刘春丽 肖勇洪 徐梦 彭江云

【摘要】目的：探讨扶阳方法在强直性脊柱炎治疗中的应用，以期丰富强直性脊柱炎的治疗手段。方法：以扶阳理论为基础，结合彭江云教授应用扶阳法诊治强直性脊柱炎经验，参考各中医学者应用扶阳方法治疗强直性脊柱炎的研究报告，从扶阳治疗强直性脊柱炎的理论依据、扶阳治疗强直性脊柱炎的临床应用两个方面分析。结果：彭江云教授认为“肾亏督寒”为本病关键病机，治疗以补肾强督为主要原则。经分析各中医学者文献报道及结合彭江云教授多年临床发现，强直性脊柱炎患者寒证更为多见，即使急性发作期以湿热瘀等实证表现为主，待缓解后亦常表现为寒证，临床采用扶阳方法治疗强直性脊柱炎疗效显著。结论：扶阳理论指导强直性脊柱炎治疗具有参考价值，值得学习与应用。

【关键词】扶阳理论；痹证；大偻；强直性脊柱炎；彭江云

【中图分类号】R59323【文献标志码】 A【文章编号】1007-8517（2017）02-0008-03

From “Fu Yang” on the Treatment of Ankylosing Spondylitis

LIU Chunli1XIAO Yonghong1XU Meng1PENG Jiangyun2△TANG Xiaohu2

1.Yunnan University of TCM， Kunming 650500，China；2. Yunnan Provincial Hospital of TCM， Kunming 650021，China

Abstract：Objective to explore the application of Fu Yang method in the treatment of ankylosing spondylitis， in order to enrich the treatment of ankylosing spondylitis. Methods on the basis of Fuyang theory， combined with Professor Peng Jiangyun application of Fuyang therapy treatment of ankylosing spondylitis study experience， reference to the Chinese scholars used Fuyang method in the treatment of ankylosing spondylitis， analysis from two aspects of theoretical basis， Fuyang treatment of ankylosing spondylitis Fuyang treatment of ankylosing spondylitis in clinical application.Results Professor Peng Jiangyun believes that “kidney deficiency and cold” as the key pathogenesis of this disease， in the treatment of Bushen qiangdu as the main principle. Through the analysis of the Chinese scholars and reported that Professor Peng Jiangyun combined with years of clinical patients with ankylosing spondylitis， cold syndrome is more common， even if the acute attack with dampness heat and blood stasis etc. empirical manifestations， to alleviate the also Changbiaoxianwei cold syndrome， the clinical curative effect of Fu Yang method in treating ankylosing spondylitis significantly. Conclusion the treatment of ankylosing spondylitis with Fu Yang theory has great value， it is worth learning and application.

Keywords：Fuyang Theory； Arthralgia； Dyphosis； Ankylosing Spondylitis； Peng Jiangyun

强直性脊柱炎（Ankylosing spondylitis，AS）属自身免疫性疾病，是一种慢性炎症性进展性脊柱关节病，主要累及髋关节、中轴关节和骶髂关节等，亦可累及机体其他脏腑和组织；临床表现主要为腰骶部疼痛、晨僵、胸廓活动度减小及腰椎活动受限等症状，疾病进展至晚期可出现“竹节样”改变，致残率较高[1]，在我国患病率为03%左右，目前对其病因和发病机制不明[2]。

中医学将AS归属于“痹证”范畴，亦有医家称其为“骨痹”、“肾痹”、“大偻”等[3-4]。彭江云教授总结多年临床经验认为“肾亏督寒”为AS关键病机，治疗以补肾强督为原则。……