基于“久病入络”理论论治股骨头坏死  

Treatment of Osteonecrosis of the Femoral Head Based on the Theory of "Pathogen Intruding into Collateral in Protracted Disease"

作　　者：张乘源 尹纪光[2] 吴伟山 李斌[1] 朱玉树 孟庆宏 曹学帅 唐海 石雅馨 张东 ZHANG Chengyuan;YIN Jiguang;WU Weishan;LI Bin;ZHU Yushu;MENG Qinghong;CAO Xueshuai;TANG Hai;SHI Yaxin;ZHANG Dong(Shandong University of Traditional Chinese Medicine,Jinan 250014,China;Affiliated Hospital to Shandong University of Traditional Chinese Medicine,Jinan 250014,China;Yangjiapo Town Health Center,Yinan County,Linyi 276300,China)

机构地区：[1]山东中医药大学,山东济南250014 [2]山东中医药大学附属医院,山东济南250014 [3]临沂市沂南县杨家坡镇卫生院,山东临沂276300

出　　处：《西部中医药》2023年第4期39-42,共4页Western Journal of Traditional Chinese Medicine

基　　金：山东省中医药科技发展计划项目(2019-0141)。

摘　　要：以叶天士“久病入络”理论为基石,以中医辨证论治为纲领,分析股骨头坏死的病因病机,认为肝脾肾亏虚为本,气滞血瘀痰阻为标“,久病入络”是股骨头坏死的中医病因病机。在此基础上,以络病理论为指导,分析“久病入络”理论在股骨头坏死中的应用,认为采用活血通络、络虚通补的治疗方法,可以为股骨头坏死的中医保守治疗提供新的探索角度。Taking Ye Tianshi's"pathogen intruding into collateral in protracted disease"theory as the foundation,syndrome differentiation and treatment as the framework,the paper analyzes the cause and pathogenesis of osteonecrosis of the femoral head(ONFH),it is believed that the depletion of liver,spleen and kidney is the root cause,Qi stagnation,blood stasis and phlegm obstruction as the superficial one,"pathogen intruding into collateral in protracted disease"is the cause and pathogenesis of ONFH.On this basis,guided by collateral disease theory,the paper analyzes the application of the theory in ONFH,it is believed that activating blood and dredging collateral,purgation and tonifying because of deficiency of collateral adopted as therapeutic method,could provide new exploration perspectives for TCM conservative therapy of ONFH.

关 键 词：股骨头坏死 久病入络 中医保守治疗 活血通络 络虚通补 叶天士 

分 类 号：R22[医药卫生—中医基础理论]