施杞从三期论治膝骨关节炎临床经验撷英  

Shi Qi’s experience in three-stage treatment of knee osteoarthritis

作　　者：李晓锋[1] 侯炜[2] 薛纯纯[1] 王晨[2] 宋永嘉 施杞[2] 莫文[2] LI Xiaofeng;HOU Wei;XUE Chunchun;WANG Chen;SONG Yongjia;SHI Qi;MO Wen(Shanghai Municipal Hospital of Traditional Chinese Medicine Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China;Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China;Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属市中医医院,上海200071 [2]上海中医药大学附属龙华医院,上海200032 [3]上海中医药大学,上海201203

出　　处：《上海中医药杂志》2021年第8期25-28,共4页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81973881,81804122);上海市卫生计生系统优秀青年人才培养项目(2018YQ27);上海高校青年骨干教师国内访问学者计划项目(人事009);上海市“医苑新星”青年医学人才培养资助计划项目(沪卫计人事[2019]72);上海中医药大学杏林中青年人才培养体系·杏林青年学者项目(RC-2017-02-01);上海中医药大学“杏林百人”计划项目(上中医人字[2020]23)。

摘　　要：介绍施杞教授从三期论治膝骨关节炎的临床经验。认为膝骨关节炎可按急性发作期、急性缓解期、慢性持续期三期分期论治;在分期辨证内服中药的同时,可择期选择热熨疗法、中药熏蒸及外用膏剂等中药外治疗法,再辅以整膝三步九法理筋整骨通络、恢复筋骨平衡,最后还提倡防、治、养一体化的干预理念。This article aims to introduce professor Shi Qi’s clinical experience in treating knee osteoarthritis from three stages.Professor Shi suggests that knee osteoarthritis can be differentiated into three stages:acute attack stage,acute remission stage and chronic duration stage.During treatment,while taking traditional Chinese medicine(TCM)oral decoctions according to syndrome differentiation in different stages,TCM external treatment methods such as hot medicated compress therapy,Chinese medicine fumigation and externally used paste can also be selected accordingly,supplemented by three steps and nine methods of knee manipulation to regulate sinews,press and move bones and muscles and dredge collaterals for the purpose of restoring the balance of sinews and bones.Professor Shi also advocates the intervention concept of integration of prevention,treatment and nourishment.

关 键 词：膝骨关节炎 分期论治 中药内服 中药外治 整膝三步九法 治未病 名医经验 

分 类 号：R249[医药卫生—中医临床基础] R274.9[医药卫生—中医学]