国医大师周仲瑛从络病论治骨关节炎经验  

TCM Master Zhou Zhongying's Experience on Treating Osteoarthritis from the Theory of Collateral Disease

作　　者：管玉洁 何晓瑾[1] 周学平[2] 王磊[1] 胡雨峰[2] 程淼 肖思奇 GUAN Yu-jie;HE Xiao-jin;ZHOU Xue-ping;WANG Lei;HU Yu-feng;CHENG Miao;XIAO Si-qi(The Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, Nanjing, 210029, China;The First School of Clinical Medicine, Nanjing University of Chinese Medicine, Nanjing, 210023, China)

机构地区：[1]南京中医药大学附属医院/江苏省中医院,江苏南京210029 [2]南京中医药大学第一临床医学院,江苏南京210023

出　　处：《南京中医药大学学报》2021年第2期287-289,共3页Journal of Nanjing University of Traditional Chinese Medicine

基　　金：江苏省自然科学基金(BK20191415);江苏省中医药管理局第三批中医临床优秀人才研修项目(苏中医科教〔2017〕18号);江苏高校“青蓝工程”中青年学术带头人资助项目(苏教师〔2018〕1号);南京中医药大学中医学优势学科三期项目(ZYX03KF008)。

摘　　要：周仲瑛教授基于叶天士的络病理论探讨骨关节炎的发病机制,认为肾虚血亏、络脉空虚为发病基础,络脉痹阻为致病关键,病理性质属本虚标实,提出补虚充络、散滞通络的治疗原则,以补虚充络、辛味通络、虫蚁搜风通络三法论治,并自拟骨痹方,取得了较好的临床疗效。Based on Ye Tianshi's theory of collateral disease,professor Zhou Zhongying explored the pathogenesis of osteoarthritis,held that the kidney and blood deficiency,and collaterals empty were the pathological basis,and collaterals obstruction was the main cause.The pathological nature pertained to root deficiency and branch excess.On this basis,professor Zhou Zhongying proposed the therapeutic principle of tonifying the deficiency,filling the collaterals,unblocking the collaterals,and applied three treatment methods of tonifying the deficiency and unblocking the collaterals,prescribing pungent medicinal to unblock the collaterals,using insects to scatter wind and unblock the collaterals.In addition,he prescribed self-made Gubi formula and obtained significant clinical effects.

关 键 词：周仲瑛 叶天士 络病 骨关节炎 名医经验 

分 类 号：R249[医药卫生—中医临床基础]