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| Professor Li Fazhi’s treatment experience of acquired immunodeficiency syndrome based on the spleen and stomach is the foundation of the five viscera |
| YANG Ruihan1 MA Xiuxia2 MENG Pengfei2 LI Liangping2 DING Xue2 SONG Xiyuan2 CUI Weifeng3 XU Liran2#br# |
1.Graduate School, Henan University of Chinese Medicine, Henan Province, Zhengzhou 450046, China;
2.Acquired Immunodeficiency Syndrome Research Center, the First Affiliated Hospital of Henan University of Chinese Medicine, Henan Province, Zhengzhou 450000, China;
3.Department of Hypertension, Affiliated Hospital of Henan Academy of Chinese Medicine, Henan Province, Zhengzhou 450004, China |
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Abstract Acquired immunodeficiency syndrome has always been one of the major infectious diseases threatening the safety of human life, and its prevention and treatment is the key and difficult problem to be solved clinically. Through many years of clinical practice, Professor Li Fazhi believes that the disease manifestation of acquired immunodeficiency syndrome is similar to the “consumption disease” of traditional Chinese medicine. Professor Li Fazhi pays attention to the theoretical idea that the spleen and stomach is the foundation of the five viscera, and emphasizes the nursing effect of the spleen and stomach on the five viscera. He points out that acquired immunodeficiency syndrome attacks people. First of all, acquired immunodeficiency syndrome damages the spleen and stomach. Gradually, acquired immunodeficiency syndrome leads to the loss of the heart, lung, kidney, and liver. Finally, acquired immunodeficiency syndrome causes the weakness of qi and blood, yin and yang of the five viscera. And it also causes the accumulation of pathological products such as blood stasis and phlegm, thus leading to a variety of concomitant diseases. The key to the pathogenesis is that the human immunodeficiency virus damages the primordial qi, spleen and stomach deficiency accompanied by internal dampness, loss of nourishment of the five viscera, weakness of qi and blood, and yin and yang loss. The change of the pathogenesis throughout the whole process of acquired immunodeficiency syndrome. Professor Li Fazhi emphasizes the importance of strengthening the spleen and stomach and caring for the middle soil in the treatment to correct the deficiency of the five viscera and various complications caused by human immunodeficiency virus. At the same time, he attaches great importance to distinguishing between deficiency and excess to achieve the effect of dispelling the evils of acquired immunodeficiency syndrome and nourishing primordial qi. The case is attached here to support the theory.
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[1] 中华医学会感染病学分会艾滋病丙型肝炎学组，中国疾病预防控制中心.中国艾滋病诊疗指南（2021年版）[J].中国艾滋病性病，2021，27（11）：1182-1201.
[2] 李静茹，马秀兰，张颖，等.艾滋病中医病位证素分布规律及其与年龄的相关性研究[J].中华中医药杂志，2021， 36（2）：1061-1063.
[3] 徐立然，郭会军.李发枝治疗艾滋病经验集[M].郑州：中原农民出版社，2013：1-3，18-23.
[4] 郭娅娅，徐立然，吴少天，等.基于伏气学说探讨柴藿达原饮防治艾滋病的效应机制[J].时珍国医国药，2019，30（7）：1677-1678.
[5] 李发枝，徐立然，李柏龄.中医学对艾滋病病因病机的认识[J].中医杂志，2006（5）：395-396.
[6] 张介宾.类经[M].北京：中国中医药出版社，1997：22.
[7] 龚廷贤.寿世保元[M].沈阳：辽宁科学技术出版社，1997：11.
[8] 沈金鳌.杂病源流犀烛[M].北京：中国中医药出版社，1994：54.
[9] 李东垣.脾胃论[M].北京：人民卫生出版社，2005：3-6.
[10] 吕文亮，徐宜兵.中医基础理论[M].北京：人民卫生出版社，2015：67-68.
[11] 张志聪，高世轼.侣山堂类辨·医学真传[M].北京：人民卫生出版社，1983：84.
[12] 周之干.中国古医籍整理丛书：临证综合27：慎斋遗书[M].北京：中国中医药出版社，2016：16.
[13] 吴有性.瘟疫论[M].北京：中国中医药出版社，2011.
[14] 徐立然，王健，李发枝，等.基于辨证施治的HIV/AIDS病证诊疗体系构建评价与应用荣获2016年中华中医药学会科学技术进步一等奖[J].中国艾滋病性病，2019， 25（8）：773-775.
[15] 马骏，段永强，王强，等.基于“脾胃互藏五脏”论治慢性萎缩性胃炎[J].中国中医药信息杂志，2021，28（2）：124- 126.
[16] 李发枝，徐立然.益艾康胶囊临床治疗艾滋病十五年回顾[C]//.中华中医药学会防治艾滋病分会2018年学术年会论文集，2018：12-15.
[17] 黎萍，马艳玲，陈敏，等.HIV急性期感染诊断及其预防控制的重要意义[J].中国公共卫生管理，2021，37（3）：337-340.
[18] 王丹妮，翟梦洋，李唱，等.再谈李发枝艾滋病诊疗特色[J].中华中医药杂志，2021，36（8）：4725-4727.
[19] 盖敬云，马丽琴，芦迎春.1例急性期HIV感染者的检测与诊断[J].中国艾滋病性病，2020，26（12）：1361-1362.
[20] 余淑汀，林宝顺，高安定.1例窗口期艾滋病患者的追踪检测[J].实验与检验医学，2020，38（3）：605-606.
[21] 宋春荣，刘永刚，南然，等.高效抗逆转录病毒治疗联合健脾益肾方对无症状期艾滋病患者中医症候积分及CD4+T细胞数量的影响[J].中国中西医结合杂志，2021， 41（1）：46-49.
[22] 杨小平，孙真真.泻痢康胶囊对艾滋病相关慢性腹泻肠道微生态的影响[J].中医研究，2018，31（1）：16-19.
[23] 李杲.内外伤辨惑论[M].天津：天津科学技术出版社，2005：4-5.
[24] 高海滨，阮庆婷，唐蓓蓓，等.“脾恶湿”理论治疗艾滋病 临床探讨[J].中医学报，2019，34（8）：1602-1605．
[25] 许前磊，胡新宁，马玉青，等.病症证结合在中医药防治艾滋病中应用探讨[J].中华中医药学刊，2020，38（11）：14-16．
[26] 王丹丹，宋夕元，徐立然.中药在艾滋病相关并发症中的应用研究进展[J].中医研究，2021，34（11）：64-68. |
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