The Experience of AI Rudi in Staged Differentiation and Treatment of Systemic Lupus Erythematosus
10.13288/j.11-2166/r.2024.03.003
- VernacularTitle:艾儒棣分期辨治系统性红斑狼疮经验
- Author:
Wei SONG
1
;
Tianlin YANG
1
;
Zhongyi ZHANG
1
;
Mingling CHEN
1
;
Min XIAO
1
;
1
Author Information
1. Affiliated Hospital of Chengdu University of Traditional Chinese Medicine， Chengdu， 610072
- Publication Type:Journal Article
- Keywords:
systemic lupus erythematosus;
nourish yin and clear heat;
invigorate blood and resolve toxins;
experience of famous doctors;
AI Rudi
- From:
Journal of Traditional Chinese Medicine
2024;65(3):239-244
- CountryChina
- Language:Chinese
-
Abstract:
This article summarized the clinical experience of Professor AI Rudi in staged treatment according to pattern differentiation of systemic lupus erythematosus （SLE）. It is believed that SLE is characterized by kidney yin deficiency and heat toxin obstruction as the core disease mechanism. The staged treatment principle is to nourish yin and clear heat， invigorate blood and resolve toxins. In the early stage of heat toxins accumulation， the focus is on treating the branch and strengthen the kidneys as early as possible， recommending self-designed Liangxue Xiaofeng Powder （凉血消风散） with modifications. In the middle stage， there is yin deficiency with internal heat， which requires nourishing kidney yin and eliminating pathogenic factors. The prescription suggested is self-designed Shouwu Dihuang Decoction （首乌地黄汤）. In the late stage， there is yin impairment affecting yang， which requires a gradual consolidation of the foundation and harmonization of yin and yang， usually with Zhenwu Decoction （真武汤） and Zishen Tongguan Powder （滋肾通关散） with modifications. At the same time， the treatment emphasizes the integration of Chinese and Western medicine， and use of self-designed Ershen Dihuang Pill （二参地黄丸） after initial remission to consolidate the effect and prevent relapse. External treatment should also be given importance to， and Hongyou Ointment （红油膏） can be used to treat SLE skin lesions， reduce swelling， and relieve pain.
