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孙若晗,徐赟赟,孙晶,李晓宇,方剑乔.浅谈中医整体观在针灸治疗强直性脊柱炎中的运用[J].浙江中西医结合杂志,2019,29(12):
浅谈中医整体观在针灸治疗强直性脊柱炎中的运用
Application of Holistic Concept of The Traditional Chinese Medicine in Acupuncture Treatment of Ankylosing Spondylitis
投稿时间:2019-03-26  修订日期:2019-06-04
DOI:
中文关键词:  整体观  辨证论治  针灸  强直性脊柱炎  病因病机
英文关键词:holistic concept  syndrome differentiation  acupuncture  ankylosing spondylitis
基金项目:全国名老中医药专家传承工作室建设项目方剑乔全国名老中医药专家传承工作室(国中医药人教发﹝2013﹞47);浙江省名老中医专家传承工作室建设计划方剑乔名老中医专家传承工作室,编号:GZS2012014
作者单位E-mail
孙若晗 浙江省中山医院 310005 srh1207@163.com 
徐赟赟 浙江省中山医院  
孙晶 浙江省中山医院  
李晓宇 浙江省中山医院  
方剑乔* 浙江中医药大学 fangjianqiao7532@163.com 
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中文摘要:
      强直性脊柱炎(ankylosing spondylitis,AS)是一种慢性自身免疫性疾病,它以骶髂关节和脊柱附着点炎症为主要症状,引起脊柱强直和纤维化。临床一般采取药物治疗,虽然疗效尚可,但若完全依赖药物,不仅价格昂贵,且副作用大[1-3],患者需定期检查肝肾功能。整体观是中医的基本特点之一,它认为,人体是一个多层次、多方面、多结构的有机整体,各部分相互作用、互为牵制,任何一方产生的病理变化都会影响到其他部分,进而对整体造成损害。近年来,针灸作为中医传统治疗手段,因其临床效果显著,价格低廉,副作用小等优势,在治疗AS中逐渐发挥重要作用。本文运用整体观分析AS的病因病机,阐述古代针灸诊治思路以及现代针灸治疗的现状与不足,为以后针灸治疗AS提供新思路。
英文摘要:
      [Objective]To explore the treatment of AS With the holism of the traditional Chinese medical.[Methods]Collecting and analysing the related literatures about the TCM’s treatment of AS over the past 15 years , According to the records of ancient books of TCM and clinical experience of the author, the etiology and pathogenesis,ancient and modern acupuncture treatment of AS by using the holism of the TCM were elaborated .Finally, Predicting the future development of Acupuncture with the holism of the traditional Chinese medical.[Result] At present, most of the treatment of AS by Acupuncture focuses on local treatment, which often ignores the whole body. In clinical treatment,the acupuncture treatment,based on the holism,should underline the combinition of the overall state of the human beings. It,moreover,identifies the pattern and seeks the disease,ascertains the main and collateral channels ,and administers the treatments.[Conclusion] We must learn to use the holisticof TCM to treat AS, which not only embodies the unique characteristics of TCM, but also obtains good curative effect in clinical treatment.
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