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苏梦焱, 刘康楠, 吴蓓, 邹晨冉, 周子朋, 唐祖宣.国医大师唐祖宣运用温阳法辨治强直性脊柱炎经验[J].湖南中医药大学学报英文版,2025,45(11):2021-2025.[Click to copy
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| 国医大师唐祖宣运用温阳法辨治强直性脊柱炎经验 |
| 苏梦焱,刘康楠,吴蓓,邹晨冉,周子朋,唐祖宣 |
| (河南中医药大学, 河南 郑州 450046;河南省中医院, 河南 郑州 450003;邓州市中医院, 河南 南阳 474150) |
| 摘要: |
| 强直性脊柱炎作为一种慢性炎症性疾病，主要累及中轴关节。国医大师唐祖宣教授基于深厚的临证经验，提出强直性脊柱炎的核心病机为肾督亏虚、阳气不足，从而导致寒湿深伏、痰瘀互结，最终引发脊柱僵硬疼痛。针对这一核心病机，唐祖宣教授在临床治疗上以温阳补虚、通络止痛为根本原则，立足温阳法，灵活化裁经方，强调需根据证候特点配伍药物，尤擅运用虫类药以增强通络之效，同时注重兼顾他脏治疗，实现整体调理。其疗法充分体现中医整体观与辨证论治特色，临床疗效显著，附临床验案一则，为强直性脊柱炎的中医治疗提供宝贵经验。 |
| 关键词: 强直性脊柱炎 温阳法 肾督亏虚 国医大师 唐祖宣 |
| DOI：10.3969/j.issn.1674-070X.2025.11.001 |
| Received:June 25, 2025 |
| 基金项目:国家自然科学基金面上项目(81874456); 河南省中医药专项重点课题(2024ZY1011)。 |
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| Experience of National TCM Master TANG Zuxuan in differentiating and treating ankylosing spondylitis with the method of warming yang |
| SU Mengyan, LIU Kangnan, WU Bei, ZOU Chenran, ZHOU Zipeng, TANG Zuxuan |
| (Henan University of Chinese Medicine, Zhengzhou, Henan 450046, China;Henan Province Hospital of TCM, Zhengzhou, Henan, 450003, China;Dengzhou Hospital of Chinese Medicine, Nanyang, Henan, 474150, China) |
| Abstract: |
| Ankylosing spondylitis（AS）, a chronic inflammatory disease, primarily affects the axial joints. Based on his profound clinical experience, Professor TANG Zuxuan proposed that the core pathogenesis of AS lies in the deficiency of the kidney and the Du meridian as well as insufficient yang qi, which subsequently leads to the deep latent cold-dampness and the mutual accumulation of phlegm and blood stasis, ultimately resulting in spinal stiffness and pain. Addressing this core pathogenesis,Professor TANG adheres to the fundamental principles of warming yang to replenish deficiency and unblocking collaterals to alleviate pain in clinical treatment. Rooted in the method of warming yang, he flexibly adapts classical formulas, emphasizing the need to tailor compound medicines according to the characteristics of the patterns. He particularly excels in utilizing insect-derived drugs to enhance the efficacy of unblocking collaterals, while also paying attention to the concurrent treatment of other organs to achieve holistic regulation. His therapeutic approach fully embodies the characteristics of holistic concept and pattern identification and treatment in TCM, demonstrating remarkable clinical efficacy. A clinical case is attached to provide valuable experience for the TCM treatment of AS. |
| Key words: ankylosing spondylitis the method of warming yang deficiency of kidney and the Du meridian National TCM Master TANG Zuxuan |
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