基于“玄府”理论辨治视神经脊髓炎经验

【中图分类号】R249.2/.7 【文献标志码】A 【文章编号】1007－8517（2025）20－0092-06

DOI：10.3969/j. issn.1007-8517.2025.20. zgmzmjyyzz202520019

Abstract：Thisarticlesummarizes treating neuromyelitisopticabasedonthetheoryof“sweat pore”.Theteamofoursfurther summarizedthecorepathogenesisofneuromyelitisopticaonthebasisofpredecesosasdeficiencyofthezang-fuorgans，invasionof pathogenictoxins，lockagof tesweatpores，andMalnutritionofthetndosandcoaterals.hotcauseofitsocurncelisin thedeficiencyanddeclineofteliver，splenandkidneyhiletefundamentaloriginofitsonsetisteurkingofdap-atlood stasis andtoxinsinthesweatpores.Emphasizestheneedtocombinethedisease，weightheurgency，stagetreatment，treatment with “Treatothdeficiencyandexcessyndromes，StrengthentheRootandNourishthePrimordialQi”asthecoreprincipleof treatet，it advocates takingsuppementationasameans，usingclearingasawaytodredge，andregardingsmothnessasastateofwell-being. Combinedthethreemethods of supplementation，clearing anddredging.，Qingxuan Dayuan Decoction as thecore prescription，the efectof tonifyingsplenandkidney，Clearingthesweatpores todredgethm，promotebloodcirculationanddredgecollterals.Acase is attached to this paper for proof and verification.

keyWords：NeuromyelitisOptica；Sweat Pore；Clearing the Sweat Poresand Reaching the Source；Clinical Experie

视神经脊髓炎（neuromyelitisoptica，NMO）是以视神经及脊髓受累的自身免疫性疾病，以视力减退、肢体麻木、感觉功能障碍、疼痛为特征表现，多起病于青壮年，女性发病率高于男性，具有复发率及致残率较高，疾病预后差的特点[1-2]在西医治疗中，NMO的急性加重期多应用激素治疗与血浆置换，缓解期则多使用免疫抑制剂及靶向药物来进行序贯治疗，但免疫抑制剂对肝功能的损伤较大，且长期的维持治疗会增加患者感染风险[3-4]，靶向药物及血浆置换能较好的改变疾病预后，但其费用高昂，给患者的经济及心身带来极大压力[5]。（剩余9454字）