卢芳从热毒瘀络辨治系统性红斑狼疮经验OA

This paper summarizes Professor LU Fang's clinical experience in treating systemic lupus erythematosus(SLE)based on the differentiation and treatment of heat-toxin and blood-stasis in the collaterals.SLE is generally characterized by deficiency in origin with excess in manifestation.The core pathogenesis is heat-toxin obstructing the collaterals.During the acute active stage,the predominant pattern is blazing heat-toxin causing blood stasis,while in the chronic remitting stage,the main pattern is toxic stasis blocking the collaterals with qi and yin deficiency.Clinical treatment follows the basic principle that treat with salty-cold herbs,when heat invades internally and that assist with acrid-dispersing herbs when stasis obstructs the collaterals.The self-formulated Yimian Decoction(抑免汤)serves as the base formula and is applied in stages.During the acute active stage,it is often combined with herbs for clearing heat and detoxifying,cooling blood and resolving stasis,and unblocking the collaterals.In the chronic remitting stage,it is often combined with herbs for activating blood circulation and unblocking the collaterals,as well as tonify-ing qi and nourishing yin.