating yang." Based on the theoretical framework of the "kidney-Du meridian-yang qi" axis, a functional transformation system is constructed: "sufficient essence replenishes the marrow, abundant marrow nourishes the Du meridian, an unobstructed Du meridian ensures smooth flow of yang qi, and balanced yang qi harmonizes the sinews." This treatment targets MG’s intrinsic nature of "deficiency in root with excess in manifestations," addressing both the root deficiency of the kidney, Du meridian, yang qi, and essence, as well as the manifestations of the Du meridian obstruction. The treatment focuses on replenishing essence and strengthening the body to restore congenital deficiency,regulating the Du meridian to unblock the flow of yang qi, and elevating yang and lifting the sinking middle qi to restore the distribution of clear yang. This approach demonstrates unique advantages in alleviating symptoms associated with yang qi deficiency and impaired clear yang qi circulation, such as fatigue, aversion to cold with cold limbs, drooping eyelid, and bowed head. By reconstructing the physiological cycle of "essence sufficiency-Du meridian unobstruction-yang qi distribution," the method of "tonifying the kidney, unblocking the Du meridian, and elevating yang" restores the body’s homeostasis of yin-yang interdependence and smooth qi circulation. A verified medical record is attached to demonstrate the synergistic internal-external therapeutic effects. |
| Key words: myasthenia gravis wei-flaccidity disorders the Du meridian tonifying the kidney,unblocking the Du meridian,and elevating yang Chinese medicine etiology and pathogenesis pattern differentiation and treatment principle |
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