王鑫 张羽 吕行 李诗雨 李南南 周彩云

    摘要 白塞病是一种以血管炎为基本病理改变的慢性全身性炎症疾病，病变可累及多系统，病情复杂，缠绵难愈。周彩云教授主张中西医结合治疗白塞病，提出了分期辨治的治疗原则，认为“湿热毒邪内蕴、热毒伤络”为本病病机关键，急性活动期关键病机为“湿热毒邪内蕴、热毒伤络”，治疗应以清热解毒、凉血护络为大法，可兼以清热利湿;间歇期病机特点为“脾气亏虚、湿热毒余邪内蕴、络脉受损”，治疗应益气健脾，兼清热解毒利湿、凉血护络。

    关键词 白塞病;分期辨治;周彩云;经验;贝赫切特综合征;中医药;急性活动期;间歇期

    Abstract Behcet′s disease is a chronic systemic inflammatory disease with vasculitis as the basic pathological change.The disease can affect multiple systems with complex conditions and is very easy to relapse.Professor ZHOU Caiyun advocates integrated Chinese and Western medicine for Behcet′s disease.She proposes treatment based on stage differentiation and considers that the essential pathological mechanism is not only dampness-heat toxin amassment but also collaterals injury caused by heat toxin.In acute active phase，the key pathogenesis is dampness heat and pathogenic toxin accumulated in interior and heat-toxicity hurting collateral.The main treatment should be clearing heat and removing toxicity，cooling blood and protecting collaterals，assisted by promoting dieresis.In intermission，the main pathological mechanism is deficiency of spleen qi ......