基于“因加而发”理论探讨回纹型风湿病防治

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[关键词］回纹型风湿病；“因加而发”理论；病机；防治

[中图分类号］R259 ［文献标志码］A [文章编号]0256-7415（2025）19-0140-05

DOl： 10.13457/j.cnki.jncm.2025.19.025

Exploring Prevention and Treatment of Palindromic Rheumatism Based on "Accumulation-Aggravation" Theory

GUO Ying'ao1，LI Yuying1，LIAO Weiquan1，YANG Shuo²，XIE Jingjing 2 ，ZHANG Jianyong² 1.TheFourthScholofClinicalMedicine，GuangzhouUniversityofChineseMedicine，ShenzenGuangdong518O33，China；2.Depart ment of Rheumatology，Shenzhen Traditional Chinese Medicine Hospital，Shenzhen Guangdong 518033，China

Abstract：Palindromic rheumatism（PR）falls under the categoryof impediment syndrome in traditional Chinese medicine.Its fundamental pathogenesis involves deficiencyof healthyqi and invasionof external pathogens—primarily wind pathogen—coupled withcold，dampness，or heat.These factors obstructthe flowof qi and blood of meridians and collaterals，resulting in pain due to blockage.If pathogens persist，they causecollateral obstruction，qi stagnation， phlegmaccumulation，and endogenous blood stasis.The binding of phlegm and stasis further depletes healthyqi.New pathogenic factors thentriggerlatent pathogens，disrupting the balance between healthyqi and pathogensand leading to recurrent disease episodes.The "accumulation-aggravation" theory emphasizes the interaction betweenpathogens and healthyqi，highlighting how cumulative pathogenic factors induce disease—paraleling the progressonof PR.Guided by this theory，clinical prevention and treatment should focus on eliminating pathogens before they become dominant， andreinforcing healthyqi before its decline.This approach offers novel strategies to preventPRrecurrenceand improve clinical management.

Keywords：Palindromic rheumatism；"Accumulation-aggavation" theory；Pathogenesis；Prevention and treatment

回纹型风湿病特征为受累关节及（或）其周围组织红肿热痛间歇性发作，发作无明确规律性，痛时不定，缓解后如常，无遗留临床或影像学改变，因此得名“回纹”，亦被称作“复发性风湿病”。（剩余6340字）