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- Title
从精气神探讨强直性脊柱炎相关性疲乏的辨治思路.
- Authors
方慧; 刘宏潇
- 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, qi, 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, qi, 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.
- Subjects
FATIGUE (Physiology); CHINESE medicine; ANKYLOSING spondylitis; HUMAN body; TREATMENT effectiveness; HEAT stroke
- Publication
Journal of Beijing University of Traditional Chinese Medicine, 2023, Vol 46, Issue 8, p1156
- ISSN
1006-2157
- Publication type
Article
- DOI
10.3969/j.issn.1006-2157.2023.08.014