From the perspective of Chinese medicine, according to the clinicalmanifestation and features of dermatomyositis, it can be attributed to"arthralgia" and "Weizheng" category in traditional Chinese medicine. Thisdisease has the characteristics of deficiency in origin and excess insuperficiality, deficiency and excess,so treatment is more complicated, easyto recurrent,and refractory protracted illness. By reviewing the understandingof traditional medicine for the etiology and pathogenesis of "Bi syndrome" and"Weizheng", summed up the dermatomyositis occurs due to deficiency of body energyand induced factors, including predisposing factors are exogenous factors,emotional factors and excessive work. There is a close relationship between thedeficiency of vital qi and lung spleen kidney three dirty, inducing factors haveinteraction with the lung spleen and kidney, and according to the lung spleenkidney three dirty their functions, the lung spleen and kidney in dermatomyositisoccurrence has the important position in the development, explore the methodof treatment of dermatomyositis from the lung spleen kidney three dirty angle.The disease mainly in skin, muscle change, due to lung controlling skin and hair,the spleen nourishing the muscles, so the relationship between the symptoms andthe lung and spleen is closely related to the. Pathogenesis of wholedermatomyositis with spleen deficiency, early acute exacerbation, by invadingthe lung health, lung and spleen deficiency,Qi and blood, not painful;laterremission, with deficiency of Qi and blood, spleen and kidney deficiency, bloodis not wing and wilting. From the perspective of lung spleen and kidney syndrome,the dermatomyositis concludes five syndrome types, respectively for the syndromeof wind-heat invading lung, syndrome of dampness-heat stagnating in spleen,lung wet spleen qi deficiency syndrome, kidney yin deficiency syndrome, syndromeof yang deficiency of spleen and kidney. Dermatomyositis treatment, early toadjust the lung spleen mainly, and to kidney, can add medicine and activating blood, expelling wind, eliminating pathogen, advanced to the tune of spleen andkidney, combined with pulmonary, plus drugs tonifying qi and nourishing blood.According to the clinical symptoms, attention to drug therapy with addition andsubtraction in change, the entire treatment process, should pay attention todrug strengthening the spleen and replenishing qi aspects of treatment. |