YAN Xiaoping's Clinical Experience in Differentiating and Treating Enthesitis-Related Juvenile Idiopathic Arthritis with the "Two Stages and Three Syndromes" Approach
10.13288/j.11-2166/r.2025.09.004
- VernacularTitle:阎小萍“两期三证”辨治附着点炎相关的幼年特发性关节炎经验
- Author:
Jin LI
1
;
Weiping KONG
2
;
2
Author Information
1. Beijing University of Chinese Medicine，Beijing，100029
2. China-Japan Friendship Hospital
- Publication Type:Journal Article
- Keywords:
enthesitis-related juvenile idiopathic arthritis;
bi （痹） syndrome;
children;
experience of famous doctors;
YAN Xiaoping
- From:
Journal of Traditional Chinese Medicine
2025;66(9):890-894
- CountryChina
- Language:Chinese
-
Abstract:
This article summarized Professor YAN Xiaoping's clinical experience in treating enthesitis-related juvenile idiopathic arthritis （ERA）. The core pathogenesis of ERA is identified as kidney deficiency with pathogenic invasion， for which the basic treatment principle is tonifying the kidney and eliminating the pathogen. ERA is classified into "two stages and three syndromes" for differentiation and treatment. In the acute stage， the pathogenesis is primarily kidney deficiency with pathogen excess； for heat syndrome， it is suggested to tonify the kidneys and clear heat， using a self-made Bushen Qingre Lijie Decoction （补肾清热利节汤）； for cold syndrome， the treatment is to tonify the kidneys and expel cold， using a self-made Bushen Qyuhan Lijie Decoction （补肾祛寒利节汤）. In the remission stage， the pathogenesis is primarily spleen and kidney deficiency， and the basic treatment principle is to tonify the kidneys and fortify the spleen， and strengthen bones and muscles， for which self-made Bushen Jianpi Lijie Decoction （补肾健脾利节汤） is recommended.
