中药治疗骨性关节炎滑膜病变研究进展  

Research Progress in TCM Treatment of Synovial Lesions of Osteoarthritis

作　　者：刘婉[1] 阚卫兵[1] 姚丽[1] 王德刚[1] 汤豪[1] 张玉婷[1] LIU Wan KAN Weibing YAO Li WANG Degang TANG Hao ZHANG Yuting(Putuo Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai China 20006)

机构地区：[1]上海中医药大学附属普陀医院,上海200062

出　　处：《中医学报》2017年第7期1297-1300,共4页Acta Chinese Medicine

基　　金：国家中医药管理局中医药重点学科建设项目-中医全科基金{[2012]32号};上海市教育委员会科研创新项目(14YZ058);上海中医药大学预算内科研项目(2014YSN64)

摘　　要：骨性关节炎以脾肾两虚为本,气滞、瘀血、水湿、痰浊为标,病变过程中,滑膜病变是促进骨性关节炎发展的重要因素。因此,该病治疗上应注重补肾健脾、理气化瘀、利湿祛痰等各种治法相结合,标本兼治,抑制滑膜病变,延缓骨性关节炎发展进程。同时应进一步研究疗效机制及作用靶点,指导骨性关节炎的临床治疗。The original etiology of Osteoarthritis is Spleen and Kidney deficiency with Qi Stagnation,Blood stasis,Dampness and Phlegm as the TCM symptoms. In the process of disease,synovial lesions are the important factors in the development of osteoarthritis. Therefore,the TCM treatment should pay attention to tonify Kidney and Spleen,Regulate Qi to dispel Stagnation,dispel Dampness and Phlegm. By treating in both the origin and the symptoms,the synovial lesions can be inhibited and the development of osteoarthritis can be delayed. At the same time the efficacy mechanism and the medication target should further studied to guide the clinical treatment of osteoarthritis.

关 键 词：骨性关节炎 滑膜 补肾健脾法 理气化瘀法 利湿祛痰法 中医理论 

分 类 号：R274.968.4[医药卫生—中西医结合]