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治疗类风湿,这6种中药材你可不能错过,尤其第一种,是祛邪之主药

2021-09-23 网络 网络

类风湿关节炎是以关节滑膜炎为特征的一种慢性全身性免疫疾病,主要表现为对称性、慢性、进行性多关节炎,关节滑膜慢性炎症、增生,血管翳形成并可累及关节软骨、软骨下骨、韧带和肌腱等。

 

本病属中医“痹证”范畴,若不积极有效治疗,可造成不同程度残疾。中医药在延缓类风湿病情进展,改善生活治疗等方面有一定优势。

今天,黄闰月大夫就给大家介绍一下用于治疗类风湿的常用中药。

常用于治疗类风湿关节炎的中药
01雷公藤

(图源:网络

雷公藤,又名黄藤,性寒,味苦、辛,大毒。

祛风除湿,活血通络,消肿止痛,是治疗类风湿疗效最为突出的中药,可起到扶正以御邪气之效,使类风湿之邪、虚、瘀得以治疗,直中病机,适合用于类风湿急性期发作,故是类风湿治疗祛邪之主药。

研究表明,雷公藤治疗自身系统免疫性疾病效果显著,但因其有效成分同时也是毒性成分,所以对消化系统、肾、生殖系统和血管系统都存在较大的毒性。

使用雷公藤时要注意:

①雷公藤每天用量不得超过10克;

②在服用前需先煎一个小时以上。

总之,一定要在医生指导下用药,以降低雷公藤中毒的发生机率。

02白芍

(图源:网络

白芍性凉,味苦酸,微寒,具有补血养血、平抑肝阳、柔肝止痛、敛阴止汗功效。

在类风湿发展后期,常表现气血、肝肾亏虚,虚实夹杂,故在祛邪同时,常配以补气血、滋肝肾药物以补虚,白芍为各医家最常用的补虚药之一,运用此类药物可使血气调适,共相荣养,使邪不能伤正。

03青蒿

青蒿是传统中药,最早见于《诗经》:“坳坳鹿鸣食野之蒿”。据《神农本草经》记载,青蒿“苦、寒、无毒”,治“留热在骨节间”。

青蒿清泄湿热,开达结气,主治骨节留热。现代药理研究证明,其能阻止白细胞介素及各种炎症介质的释放而具有抗炎作用。

04青风藤

(图源:网络

青风藤又名清风藤、青藤、寻风藤,性平,味苦,具有祛风湿、通经络、镇痛之功效,与海风藤常作药对使用。

两者舒筋活络,常用于风湿痹痛之类风湿,前者镇痛之功显著,后者善治络中之风,临床也常配鸡血藤、忍各藤并用,四药同用,既通络达肢,又缓解疼痛。

青藤碱是其主要有效成分,具有镇痛、镇静、抗炎、免疫抑制,抑制软骨破坏等作用。

05黄芪
(图源:网络

黄芪为补气药,其性甘微温,有补气升阳、益卫固表、利水消肿之功。

现代药理研究发现,黄芪有增强免疫、利尿、保肝、降压、抗衰老、消除蛋白尿等作用。

黄芪总苷能明显改善患者的休息痛、晨僵时间、舌质淡、脉象细、肿胀关节数和指数,明显提高类风湿患者淋巴细胞的增生反应。

06马钱子

马钱子味苦,性寒,有大毒。

《诸药法制及药性》中记载:马钱子可搜筋骨入骱之风湿,祛皮里膜外凝结之痰毒。

类风湿常表现为痛处固定不移,疼痛剧烈,遇寒加重,主要为风邪所致,而马钱子可通经活络,散结止痛,助阳化热,故对于风、寒、湿邪所致类风湿有效。

但马钱子的治疗用量与中毒比较近,用量(每日用量不得超过0.2g)稍有不当,便会引起中毒反应。

再次提醒:雷公藤、马钱子等带毒性中药需要在医生指导下辨证论治,否则会引起中毒。

 

参考文献:

[1]任亮,范晓良.(2018).浅谈中药在类风湿性关节炎治疗中的应用.中国乡村医药,70-71.doi:10.3969/j.issn.1006-5180.2018.01.047.

[2]陈如平,李红宇,王昌兴.(2011).雷公藤对类风湿性关节炎的影响.河南中医,102-103.doi:CNKI:SUN:HNZY.0.2011-04-063.

[3]吴宗群,解建国,滕杰.(2006).青风藤治疗类风湿性关节炎的概况.时珍国医国药,187-188.doi:CNKI:SUN:SZGY.0.2006-07-123.

 

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  1. [GetPortalCommentsPageByObjectIdResponse(id=2117642, encodeId=10a8211e642b4, content=<a href='/topic/show?id=6d00e616523' target=_blank style='color:#2F92EE;'>#类风湿关节炎#</a>的<a href='/topic/show?id=5c1d22423c8' target=_blank style='color:#2F92EE;'>#中药#</a>:<a href='/topic/show?id=819198820e6' target=_blank style='color:#2F92EE;'>#雷公藤#</a>,<a href='/topic/show?id=37fd105333e0' target=_blank style='color:#2F92EE;'>#白芍#</a>,<a href='/topic/show?id=ad9399050fc' target=_blank style='color:#2F92EE;'>#青蒿#</a>,<a href='/topic/show?id=d869104413a7' target=_blank style='color:#2F92EE;'>#青风藤#</a>,<a href='/topic/show?id=9c2d1031961f' target=_blank style='color:#2F92EE;'>#黄芪#</a>,<a href='/topic/show?id=46a8105396ba' target=_blank style='color:#2F92EE;'>#马钱子#</a>,不过象马钱子毒性还是相当大的,雷公藤的导致<a href='/topic/show?id=6ce83686120' target=_blank style='color:#2F92EE;'>#卵巢早衰#</a>,也是头疼的副作用,只有深入研究机制,它才能发挥作用。<a href='/topic/show?id=94db10539e90' target=_blank style='color:#2F92EE;'>#痹症#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=177, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76165, encryptionId=6d00e616523, topicName=类风湿关节炎), TopicDto(id=22423, encryptionId=5c1d22423c8, topicName=中药), TopicDto(id=98820, encryptionId=819198820e6, topicName=雷公藤), TopicDto(id=105333, encryptionId=37fd105333e0, topicName=白芍), TopicDto(id=99050, encryptionId=ad9399050fc, topicName=青蒿), TopicDto(id=104413, encryptionId=d869104413a7, topicName=青风藤), TopicDto(id=103196, encryptionId=9c2d1031961f, topicName=黄芪), TopicDto(id=105396, encryptionId=46a8105396ba, topicName=马钱子), TopicDto(id=36861, encryptionId=6ce83686120, topicName=卵巢早衰), TopicDto(id=105397, encryptionId=94db10539e90, topicName=痹症)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aa0e14, createdName=lifestar, createdTime=Sun Mar 05 08:58:29 CST 2023, time=2023-03-05, status=1, ipAttribution=上海), GetPortalCommentsPageByObjectIdResponse(id=1334301, encodeId=d96613343016f, content=<a href='/topic/show?id=5306e6164b6' target=_blank style='color:#2F92EE;'>#类风湿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76164, encryptionId=5306e6164b6, topicName=类风湿)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eq2AGzrugK9ZUjU3eJxzM901ophWib0xJDrSicy49ibWl3zB5pbDto7eoR6tnzwOiaKdbq1a8PcbYFFrw/132, createdBy=6ff22500098, createdName=ms4964546379600229, createdTime=Sat Sep 25 09:09:45 CST 2021, time=2021-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1571861, encodeId=406315e1861d0, content=<a href='/topic/show?id=af51224e59a' target=_blank style='color:#2F92EE;'>#中药材#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22475, encryptionId=af51224e59a, topicName=中药材)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=407115772238, createdName=ssnine, createdTime=Sat Sep 25 09:09:45 CST 2021, time=2021-09-25, status=1, ipAttribution=)]
    2023-03-05 lifestar 来自上海

    #类风湿关节炎##中药##雷公藤##白芍##青蒿##青风藤##黄芪##马钱子#,不过象马钱子毒性还是相当大的,雷公藤的导致#卵巢早衰#,也是头疼的副作用,只有深入研究机制,它才能发挥作用。#痹症#

    0

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    2021-09-25 ssnine
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