朱爽 齐继鹏 张志娇 吴洋

    摘要：强直性脊柱炎是一种全身性免疫性疾病，发病原因和机制尚不明确，炎症的发生以中轴关节和肌腱韧带骨附着点炎为主。该病具有缠绵难愈，易反复发作的特点，严重影响患者的生活质量。“三辨”模式是基于中医体质学说相关与传统的中医辨治相结合而构建的一种诊疗模式，从“辨病-辨体-辨证”出发，系统总结强直性脊柱炎的诊断和治疗。强调临证时首先辨病确定其中西医病名，把握其病因病机;其次辨体预估疾病发方向，指导临床组方用药;然后辨证确立具体证型，随势辨证。运用此模式辨治强直性脊柱炎，为中医治疗该病提供新的诊治思路。

    关键词：强直性脊柱炎;三辨模式;中医辨治

    中图分类号：R684.3? 文献标志码：A? 文章编号：1007-2349(2022)01-0019-04

    Discussion on TCM Differential Treatment Ideas of Ankylosing Spondylitis Basedon the Model of “Three Differentiations”

    ZHU Shuang1， QI Ji-peng1， ZHANG Zhi-jiao1， WU Yang2

    (1. The First Clinical Medical College of Yunnan University of Traditional Chinese Medicine， Kunming 650650 China;2. Yunnan Hospital of Traditional Chinese Medicine/The First Affiliated Hospital of Yunnan Universityof Traditional Chinese Medicine， Kunming 650021， China)

    【Abstract】Ankylosing spondylitis is a systemic immune disease. The cause and mechanism of the pathogenesis are not clear. The inflammation is mainly caused by inflammation of axial joints and tendon-ligament bone attachment points. The disease has the characteristics of lingering ......