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目的探讨类风湿性关节炎(RA)患者病因、病性及辨证分型。方法观察170例RA患者症状体征、舌脉象。结果 RA患者常见手指关节痛、舌淡苔白、脉细沉弦,辨证分型分邪实、本虚。结论 (1)病因:内因气血、脾肾、肝肾亏虚;外因风寒湿热痰瘀等杂合;(2)证型:气血亏虚、肝肾亏虚、脾肾阳虚、寒湿痹阻、湿热痹阻、痰瘀痹阻。
Objective To investigate the etiology, disease and syndrome differentiation of patients with rheumatoid arthritis (RA). Methods 170 patients with RA symptoms and signs, tongue pulse. Results RA patients with common finger joint pain, pale tongue, white fur, thin pulse Shen Xian, syndrome differentiation points evil reality, the virtual. Conclusions (1) causes: internal blood, spleen and kidney, liver and kidney deficiency; external causes of phlegm and blood stasis and other heterozygous; (2) syndromes: Qi and blood deficiency, liver and kidney deficiency, spleen and kidney Yang, Bi-blocking, damp-heat resistance, phlegm and stasis blocking.