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中国类风湿性关节炎治疗网中医药物治疗方法三藤汤治疗早期类风湿关节炎

三藤汤治疗早期类风湿关节炎

疗法提供:河北省隆化县中医院 梁瑞阁

治疗方法:

治宜补肝肾,强筋骨,祛风除湿。予三藤汤治疗。药物组成:青风藤15 g,海风藤15 g,忍冬藤20 g,羌活15 g,独活15 g,怀牛膝15 g,续断15 g,桑寄生15 g,巴戟天12 g,白僵蚕10 g,地鳖虫8 g,泽泻15 g,泽兰15 g,淫羊藿12 g。

用法:每日1剂,水煎服。在治疗期间,关节肿胀疼痛明显的加扶他林50 mg,每日3次口服。3个月为1疗程。

类风湿性关节炎属于中医学痹证范畴,多由于人体正气不足,气血不盛,腠理疏豁,致风、寒、湿三气合而为痹。三邪侵入,寒湿偏盛,则寒湿之邪与肾同气相感,乘虚深袭,入肾入骨,痹阻经络,血气不行,关节闭涩,肾不荣肝,筋乏淖泽,筋骨失养,渐成筋挛骨松,关节变形不得屈伸,终成废疾。

三藤汤方中清风藤、海风藤、忍冬藤祛风通络;羌活、独活祛风散寒,胜湿止痹痛;牛膝、续断、桑寄生补肝肾,强筋骨,祛风湿,其补肝肾主要侧重于滋补肝肾之阴;淫羊藿、巴戟天补肝肾,强筋骨,则侧重于滋补肾阳,与牛膝、续断、桑寄生合用达到调补元阴元阳之作用;白僵蚕、地鳖虫化瘀,散结,止痛;泽泻、泽兰利水渗湿。

诸药合用,具有补肝肾、强筋骨、祛风、除湿、化瘀之功效。
    
西药非甾体抗炎药(如扶他林)、慢作用药(如柳氮磺胺吡啶)和免疫抑制剂(如甲氨喋呤)都具有其无法克服的、严重的副作用,长时间服用可出现胃肠道、心、肝、肾、造血系统损伤。而中药具有相对副作用小、价格低廉、基层患者易于接受等特点,且疗效肯定,具有推广价值。

 

     
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上海就医 专家指南
治疗类风湿性关节炎的专家
彭庄 副主任医师
擅长: 脊柱骨折、结核、肿瘤、腰椎间盘突出、椎管狭窄症、腰椎滑脱以及髋膝关节严重骨性关节炎、类风湿性关节炎、髋臼发育不良、股骨头坏死、人工关节松动、肢体严重创伤的诊断与手术治疗
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擅长: 类风湿性关节炎、骨关节炎、强直性脊柱炎、系统性红班狼疮、干燥综合症
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霍清萍 主任医师,教授
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唐兴利 副主任医师
擅长: 擅长运用中西医结合的方法治疗消化系统疾病,如慢性胃炎、溃疡病、慢性结肠炎、胃肠功能紊乱所引起的慢性腹泻以及风湿性疾病(风湿性关节炎、类风湿性关节炎、强直性脊柱炎、痛风等)
单位: 上海中医药大学附属曙光医院(东部)
沈德骅 副主任医师
擅长: 师承嫡传著名伤骨科石筱山先生,在临床上对石氏伤科基础理论颇深体会,内治理伤之方脉,外治擅长骨折脱位,整复手法和夹缚固定,并辅助针刺。近年来对痹症(类风湿性关节炎)骨不连(骨迟缓愈合)的研究获得一定的疗效。
单位: 上海中医药大学附属岳阳中西医结合医院
余菲菲 副主任医师,副教授
擅长: 类风湿性关节炎
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沈丕安 主任医师,教授
擅长: 红斑狼疮、类风湿性关节炎、干燥综合症、痛风等风湿病、免疫病
单位: 上海市中医医院
史济柱 主任医师,教授
擅长: 骨关节结核、类风湿性关节炎、痛风、脓肿
单位: 上海市中医医院
陈秉中 副主任医师,副教授
擅长: 老年性关节病、类风湿性关节炎、颈椎病
单位: 上海市中医医院
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