从精气神探讨强直性脊柱炎相关性疲乏的辨治思路

方慧; 刘宏潇

doi:10.3969/j.issn.1006-2157.2023.08.014

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从精气神探讨强直性脊柱炎相关性疲乏的辨治思路

临床研究 | 更新时间：2023-09-08

- 从精气神探讨强直性脊柱炎相关性疲乏的辨治思路
- Differentiation and treatment of ankylosing spondylitis-related fatigue based on essence, qi, and spirit
- 北京中医药大学学报 2023年46卷第8期页码：1156-1160
- 作者机构：
  
  1.北京中医药大学　北京　100029
  2.中国中医科学院广安门医院
- 作者简介：
  
  方慧，女，在读硕士生
  # 刘宏潇，女，博士，教授，主任医师，博士生导师，主要研究方向：中医风湿病临床与基础研究，E-mail：liuhongxiao_123 @163.com
- 基金信息：
  
  国家自然科学基金面上项目(81873292);北京市自然科学基金面上项目(7212190);中国中医科学院科技创新工程重大攻关项目(CI2021A01506)
- DOI：10.3969/j.issn.1006-2157.2023.08.014
  中图分类号： R259.593
- 纸质出版日期：2023-08-30，
  
  网络出版日期：2023-05-12，
  
  收稿日期：2023-02-21，
- 稿件说明：
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方慧, 刘宏潇. 从精气神探讨强直性脊柱炎相关性疲乏的辨治思路[J]. 北京中医药大学学报, 2023,46(8):1156-1160.

FANG Hui, LIU Hongxiao. Differentiation and treatment of ankylosing spondylitis-related fatigue based on essence, qi, and spirit[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(8):1156-1160.
方慧, 刘宏潇. 从精气神探讨强直性脊柱炎相关性疲乏的辨治思路[J]. 北京中医药大学学报, 2023,46(8):1156-1160. DOI： 10.3969/j.issn.1006-2157.2023.08.014.

FANG Hui, LIU Hongxiao. Differentiation and treatment of ankylosing spondylitis-related fatigue based on essence, qi, and spirit[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(8):1156-1160. DOI： 10.3969/j.issn.1006-2157.2023.08.014.

摘要

疲乏是强直性脊柱炎的常见症状，亦是导致患者治疗效果不理想、生活质量下降、功能障碍甚至残疾的重要因素。中医学认为，精、气、神是生命的三大元素，精是化生和维持生命的基本物质；气是生命活动的根本动力；神是生命活动的主宰，亦是精神、意志、知觉、运动等一切生命活动的最高统帅，精气神共同维持人体正常的生命活动。本文通过对精气神的概念及相互作用的认识，结合强直性脊柱炎肾精亏虚、湿热痹阻、阳虚寒凝的病机特点，认为强直性脊柱炎相关性疲乏与脾肾密切相关，精亏、气滞、神少是其核心病机。本病以肾精亏虚、精不养神为本，脾虚湿阻、气滞神疲为患。治疗以补肾填精、健脾益气培其本，清热化湿、理气调神复其用。临证当辨别标本缓急、虚实轻重，加减化裁，以期为强直性脊柱炎相关性疲乏的临床治疗提供参考。

Abstract

Fatigue is a common symptom of ankylosing spondylitis (AS)

and an important factor of unsatisfactory treatment outcomes

decreased quality of life

dysfunction

and even disability in AS patients. According to traditional Chinese medicine

essence

qi and spirit are the three major elements of life. Essence is the basic substance for the transformation and maintenance of life. Qi is the fundamental driving force for life activities. Spirit is the master and the supreme commander of all life activities

such as mind

volition

esthesia and movement. Together

essence

and spirit maintain the normal life activities of the human body. In this article

based on an understanding of the concept and interaction of essence

and spirit

combined with the pathogenic characteristics of AS

such as deficiency of the kidney essence

obstruction of dampness and heat

and cold coagulation due to yang deficiency

it is found that AS-related fatigue is closely related to the spleen and kidney

with essence deficiency

qi stagnation

and lack of spirit as its core pathogenesis. Deficiency of kidney essence

lack of essence to nourish the mind are the roots

spleen deficiency

dampness resistance

qi stagnation

and fatigue of the mind are the main syndromes. The main treatment goal is to tonify the kidney and supplement essence

and strengthen the spleen and qi in order to cultivate its roots

dispel dampness and clear away heat

regulate qi and spirit

and restore its normal function. In clinical practice

it is necessary to determine the urgency of the manifestation and root cause

and the severity of deficiency and excess and to add or subtract

in order to provide a reference for the clinical treatment of AS-related fatigue.

关键词

精气神强直性脊柱炎疲乏治法

Keywords

essence qi and spiritankylosing spondylitisfatiguetreatment

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