Discussion on the Construction of Combined Diagnosis and Treatment System of Chinese and Western Medicine for Primary Sj?gren's Syndrome
10.16466/j.issn1005-5509.2024.08.006
- VernacularTitle:原发性干燥综合征中西医病证结合诊疗体系构建探讨
- Author:
Muzhi CHEN
1
;
Zhimin XIE
;
Xiaopeng LI
Author Information
1. 浙江中医药大学附属第二医院 杭州 310005
- Keywords:
primary Sj?gren's syndrome;
dry paralysis;
combination of Chinese and western medicine;
combination of disease and syndrome;
treatment according to syndrome differentiation;
treatment according to disease differentiation;
syndrome differ classification;
dia
- From:
Journal of Zhejiang Chinese Medical University
2024;48(8):942-947
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To explore the combined diagnosis and treatment system of Chinese and western medicine for primary Sj?gren's syndrome(pSS),and to provide practical and standardized diagnostic and therapeutic directions for professional practice.[Methods]By reviewing the literature,summarizing the etiology and pathogenesis of pSS,the rules and treatments of pSS,combining the current situation of pSS diagnosis and treatment in Chinese and western medicine and our team's many years of clinical experience,this paper refers to the western medical standards for the diagnosis and evaluation of pSS and carries out typing according to different clinical manifestations or systemic involvement,and then carries out diagnosis and treatment according to the four diagnostic elements of Chinese medicine,so as to build up the combined diagnostic and treatment system of pSS of Chinese and western medicine,combining disease with type.[Results]The combined diagnosis and treatment system of Chinese and western medicine for pSS included 9 common clinical patterns of pSS,including Qi and Yin deficiency,dry heat and toxin,dry toxin stasis,dry heat injuring the lungs,kidney Qi failure,liver and Yin deficiency,Qi(Yin)deficiency and collateral stasis,Qi and blood deficiency,and Yin deficiency and heat and toxin,etc.,and each of which had been formulated into a detailed rationale,methodology,prescription and medicine.[Conclusion]The combined diagnosis and treatment system of Chinese and western medicine for pSS provides a good paradigm for clinical diagnosis and treatment of pSS,which will generate certain clinical value and practical implications.
