基于标本缓急治则和清热解毒利湿治法治疗SAPHO综合征一例
Global Traditional Chinese Medicine(2023)
Abstract
本文分享了1例难治性SAPHO综合征中医诊疗过程,患者具有病情迁延日久,反复发作且西药治疗效果不明显的特点.本病属中医"痹证"范畴,为五脏同病,湿、热、毒三邪合犯.本文结合病案具体分析了辨证施治的过程,方证对应,以甘露消毒丹为主方,又灵活加减麻黄连翘赤小豆汤、麻黄细辛附子汤及过敏煎等.以"急则治其标,缓则治其本"为治则,清热解毒利湿为治法贯穿始终.初诊治疗注重清虚热,泻湿热;二诊治疗强调滋阴液,散硬结;再诊治疗围绕解热毒,温肾阳.整体上达到标本同治、五脏同调,使机体气血阴阳调和,脏腑经络功能正常.本次治疗取得确切疗效,为中医治疗SAPHO综合征提供临床思路.
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