Most patients with rheumatic diseases have long disease, complicated condition, repeated attacks, lingering difficulties and other characteristics. It can affect the normal operation of qi and blood, and the qi stagnation and blood resistance, and the syndrome of phlegm and blood stasis. In the course of development of disease, "phlegm"and"stasis"are both pathological products and can be used as pathogenic factors, especially in the middle and late stage.Based on the phlegm and blood stasis and the formation of the etiology and pathogenesis, clinical common such as pain, numbness, hybrid cold, hot, dampness and other factors, treatment based on syndrome differentiation points and corresponding treatment strategies discussed each other by phlegm and blood stasis in the application of rheumatic diseases for proriding ideas for clinical treatment.%风湿性疾病患者大多具有病程长、病情复杂、反复发作、缠绵难愈等特点.内外邪合而伤人, 脏腑功能失调, 影响气血津液正常运行, 气滞津停血阻, 久致痰瘀互结之证;在疾病发生发展的过程中, "痰"和"瘀"既是病理产物又可作为致病因素, 尤其是中晚期阶段往往是痰瘀相互胶结、顽固难化, 治疗十分棘手.故从痰瘀互结证形成的病因病机, 表现疼痛、麻木、肿块结节等临床共性, 杂合寒、热、湿等邪而成的临床个性, 辨证论治要点以及相对应的治疗策略等方面探讨痰瘀互结证在风湿性疾病中的运用, 为临床治疗提供思路.
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