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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    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