【摘要】 回纹型风湿病归属于中医痹证范畴，基本病机为正气亏损，外感之邪以风邪为主，挟寒湿热等侵袭经络，致使经络气血痹阻，不通则痛；若病邪羁留日久，则脉络不通，气滞痰阻，瘀血内生，痰瘀互结，进而损耗正气。复因新邪引发，故邪异动，正邪交争因而失衡，则疾病反复发作。“因加而发”理论重视邪正交互的作用，亦包涵了多种致病因素累加致使疾病发生，与回纹型风湿病的发生发展有异曲同工之处。基于“因加而发”理论，祛邪于其未盛之时，扶正于其未衰之刻，预防回纹型风湿病反复发作，为临床防治回纹型风湿提供诊疗新思路。更多还原

【Abstract】 Palindromic rheumatism(PR)falls under the category of impediment syndrome in traditional Chinese medicine. Its fundamental pathogenesis involves deficiency of healthy qi and invasion of external pathogens—primarily wind pathogen—coupled with cold,dampness,or heat. These factors obstruct the flow of qi and blood of meridians and collaterals,resulting in pain due to blockage. If pathogens persist,they cause collateral obstruction,qi stagnation,phlegm accumulation,and endogenous blood stasis. The binding of phlegm and stasis further depletes healthy qi. New pathogenic factors then trigger latent pathogens,disrupting the balance between healthy qi and pathogens and leading to recurrent disease episodes. The "accumulation-aggravation" theory emphasizes the interaction between pathogens and healthy qi,highlighting how cumulative pathogenic factors induce disease—paralleling the progression of PR. Guided by this theory,clinical prevention and treatment should focus on eliminating pathogens before they become dominant,and reinforcing healthy qi before its decline. This approach offers novel strategies to prevent PR recurrence and improve clinical management.更多还原