Tian Yumei experience in treating ankylosing spondylitis 
 
 
Xiong Kang Hubei university of Chinese medicine clinical college of traditional Chinese medicine 
 
 
China's traditional Chinese medicine to 

        Ankylosing spondylitis (AS) in sacroiliac joint inflammation and spine attachment points AS the main symptoms of a chronic progressive disease, its etiology is unknown, the pathogenesis is unknown. At present western medicine mainly to non-steroidal anti-inflammatory drugs (nsaids) and glucocorticoids to relieve symptoms, there is no cure. Due to the complexity of illness, or disability, seriously affects patients' daily life. Early ankylosing spondylitis in Chinese medicine belongs to the category of poliomyelitis, lumbar di ministry pain as the main symptoms, and then the pathological changes of lumbar and (or) spinal, groin, hip and leg ache is unwell, knee, ankle, shoulder pain, accompanied the pain at night or early morning on lower back stiffness, etc. 
 
        Hubei university of Chinese medicine professor Tian Yumei charge more than 60 years, clinical use of Yang and soup treatment of the disease has a result, curative effect is remarkable. The author with master shi, benefit, today to experience in the syndrome differentiation and treatment of ankylosing spondylitis is introduced as follows, to share with fellow. 
 
        Etiology and pathogenesis parsing 
 
        The scholars of traditional Chinese medicine thinks: kidney as the foundation of the pathogenesis of ankylosing spondylitis, wind, cold, dampness, heat, blood stasis is the causative factor. Neijing cloud: "the evil of gather together, the gas will be empty." So Tian Yumei think the disease is the certificate of this virtual standard lab, such as difficult after, 28 difficult mentioned: "du meridian, the next most of shu, and on the ridge, up to the wind house, into the brain." Its disease in waist du, "liver, extremely," the abode of the soul, also in the China, its charge in jin ", "kidney, sealed, fine place, and also in its China, its charge in bone", bones and muscles disease to the liver and kidney, and waist du mansion for kidney, liver and kidney JingXie, sun be the spirit deficiency, kidney overseers filling, bones and muscles warm and moisten, so the disease in liver and kidney Yin deficiency, and the sun be the spirit is insufficient for this. 
 
        Neijing cloud: "due to pathogenic wind, and its size, two virtual, but its shape... which in virtual evil is, in days, and its shape, and with the actual situation, a serious illness is". Within the evil to take advantage of weakness of renal overseers this deficiency, cold invasion spine, brawn, joints, and qi and blood, fluid running disorder, phlegmy wet endogenous, give priority to with cold, cold sex, so pain. 
 
        Wind is given priority to with the wind, and a few change, early visible wandering joint pain, give priority to with lumbar di ministry. And the origin, wet glue laboring, can accompany to see back and body sour heavy with. 
 
        Clinical observation found that ankylosing spondylitis and terminal can see joint swelling, pain disease, such as the six evils of the Tian Yumei think, with wind, cold, the origin for external cause, heat, blood stasis is for sick in pathogenesis in the process of evolution. Therefore disease of liver and kidney deficiency, belong to the certificate of the real. 
 
        Yang and bind solution 
 
        Ye Tianshi cloud: "husband JingXie all tangible, with the grass and trees are heartless for benefit, of connections will not be appropriate, guangxi attached stubborn, temperament fierce JingXie male master dirty, dirty body belong to Yin, just more of the fat enough." "Flesh and sentient beings, cultivation JingXie within the body". Tian Yumei think the taste of thick product can fill the bone marrow, the flesh of sentient beings without nourishing JingXie, so the thickness of reuse of cultivated land, nourishing liver and kidney Yin blood, filling lean pulp; With flesh and blood of sentient beings antler glue, kidney Yang, yi intensive blood, both share, explored and blood, to cure the book, for your medicine. Less with cinnamon, dried ginger in this cold, in addition to the Yin cold coagulation of the card. Meridian phlegmy wet memory, with white mustard phlegm know luo, detumescence fights. Compatibility at the same time a small amount of ephedra, XuanTong meridian, cooperate with the mild medicine, can open cou justified, cold junction, lead sun be the spirit in the table, pass. Licorice with work to make, detoxification and reconcile the medicine. Blood and explored and phlegm with t2dm and beneficial nutrients, helped sun be the spirit, and haemorrheological nature of meridians, this blood to cure phlegm t2dm to treats the symptoms. All that said, ankylosing spondylitis and overseers are kidney deficiency, cold dampness bizu. By Yang and soup, invigorating the overseers, eliminating phlegm to t2dm, party unity, curative effect. 
 
        However, according to the type of difference, should add and subtract slightly. Joint swelling, such as heat, cold dampness bizu, good and evil fight, endogenous wind-cold, forsythia, artemisinin, coix seed, clear heat; Such as cold dampness bizu, poor blood, vein blood stasis resistance, cortex moutan, caulis spatholobi blood know luo, etc.
 
 
 
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