大偻病机分析与辨治（Analysis and treatment of rickets in machine）

大偻病机分析与辨治（Analysis and treatment of rickets in machine） 大偻病机分析与辨治(Analysis and treatment of rickets in machine) The analysis and treatment of big Lou pathogenesis Publisher: Zhao Dongqi (visitor: 642) Ankylosing spondylitis (Ankylosing Snondylitis), referred to as A.S, is the name of Western medicine, is also recognized worldwide difficult treatment. Western medicine believes that the etiology of the disease is unknown, so there is no specific treatment ("cure"). In traditional Chinese medicine have ankylosing spondylitis of this disease, but from the clinical point of view, it belongs to the category of "Bi" disease, in previous years, it belongs to "Wangbi", "kidney deficiency and cold syndrome", "using the self-made Bushen qiangdu Decoction of traditional Chinese medicine treatment, cure Wangbi" received good results. In recent years, this disease due to the increase in the number of visits, with the in-depth research on the disease, gradually think that ankylosing spondylitis only to "Wangbi" and "zhuangdubushen card" card, it is not comprehensive enough. Because some patients did appear renal deficiency and cold syndrome, but there are a lot of patients appear evil stagnation of heat syndrome, although the pain in the lumbar spine but not afraid of cold, don't like the heat; other patients although the main lesion in the lumbar spine, but can affect the upper and lower limbs and so on. Therefore, I think it is necessary for Chinese medicine to carry out a systematic and comprehensive observation and study of ankylosing spondylitis. Moreover, released in June 1994 "the people's Republic of China pharmaceutical industry standard of Chinese medicine syndrome curative effect standard", has also received "Wangbi" provisions of this disease, refers to rheumatoid arthritis. Therefore, traditional Chinese medicine should consider the establishment of a new disease name for ankylosing spondylitis, which can meet the needs of clinical treatment and research. "Lou", first appeared in the "Yellow Emperor", the book "angry sky on" said: "yang...... Kai he shall, from the morning is to". Big Lou, Wang Bing notes: the body stoop, cannot erect. To bend." Combined with the "Bi theory" in say: "good shenbi to generation expansion, Kao heel, ridge to head" discussion, I think the ankylosing spondylitis is called a "big Lou", and was still "Bi" disease category. "To" read "journey" sound (usually L), "Xinhua Dictionary" note said: "bent back"; the word "big", there are two kinds of meanings: one refers to the spine as the pillar of the largest human, a disease ridden. Big Lou refers to the disease ridden, curvature of the spine, back down the disease, we used "foreign" to refer to ankylosing spondylitis is more appropriate, is consistent with the theory of traditional Chinese medicine. The etiology and pathogenesis of the big listing The "Yellow Emperor". Besides "the angry sky on the article said:" Yang, fine repose, raising soft rib, Kai he shall, from the morning is a big listing of health". "Source" "hunchback syndrome" said: "the main reinforcement and liver storing blood, blood Yin and Yang Qi is Yang, fine repose, soft muscle nourishing yin and Yang and Qi and blood, the same adjustment, universal nutrition, evil can not hurt. If the deficiency of wind, wind stroke on the ridge strength of reinforcement, cold spasm, so make the hunchback." "Unmovable lumbago symptoms" said: "the kidney waist and feet, and three yin and Yang, twelve, eight, a tubular renal collaterals in lumbar vertebrae, the strain in the kidney, moving the meridians, and air assault, blood gas will hit, the pain also. The patient can not be bent, Yin Yang, the sick, not Yang, yin and yang are evil, so make the lumbago and not pitch." "Medical introduction", said: "low back pain, new long kidney deficiency."." "Treatment of the criterion of" waist hip pain said: "due to injury in the cold streamer, meridians, sluggish joints, blood, and waist and hip pain." "Dongyibaojian" on "back with" said: "in the wet back bent, spasmpain into waste. The lumbar spine is prominent and the middle is wet. The old man is lack of essence and with virtual du." The etiology and pathogenesis of the disease, the disease is due to Yang not opening and closing from the morning "formed. The person of Yang Du Meridian is the sea, and one of the sun; the waist for kidney and intestine with full sun Fu, so the kidney and Du meridian two empty, cold and evil easy invasion, invasion of pathogenic cold and kidney, Yang can not open and close, from the morning is a big listing of health. It can be seen that the kidney yang deficiency is the internal cause of the disease, and the invasion of cold pathogen is its external cause, internal and external pathogenic factors, Yang is not filled, the cold evil, the effects of nutrition and bones, spine is formed to slouch. From the waist and hips, buttocks, ridge, meridian, kidney and Du veins are closely related, and in the waist, buttocks, hips, buttocks and hepatic veins, Ren and Chong contact each other, some at the same time, some colleagues, some through the ridge, some into the kidney. Kidney and deficiency of vital qi, wind cold dampness evil three (especially cold stress) invading the kidney Du Du Du deep, a body of Yang, Yang is not affected by evil, lost in the opening and closing of cloth; renal bone loss is affected by evil, Nao Ze, and liver, liver dystrophy, blood deficiency, Chong and Ren muscle dystrophy; renal dysfunction, and two empty, back waist hip Yang loss, loss of a.r.trade, cold is caused by the condensate Shibuya waist to hip pain, blood is not wing to be getting stiff and anxious, Yang lost cloth, not stiff spine due to Qi song, the formation of large hunchback disease. The common syndromes of the big Lou I. cold syndrome due to kidney deficiency Waist to hip pain, warm chills, leg and knee or leg pain, the waist is not shake, the pitch is limited, cold heat is aggravating, Shu, and man or woman leucorrhea scrotum cold, cold and smooth, thin white fur or thick white, pulse string or see the feet slightly thin pulse string, or weak. Two, evil heat syndrome Waist to hip pain, irritable, Fanre, knee and leg weakness, lumbar stiff sleepy afternoon (or night) fever, or see cool or dry stool or under cool, thin yellow tongue fur or Shaojin dry mouth, see string pulse breakdown, or a large number of powerful. Three, arthralgia syndrome In addition to lumbar spine, hip, hip pain, but also see knee, ankle, shoulder, elbow joint pain, or upper and lower limbs wandering string pain, general sore warm, cold, women or dysmenorrhea, milk less disease. But evil long stagnation of heat or heat from the sun, is not afraid of cold sore against hi cool. Without heat, the tongue coating is white, the veins are heavy, the strings are heavy or the strings are large. The pulse can be counted simultaneously. The above three kinds of syndromes show that the tongue coating is thin, yellow or yellow, and the kidney deficiency and cold syndrome are more common. The treatments to the big The treatment method is to get the bushenqiangdu, accompanied by live blood, strong bones. If there is stagnation of heat evil, bitter, Kennedy served to kidney wet heat of the goods. Blockage of limbs, suitable with dispelling wind, cold, Tongli joint products. According to the above therapies, three prescriptions have been drawn up, which have achieved good results in clinic. A, bushenchangduzhiliu Decoction This party in Bushen qiangdu cure Wangbi Decoction based on a change made. Osteopractic 18G, psoralen 12g, Rehmannia 15g, Epimedium 12g 30g, Rhizoma cibotii, antler glue (or tablets, cream) 6 ~ 9g, notopterygium 12g, angelica 10g, root 18G, Eucommia 20g, Cyathula 12g, Eupolyphaga sinensis 6G, cinnamon 15g, red peony 12g, Anemarrhena 15g tablets, 12g, sunburn ephedra 5g, ginger 6G, Atractylodes Weilingxian 6 ~ 9g, 15g, 12g, 6G of Bombyx Batryticatus, pangolins, wind 12g. Which: the bushenquyu to Osteopractic strong bone; Buguzhi Kidney Yang warm pubes; rehmannia supplement the kidney, nourishing the blood and spermatogenic; total drug. Antler glue fill Du custody blood; Epimedium tonifying the liver and kidney, tonifying Qi; Du Meridian is attending notopterygium disease, spinal strong faints for official medicine. Rhizoma cibotii kidney strong waist and knee, and pitch; root tonifying the liver and kidney, strong bones and muscles; Eucommia strong kidney waist, strong bones and muscles; Angelica search Shao Yin and Wei Fu Feng; Guizhi meridian, help Yang; live with blood stasis red peony, cassia twig and Ying Wei; Zhimu kidney heat warm heat, to prevent blood dryness heat; ephedra powder with cold, Rehmannia can warm muscles cou, Yin carbuncle; tablets help Yang, by the cold temperature; ginger Wen Jing Yang; Baizhu Jianpi Yiqi; Weilingxian through twelve meridians, expelling wind evil wind; scattered cold, dampness evil; silkworm expelling wind, removing dead node; total adjuvant. To live Achyranthesbidentata tonifying the kidney and blood stasis, can lead medicine to kidney meridian; pangolins, guiding drugs directly to patients, a total of medicine. Subtraction: cold pain very severe, and added the 3G Sichuan aconite; thick white greasy tongue fur, to add 10g fried white atractylodes rhizome rehmannia, Fuling mustard 6G, 10 ~ 20g; stool soft, Reduction of notopterygium, Radix cyathulae dosage, Fuling Baizhu 20g, added to 12g; long ankylosis, unable to walk, can add 15g Tougucao, mollissimae 15g, natural copper 6 ~ 9g (first fried). Two, Bushen qiangdu Decoction for clearing This is in the kidney and tonifying kidney clearing and cure Wangbi cure Wangbi Decoction based on cutting and. Osteopractic 18G, to 15g, fried Phellodendron 12g, root 18G, Eucommia 20g, Atractylodes 10g, Cyathula 12g 30g, Rhizoma cibotii, antlers cream 6G, notopterygium Gentiana 10g, 15g, 6 ~ 9g of Eupolyphaga sinensis, mulberry 30g, Guizhi 6 ~ 9g, the 12g red peony, Anemarrhena 15g tablets, 6 ~ 9g, Atractylodes 6G, Wei Ling Xian 15g, silkworm 12g, raw barley 30g. Which: the bone wind to remove Osteopractic, healing bone atrophy, live blood stasis to ganhan Kennedy kidney; kidney, blood heat; heat Kennedy Phellodendron kidney, total drug. Total liver and kidney, strong bones and muscles; Eucommia waist, healthy muscle strong bone; antlers cream into the main Du, Bushenqianggu, Zhuang waist; Rhizoma cibotii tonifying the liver and kidney, strong organ, and pitch; Qianghuo attending Du Meridian is disease, spinal strong faints for official medicine. Cangshu wet the spleen; treatment of Gentiana osteopyrexia hot flashes, the twin body; Eupolyphaga sinensis tick bleeding, then fill the fracture energy; mulberry qufengqingre, live through the meridians; Xin Ying Wei and Guizhi meridian, the tablets in medicine with slightly Zuoxinwen, with cold coagulation; red peony live blood stasis and blood; Zhimu kidney heat; silkworm Qufeng removing dead; twelve by wind Weilingxian thinning; raw barley Lishi Shujin; Atractylodes jianpichushi; total adjuvant. The herb of Achyranthes bidentata is used as medicine. Subtraction: afternoon hot flashes are obvious, and silver Bupleurum 10g, Digupi 12g, Artemisia 12g; the waist was afraid of the wind, and Heracleum 10g; kouzaoyangan (or pain), Canadian ginseng 15g, and the rebirth of 20g; both legs ache, and earthworm 6G, areca 10g, Lycopodii 20 30g; walk with pain, orientvine 15 ~ 20g, angelica 10g, 10g wind; long curved back stiffness disease, increase Osteopractic dosage of 20g, 15g and other white muscardine silkworm, fried white mustard 6G, Tougucao 15 ~ 18G, 6 ~ 9g natural copper (first fried). Three. Strengthening kidney and strengthening Du Qi Decoction The basis of Bushen qiangdu Decoction in the treatment to the discomfort and dispelling wind and cold, Tongli joint products, cut into. The 18G 12g 30g, psoralen, Rhizoma cibotii, antler glue (or tablets, cream) 6 ~ 10g, 6 ~ 9g of Eupolyphaga sinensis, Eucommia 20g, wind 12g, Qiang, angelica 10g, Cyathula 12g, turmeric tablets 10g, cinnamon 15g, red peony 12g, Anemarrhena 15g tablets, 12g, system were 3 ~ 5g, ephedra 5g, Atractylodes 6G, Qinghai, haifengteng 30g, terebentylic 30g, Weilingxian 15g, Bombyx Batryticatus 12g, Lycopodii 30g. To live: the calcite Osteopractic strong bone and kidney, removing blood stasis, kidney wind; psoralen warming Yang, warm pubes, strong waist and knee, for a total of monarch drug. Antler glue fill Du, raise blood, Yidu Jin Du Yang; Gouji Bushen, strong waist ridge, and pitch; Qianghuo attending Du Meridian is disease, spinal strong and syncope; Eucommia kidney strong bones; tablets of warm Kidney Yang Dazhuang Du total, official medicine. The wind dispelling wind and dampness; kusnezoffii Quhan Yang; Angelica found less Yin V wind; Guizhi and Ying Wei, assistant Yang, Tongda limbs; red peony nourishing blood; nourishing kidney to prevent Zhimu warm medicine cold heat; ephedra powder; turpentine can pass through twelve Weilingxian joint; and dispelling evil; Baizhu Jianpi Yiqi tablets with operation of soup can cure joint pain; Bombyx Batryticatus Qufeng evil, of rigid; orientvine, haifengteng Tongda limbs Qufengzhitong; Lycopodii meridian Qufeng evil, for a total of adjuvar. To lead Cyathula Yishenhuoluo medicine into the lower limbs, shoulder and arm; go to pieces with turmeric Guizhi cross, Huoxue Tongluo medicine cited dispel upper extremity pain; total of medicine. In addition and subtraction: there are signs of heat, to reduce the aconite root, ephedra, aconite, Guizhi dosage, and from 12 to 15g, fried treats 10g, if the joint pain hi cool, add honeysuckle 30g, luoshiteng 30g; ankle swelling warm, with earthworm 6G, Evodia 6G; joint the upper limb pain heavy closed, can be changed to 12g qianghuo, Curcuma wenyujin 12g; upper limb joint pain and are not afraid of cold, Ghassan branches 20g ~ 30g; joint pain warm cold obviously, can add 3G of Radix aconiti. I may refer to the addition and subtraction of the two parties. (chief physician of China-Japan Friendship Hospital, Professor of Beijing University of Chinese Medicine, Jiao Shude)