内湿(痰湿)在类风湿关节炎发病中的意义

摘要

类风湿关节炎(rheumatoid arthritis,RA)是一种慢性自身免疫性疾病,中医认为,由于风、寒(热)、湿三气杂合侵袭人体所致,其中外湿是主要致病因素.随着对本病观察与研究的不断深入,内生痰湿在本病中的作用与意义亦不容忽视,由于痰湿导致RA患者肥胖及脂肪堆积,其分泌的脂肪因子在RA的发生、发展及治疗效应上亦产生相应影响.因此,应重视内生痰湿在RA疾病过程中的意义.%Rheumatoid arthritis (RA) is a chronic autoimmune disease. TCM theory believes that wind, cold, and dampness result in RA, with the external dampness as the mian pathogenic factor. With the observation and research on the deepening of the disease, the role and significance of internal-caused phlegm-dampness in this disease can not be ignored. Phlegm-dampness can cause obesity and fat accumulation in RA patients, and the secretion of adipokines in the occurrence and development of RA and the treatment effect also have a corresponding impact. Therefore, attention should be paid to the significance of internal-caused phlegm-dampness in the course of RA disease.