基于“正虚毒犯”理论论治多发性肌炎

【中图分类号】R256 【文献标志码】A 【文章编号】1007-8517（2025）20-0079-05

DOI：10.3969/j. issn.1007-8517. 2025.20. zgmzmjyyzz202520016

Abstract：IntheperspectiveofChinese medicine theory，polymyositis isregardedasakindofpathologyof Zhengqideficiency duetoinate endowmentinsuficiency.Thepathgenesisofplymyositis isostlduetote weaknessof Zhengqi，whichrduces the body'sabilitytoresistexteralevilssuchaswind，dmpness，fireandheat，andtheweaknessofZhengqi，whichleadstothter sectionof endogenouspoisonous evilssuchasdampess-heatandstagnant-heatinthebodyandresults inmuscularmalourisent， damageanddysfunction.Basedonthetheoryof“deficiencyofpositiveenergyandtoxicity”，Prof.WuYuanhuaproposedthecore treatmentofsupporting positiveenergyandeliminatingtoxicitytogeneratemuscles，whichissupplementedbydispelingwindand clearing heatanddampness，resolving blood stasisandeliminating toxicitytogenerate muscles，which providesanew wayof thinking for the understanding and treatment of PM in clinical practice.

Keywords：Polymyositis；PositiveDeficiencyand Toxicity Theory；Traditional ChineseMedicine；Clinical Cases

多发性肌炎（polymyositis，PM）是一种由多种病因导致的全身炎症性自身免疫性疾病[1]，其主要特征是四肢近端肌肉的受累，这种肌肉疾病归属于特发性炎性肌病（IIMs）范畴，患者主要表现为四肢近端肌的受累[2-3]。（剩余7674字）