通讯作者: 吴红, 2411640013@qq.com

DOI：10.12201/bmr.202511.00074

Treatment of male ankylosing spondylitis with Yang Sheng Ge Yin

• 摘要：强直性脊柱炎是一种好发于青年男性的慢性炎症性自身免疫病,以脊柱及骶髂关节炎症、钙化及强直为主要病理特征,致残率较高,目前病因及发病机制尚未完全明确,临床缺乏根治手段。中医药在改善症状、延缓病情进展方面具有一定优势,但现有辨证体系存在一定的局限性。因此笔者在吴红导师指导下,结合临床实践与古籍研究,提出以“阳盛格阴”理论为指导,来探讨青年男性AS的中医发病机制与治疗思路。本文从探讨该理论的源流与发展,分析其与青年男性AS在体质、病机、临床表现等方面的内在联系,提出以清热解毒为主、兼以除湿化痰、活血化瘀的治法,为临床提供新的理论依据与用药思路参考。

  关键词： 阳盛格阴; 强直性脊柱炎; 病理机制; 中医药; 理论探讨

   

  Abstract: Ankylosing spondylitis is a chronic inflammatory autoimmune disease that occurs in young men. It is mainly characterized by inflammation, calcification and rigidity of the spine and sacroiliac joints. The disability rate is high. At present, the etiology and pathogenesis are not completely clear, and there is no radical cure in clinical practice. Traditional Chinese medicine has certain advantages in improving symptoms and delaying the progress of the disease, but the existing syndrome differentiation system has certain limitations. Therefore, under the guidance of Professor Wu Hong, combined with clinical practice and ancient book research, the author puts forward the theory of Yang Sheng Ge Yin as a guide to explore the pathogenesis and treatment of AS in young men. This article discusses the origin and development of this theory, analyzes its internal relationship with young male AS in terms of constitution, pathogenesis, and clinical manifestations, and proposes a treatment method based on clearing heat and detoxifying, combined with dehumidification and phlegm, and promoting blood circulation and removing blood stasis, so as to provide new theoretical basis and reference for clinical medication.

  Key words: Yang Sheng Ge Yin; ankylosing spondylitis; pathological mechanism; traditional Chinese medicine; theoretic discourse

  提交时间：2025-11-23

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2025-10-26	10.12201/bmr.202511.00074V1	下载

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