朱跃兰教授对于骨关节炎疼痛的中医认识  

Professor ZHU Yuelan’s Understanding of Osteoarthritis Pain in Traditional Chinese Medicine

作　　者：胡胜华 侯秀娟[1] 刘小平[1] 丁明辉[1] 郑炜[1] 王晓聪 朱跃兰[1] HU Shenghua;HOU Xiujuan;LIU Xiaoping;DING Minghui;ZHENG Wei;WANG Xiaocong;ZHU Yuelan(Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China)

机构地区：[1]北京中医药大学东方医院,北京100078

出　　处：《吉林中医药》2020年第11期1457-1460,共4页Jilin Journal of Chinese Medicine

基　　金：北京市科委资助项目(Z151100003815013)。

摘　　要：朱跃兰认为骨关节炎当属于中医痹病、骨痹、历节等范畴。对于疼痛产生的病因病机,肝肾不足是其根本,痰、瘀是其病理产物,风寒湿邪气是其发生的诱因。其基本治疗原则为补益肝肾、活血化瘀,佐以祛风散寒除湿、疏肝解郁、行气止痛之法,在治疗过程中要重点关注情绪的调节,同时在治疗过程中还应注意固护脾胃。Professor ZHU thinks that osteoarthritis belongs to the category of "bi disease,osteopathy,acute arthritis" in Chinese medicine.For the etiology and pathogenesis of pain,Professor ZHU believes that liver and kidney deficiency is the root cause,phlegm dampness and blood stasis are the pathological products,wind cold dampness and qi are the causes of its occurrence,and emotional factors have an important influence in the course of the disease.The basic treatment principles are tonic liver and kidney,and promoting blood circulation to remove blood stasis,supplementing the methods of removing wind and dispersing cold and eliminating dampness,relieving liver and stagnation,and practicing qi and pain relief.In the process of treatment,we should pay attention to the regulation of emotions.At the same time,we should pay attention to protect the spleen and stomach during treatment.

关 键 词：骨关节炎 疼痛 肝肾不足 补益肝肾 活血化瘀 祛痰通络 朱跃兰 

分 类 号：R255.6[医药卫生—中医内科学]