许学猛基于肌骨同治采用内外调和法治疗岭南膝骨关节炎的思路  

XU Xue-Meng’s Thoughts for Treatment of Knee Osteoarthritis in Lingnan Area with Internal and External Harmonization Method Based on Musculoskeletal Co-treatment

作　　者：黄媛华 李聪聪 李安安 宋敏 张家媛 刘文刚[3] 许学猛(指导)[3] HUANG Yuan-Hua;LI Cong-Cong;LI An-An;SONG Min;ZHANG Jia-Yuan;LIU Wen-Gang;XU Xue-Meng(Huizhou Hospital Affiliated to Guangzhou University of Chinese Medicine,Huizhou 516000 Guangdong,China;Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China;Guangdong Second Traditional Chinese Medicine Hospital,Guangzhou 510095 Guangdong,China)

机构地区：[1]广州中医药大学惠州医院,广东惠州516000 [2]广州中医药大学,广东广州510006 [3]广东省第二中医院,广东广州510095

出　　处：《广州中医药大学学报》2022年第1期202-206,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：全国第四期中医临床优秀人才研修项目(国中医药人教发[2017]24号)。

摘　　要：岭南地区膝骨关节炎(膝痹)患者的局部症状如骨摩擦音、膝痛、肿胀、畸形等较明显,全身脾虚痰湿的症状也较突出。许学猛教授基于肌骨同治理念,提出采用内外调和的方法治疗岭南地区膝骨关节炎:内服方药采用参苓白术散加减方以益气健脾运痰湿,调肾脾充骨肌;外治方法采用分步的推髌舒筋回旋手法柔调膝关节的肌与骨,使局部气血流通。内服方药配合外治手法可兼顾患者的先天之本及后天之本,使膝部肌骨得到润泽舒通,临床症状得到明显缓解甚至消除。Patients with knee osteoarthritis(knee arthralgia)in Lingnan area have the pronounced local symptoms such as bony crepitus, knee pain, swelling and deformity, and prominent systemic symptoms of syndrome of spleen deficiency with phlegm-dampness. Based on the concept of musculoskeletal co-treatment,Professor XU Xue-Meng proposes the thoughts of treating knee osteoarthritis in Lingnan area by the internal and external harmonization method:the internal harmonization can be achieved by the oral use of modified Shenling Baizhu Powder to replenish qi and invigorate spleen for transporting phlegm-damp,and to regulate kidney and spleen for strengthening bone and muscle;the external harmonization can be achieved by the external therapy of step-bystep manipulation of pushing patella,relaxing tendon and introversion for gently adjusting the muscle and bone of knee joint,so as to promote the local qi and blood circulation. The combination of internal formula and external treatment realizes the simultaneous consolidation of congenital and acquired base of the patient, so that the muscles and bones of the knee can be moistened and soothed,and clinical symptoms can be significantly relieved or even eliminated.

关 键 词：膝骨关节炎 膝痹 岭南地区 肌骨同治 内外调和 参苓白术散 益气健脾运痰湿 推髌舒筋回旋手法 许学猛 

分 类 号：R255.6[医药卫生—中医内科学]